Opinions
The LGBTQ+ community, telehealth, and rural broadband access
Congress must act to preserve lifeline of remote healthcare
The LGBTQ+ community has come to rely more and more on remote general and specialized healthcare as the pandemic continues to limit access to in-person services. This lifeline is in danger of going away unless Congress acts, delivering a serious blow to the diverse community of people who struggle to access care in-person in their communities.
Telehealth allows doctors and other providers to provide care without an in-person visit. More specifically, telehealth refers to the health care services accessible through telecommunications services, including via audio and video (either real time or asynchronous). These services are best delivered via high-speed broadband services. Medical care appointments, consultations, prescriptions, follow-up visits, and more can be done safely and virtually.
Telehealth is a modern necessity made even more relevant due to the ongoing COVID-19 pandemic, and demand for these resources is growing. The LGBTQ+ community in particular is experiencing a significant need for improved telehealth provisions and access. Recent relaxations of telehealth regulations have expanded the reach of telehealth and positively impacted marginalized communities including the LGBTQ+ community, especially in rural and remote areas. Effective and reliable broadband access is instrumental for telehealth services and as telehealth expands, advancements to universal broadband access will be critical to reach these communities.
Telehealth and the LGBTQ+ community
More than 18 million Americans identify as lesbian, gay, bisexual, transgender, queer, questioning, or intersex (LGBTQ+), and more younger Americans than ever before are identifying as LGBTQ+. The health concerns of these individuals deserve utmost respect and care, demonstrable through high-quality health care both in person and online. Telehealth plays an important role in connecting the LGBTQ+ community with competent and affirming health care providers and services. The LGBTQ+ community has always been more heavily reliant on internet connectivity, and healthcare is no different, with 81% of LGBTQ+ youth reportedly using the internet to search for health information.
LGBTQ+ communities face many of the same healthcare concerts as non-LGBTQ+ communities, though there are differences in rates of some chronic conditions including cancer, diabetes, obesity, HIV/AIDS and other sexually transmitted infections (STIs), and tobacco-related health conditions. LGBTQ+ individuals have higher rates of mental and physical disability, and the impact of loneliness on health quality is experienced at higher rates by LGBTQ+ individuals in both urban and rural settings. Routine healthcare for these conditions improves quality of life, but LGBTQ+ individuals often report high cost as a deterrent from going to the doctor. Telehealth provides an affordable avenue to routine health care.
Many individuals in the LGBTQ+ community report a history of medical trauma as a barrier to receiving healthcare. Gender-affirming health care is one major motivator for telehealth access in the LGBTQ+ community. Nearly one-fifth of transgender individuals have been refused healthcare due to their gender identity. Online servers such as Folx Health, Plume, and QueerDoc provide gender-affirming care including hormone therapy, mental health, and documents for gender marker change. Telehealth allows users to bypass the barrier of proximity to medical care and to access providers who are informed on medical concerns and considerations that uniquely impact the LGBTQ+ community.
Regulations that previously restricted the delivery of telehealth have been eased since the onset of the COVID-19 pandemic. Specifically, rules previously limited telehealth to rural areas received in a clinical setting. The new rules allow urban and suburban patients to access telehealth from their home or other convenient setting. This makes sense as many urban areas lack convenient access to physicians and other providers. Individuals across America have benefitted from the ability to access basic health services at home, but those whose care has been most significantly enhanced are poor, elderly, members of marginalized communities such as the LGBTQ+ community, and/or those who live in remote areas of the country. For example, the total number of telehealth visits in Medicare increased from less than 1 million to more than 50 million during COVID.
There are currently hundreds of proposals pending before state and federal legislatures that address extending or expanding telehealth beyond the pandemic’s public health emergency. Current changes to telehealth regulations include loosened restrictions around telephone-based check-ins and the allowance for telehealth visits between providers and persons across state borders. Before the pandemic, patients filled a prescription after first meeting with a doctor in-person, but telehealth expansion has eliminated the required in-person appointment. Telehealth treatment for addiction is also on the rise, with addiction-specific treatments available online. General mental health resources are also increasingly accessible virtually and by phone. Now that these practices are commonplace, regulators are looking to pass legislation that will maintain this ease of service.
The expansion of telehealth has proven especially effective for the LGBTQ+ community. Easing accessibility of telehealth and prescriptions reduces the cost of care for routine medicines and check-ups for conditions that disproportionately affect the LGBTQ+ community, such as HIV. Increased availability of telehealth mental resources is critical for all youth, but especially for those in the marginalized LGBTQ+ community. Through online resources, transgender adults can safely and reliably access gender-affirming healthcare including hormone replacement therapy and counseling with specialized professionals. Additionally, telehealth access can reduce or eliminate the stigma and discrimination that LGBTQ+ individuals face daily when selecting providers, especially in remote or rural areas where there may be few providers to choose from and even fewer knowledgeable about and sympathetic to the special health care needs of LGBTQ+ individuals. Making permanent the COVID-19 exemptions currently in place that regulate telehealth services will have far-reaching, positive impacts for the LGBTQ+ community.
Rural need for telehealth
An estimated 2.9 to 3.8 million Americans living in rural and remote parts of the country identify as LGBTQ+ and deserve high-quality and informed healthcare. Accessing a healthcare provider is, in general, more challenging in rural areas. Consider, for example, costs associated with distance. To add insult to injury, where providers are available in rural communities, the potential for discrimination against LGBTQ+ individuals and misdiagnosis of medical conditions is prevalent. Lack of access to sympathetic providers or specialized providers makes telehealth a crucial tool for the rural LGBTQ+ community.
Given the need for broadband access to ensure quality telehealth services (to access video consultations, for example), the quality of an individual’s access to broadband services will directly affect their health care experience. Rural Americans are routinely left behind in broadband deployment, contributing to the digital divide, or the gap in use of online resources. Improvements to broadband access is key for expanding the reach of telehealth services across the country, especially in rural America. The recently enacted infrastructure law includes $65 billion in new broadband funding. It must be rolled out quickly to ensure marginalized communities in rural areas gain from improvements to broadband access and the telehealth resources that come along with it.
Telehealth has become a critical tool to expand access for all patients, but especially the LGBTQ+ community. Marginalized individuals benefit the most from increased telehealth access and those living in rural areas may be the most significantly impacted. Telehealth offers a number of benefits including facilitating community health and social wellness, the delivery of gender-affirming medical care, accessible mental health care, and ease of prescription access.
Recently relaxed regulations around telehealth delivery have increased the reach of these services and provided healthcare to individuals who may have gone without care. Rural and remote marginalized communities, such as the LGBTQ+ community, will experience an especially positive impact from telehealth, and increasing rural broadband access is critical to expanding high-quality, informed healthcare to LGBTQ+ individuals across America. Crucially, Congress can permanently expand telehealth services and capitalize on the recent infrastructure law to roll out high-speed broadband that facilitates telehealth in areas with limited internet access. Without congressional action, many of the benefits marginalized communities have experienced from telehealth services will expire thereby reducing or eliminating supportive and specialized care options for these communities.
For more information visit www.LGBTQ+tech.org/telehealth.
Carlos Gutierrez is deputy director and general counsel for the LGBT Technology Partnership & Institute, which works to improve access, increase inclusion, ensure safety and empower entrepreneurship for LGBTQ+ communities around technology.
Opinions
BLADE ENDORSEMENT: Susan Stewart for mayor of Rehoboth Beach
Voters should reject Suzanne Goode’s crass bullying and elect city’s first out mayor
Voters in Rehoboth Beach head to the polls on Aug. 8 to elect a new mayor and the choice couldn’t be more obvious.
Susan Stewart is a smart, effective Commissioner with a background in finance who happens to identify as part of the LGBTQ community, which would make her the first openly gay Rehoboth mayor if elected. Stewart has worked as an attorney and later a financial services adviser at major banks and brokerage firms. In 1996, she founded her own financial advisory firm. She currently works as a financial adviser and senior vice president with The StewartGroup, RBC Wealth Management. She also serves on the Rehoboth Beach Commission and has served on the Planning Commission and the Mixed-Use and Stormwater Utility Task Forces. She has a deep knowledge of the inner workings of the city, including budgeting and development along with an appreciation for what makes Rehoboth special — its natural beauty, walkability, and charming character.
“Rehoboth Beach has important opportunities ahead,” Stewart says on her campaign website. “From infrastructure improvements and stormwater solutions to commercial revitalization and responsible growth, the decisions we make today will shape our city for decades. I am committed to helping Rehoboth Beach move forward.”
Stewart is our choice for mayor. She would represent the city well as it looks to the future with the retirement of Mayor Stan Mills, who has served for six years in that role after 12 years as a Commissioner.
There is a special urgency to the election this year with the mayoral candidacy of fellow Commissioner Suzanne Goode, a divisive figure whose emails have raised serious questions about her judgement and legitimate concerns about where she stands on LGBTQ issues.
Controversy erupted in March when Stewart outlined allegations that Goode used derogatory language in emails, particularly toward City Manager Taylour Tedder.
“All of our emails are public information under FOIA,” Stewart told the Blade in a recent interview. “I simply asked the city to link them on the website, and then the city published a transcript of [Goode’s emails].”
Stewart said that she did this on behalf of the city’s employees such as Tedder: “We have a moral and legal obligation to support our employees,” Stewart told the Blade. Goode denied all of the allegations and said that they were based on falsehoods.
Tedder has accused Goode of creating a “hostile work environment” for city employees and publicly rebuked Goode for insulting him in an email as “the mayor’s whore.”
“Calling me a derogatory term, the ‘mayor’s whore,’ which I don’t think is a professional way to put something, talking badly about an employee’s religion,” Tedder said.
Tedder was referring to an email in which Goode wrote to Rehoboth Beach City Solicitor Lisa Borin Ogden: “I am sorry that I learned from Google when you were first interviewed [in the] spring [of] 2025 that you are Jewish. My opinion of my fellow Jews declined significantly thanks to you since last summer. Actually would have thought you would have more compassion than the average person, based on your late brother. Except you don’t. I am sick of your haughty attitude toward me.”
Goode, who’s Jewish, denied the remark was racist.
“I don’t think a Jewish person can discriminate against another Jewish person,” Goode said, according to a March report by Coast TV News.
But Mayor Mills issued a statement calling the remarks “reprehensible and unbecoming of an elected official in our community.”
That’s putting it diplomatically. Referencing a city official’s religion and then invoking her dead brother should be disqualifying for a mayoral candidate. But it gets worse. The Blade reviewed Goode’s emails that were made public following local media FOIA requests. They are disturbing.
In a January email, Goode wrote to Mills demanding to know who encouraged CAMP Rehoboth and Clear Space Theatre to apply for city grant funds. She then unfairly disparages CAMP as a “questionable non-profit.” She wrote:
“Gays and theatre aficionados can donate as much as they like to these pet causes. Some taxpayers think the theatre is second-rate as community theatres go, and many dislike the RB emphasis on LGBTQ when heterosexuals don’t demand equivalent display of their sex lives in public view.”
I’ve been coming to Rehoboth since the ‘90s. We don’t “display our sex lives in public view.” But Rehoboth is that rare place in America where LGBTQ people can comfortably and safely come together in community. Where partners and same-sex spouses can hold hands in public. Where gender non-conforming visitors can express themselves. None of that has anything to do with our “sex lives” and Goode’s disgusting comment is a common slur used against our community. She should retract that statement and apologize for it. Rehoboth’s vibrancy is due in very large part to its LGBTQ residents, tourists, and business owners and we all deserve better than homophobic slurs from elected officials.
Additionally, CAMP and Clear Space are vital, affirming spaces as worthy of grant funds as any other organization. Her repeated attacks on those important Rehoboth institutions raise more concerns given they are both run by openly gay and lesbian officials.
In a November 2025 email passage about Clear Space Theatre, Goode wrote, “But there are some folks in town, who ironically have to remain in the closet (conservatives now have to do what gays had to do in the 20th century — ah, the irony) who object to the woke, drag queen bent of Clear Space at times. They have confided this in me, and thanked me for fighting for their tax dollars. Maybe I will regret speaking up, as some LGBTQ activist will attack me physically, even though I am a complete supporter of gay rights, and have as many gay male friends as female friends now that I live in RB with a large gay population.”
So Goode fears physical violence from the local LGBTQ community? I’ve been around a long time and cannot recall a Blade story about a gay person beating up a straight person in Rehoboth, though we have covered scores of gay bashings and other violent attacks targeting LGBTQ people and businesses over the decades. Equating the plight of modern conservatives to 20th century violence that killed countless LGBTQ people is the height of ignorance.
Further, her use of “woke” as a derogatory term raises alarms as it echoes President Trump’s racist and transphobic rhetoric.
In an email from just last month, Goode wrote, “Just because the LGBTQ community feels oppressed and discriminated against, that doesn’t mean that those who identify as LGBTQ are better able to recognize racial discrimination than someone like myself. It might surprise some of you to learn that I briefly dated an African American fellow college student.”
So we should trust Goode’s instincts on racial issues because she dated a Black guy in college? You can’t make this stuff up.
During a March Commissioners meeting, Goode criticized Rehoboth’s rainbow crosswalks as a “non-essential item” and questioned why they weren’t painted yellow and white, which she said would be more “effectual” for safety purposes than rainbow colors. This attack on rainbow crosswalks represents another MAGA/Trump nod. Transportation Secretary Sean Duffy last year launched a nationwide campaign to remove rainbow crosswalks. Florida Gov. Ron DeSantis, a Trump ally, ordered the removal of rainbow crosswalks, even targeting the crosswalk at the Pulse nightclub.
For these and many other reasons, Goode is unfit to serve as mayor (or Commissioner) and voters must reject her toxic brand of bullying and ignorance.
Susan Stewart, meanwhile, represents the opposite of Goode’s crass foolishness. Stewart is a competent, calm presence on the board. She works collaboratively and respectfully. Her deep knowledge of the city and its processes will serve her well as mayor. And her commitment to maintaining Rehoboth as one of the country’s most visible, supportive, LGBTQ-affirming cities in the country make her an obvious choice for mayor.
The election takes place on Aug. 8, from 10 a.m.-6 p.m. at the Rehoboth Beach Convention Center.
Kevin Naff is editor of the Washington Blade. Reach him at [email protected].
Opinions
Matthew Rosenstein in ‘Make Me French’ a hit at Clear Space Theatre
‘A bagel who dreamed of being a croissant’
Clear Space Theatre Company was founded in 2004 and has become a huge success in Rehoboth Beach, Del. They present performances all year long, and always have a great summer season when the town grows by the thousands. Not only do they have some great main productions this year, “The Cher Show,” “Pretty Woman,” and “Mean Girls,” but they also have a strong series of cabaret performances.
Matthew Rosenstein’s show, “Make Me French!” was part of that series. While I haven’t seen them all, it will be hard to beat his show. He is a superb storyteller and singer. He blends his real-life experiences, with music from different genres, including showtunes and French disco. Some of the songs he uses to tell his story include: “Belle / Go the Distance” (Menken/Ashman; Menken/Zippel), “Ahh, Paree/Les prénoms de Paris” (Sondheim; Brel); and “Hymne à L’Amour” (Marguerite Monnot/Edith Piaf/Hiroyuki Takei/Fumiaki Uemura).
He has a way of making you feel part of his life story. The show is directed and co-authored by cabaret icon Robbie Rozelle, and it features music direction and arrangements by the incredibly talented Michael Cuschieri, who also plays the piano. The backup band included, Jim McGiffin on bass; Joshua Getka on drums; and Jessica Brams-Miller who sings backup and banters with Matthew, in a wonderful French accent. They are all immensely talented.
The blurb I received from Clear Space said about the show: “A bagel who dreamed of being a croissant, young Matt Rosenstein longed for a life that was far more sophisticated, and interesting, than his own as a suburban New Jersey teenager in the 1990s. His one prayer? “Make Me French!” Matt was determined to not just learn French but to be as French as possible.” Matt went so far as to call Air France from pay phones as a youngster, just to practice speaking with a real French person.
He eventually got the chance to move to Paris to fulfill his dream, and learned some hilarious lessons along the way. Matt shares what he’s learned about what he calls our most ‘misunderstood’ ally. The stories and songs are about: Why do French people not get fat? Are they rude? And do they hate Americans? He talks, and sings about these things in a wonderfully humorous way. You get caught up in the stories and then realize not only is Matt a great story teller, but he has a really strong voice. He generally stays away from politics in the show but does suggest he left the United States when George W. Bush became president, and returned when Obama was elected. He didn’t actually say what he wants to do today, but the audience did get the idea.
After living in Paris, he came back to the U.S. and had what he calls, ‘a second awakening.’ He worked with a vocal coach, met and became friends with many in the theater world and did his first show, “A Pleasure to Have in Class,” which is stories and songs about his life as a people-pleaser, from childhood to his gay divorce. This second show he shared with the public for the first time in 2023 at The Green Room 42.
Matt told Broadway World, “to do a one-man show, you first have to have the confidence you have a story to tell, that you have something to share with people. Not just something that you want to say, but something relatable that will connect with the audience. And then you have to work with a good team. You need a director that can help you shape an arc out of the story and make sure that it’s not just therapy on stage. So having a good team, making the right musical choices, making sure that you’re not coming from too self-centered of a place, has been key for me.” Matt followed all that advice well, and the result is the wonderful “Make Me French.”
This is the first show Matt has done outside of New York. I hope for audiences it won’t be the last. The world awaits this talented performer. You can follow Matt on Instagram and on his website, showtunesmatt.com. The Clear Space cabaret series continues all summer; visit clearspacetheatre.org for tickets.
Now the disclaimer: I am not related to Matthew Rosenstein, and this is an unbiased review. It would be nice to be related to such a talented guy, but we have found no indication we share any relatives at all. I first met Matthew after his show at Clear Space Theatre in Rehoboth Beach.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Germany
We must not scapegoat refugees after Berlin Pride terrorist attack
‘LGBTI people must not be instrumentalized to spread hatred against others.’
On Saturday, during Berlin’s Christopher Street Day, one of Europe’s biggest LGBTQ Pride events, a 21-year-old religious extremist drove a van into the crowd and then used a knife to stab multiple people. One person died and 29 others were injured.
When I saw this news on social media, I sincerely felt scared, and not because one more bigot used his religion to justify violence against people like me. It has, unfortunately, happened too often. Despite being happy to see the overwhelming support for the queer community and the condemnation of terrorism, I was terrified by the wave of Islamophobic and anti-immigrant statements that came even from “left” and “progressive” people who should know better, who generally support refugees, who know that all people are equal, and that you shouldn’t treat others as less human because of their religion.
In 2020, a Russian MP threatened to start a criminal case against me after I interviewed Muslim women about why they called themselves feminists and wrote about my own relationship with feminism and Islam, mentioning that I was following events in Syria and had read some academic books on the Islamic State. Surprisingly, the MP claimed that I was recruiting women to ISIS by using feminist ideas, which, of course, was absolutely ridiculous for many reasons, including the fact that I was an openly nonbinary transgender person. But some media outlets and queer people online, including those who called themselves progressive, refused to support me or believed the lie. This is what an anti-extremist witchhunt looks like. If I had been in Russia, and not in the UK, I probably would have been in prison.
It is extremely important to oppose extremism by knowing the actual facts about terrorist groups and not starting a moral panic.
Here are four examples of what media coverage and queer people online often misunderstand about the events in Berlin, and why it’s important.
1. Islam is not the problem
Despite a common misunderstanding, this terrorist act wasn’t even about Islam.
Islam, just like Christianity and Judaism, has a variety of views on LGBTQ rights, from affirmative to condemning. I think everyone in the American Bible Belt has met Christian fundamentalists who praised violence against LGBTQ people or used violence against their own queer children, so it is a universal problem. But the thing is Abdul Ballout was not an ordinary conservative Muslim. He was known for wanting to join ISIS. It is an apocalyptic cult that teaches that we are living in the last era, so they are trying to re-create the caliphate that they believe should be restored before Doomsday.
Most of the Muslim people I know, including conservative Salafi Muslims, see the group as dangerous criminals, or don’t see the group as a Muslim group at all. The vast majority of ISIS victims are not Western people or queer people, but cisgender heterosexual Muslims in the Middle East and Africa who the group considers to be infidels. ISIS is widely condemned by Muslim communities and scholars, and blaming Islam for the actions of cult members is like blaming Christianity and all Christians — or even all Christian fundamentalists — for the actions of Branch Davidians members or for the mass murder-suicide committed by members of the People’s Temple.
2. Refugees are not the problem — and Germany is not a safe haven for refugees
First, the attacker was a German citizen. But the media continue to blame migration. Germany is seen as a safe haven for refugees and asylum seekers in the U.S., the UK and beyond. But the time when Germany was safe is long gone. For refugees from Russia between 2022 and 2025 alone, around 90 percent of refugee claims have been refused by Germany, including the claims of political prisoners. The situation for non-White Muslim refugees is even worse, especially in regions such as Bavaria.
I have personal experience working with some refugees in Germany who are also Muslim. The way the migration service mistreated them is beyond anything I saw while working with refugees and being a refugee in the UK. I saw cases in Germany where an asylum seeker’s family was threatened back home because of social media posts the asylum seeker had made, or where a person was detained and sent back to their homeland despite having a history of persecution and torture by the government. Very often, when a person is taken by the immigration service, their loved ones don’t know where they are. Queer refugees also report homophobic and transphobic attitudes in the system.
The narrative that Germany is too generous to refugees was created by the far right and has little to do with reality, and it harms actual refugees, including queer refugees, by silencing their voices.
3. There is no collective responsibility
It is an extremely old and dangerous idea.
Just as all gay men shouldn’t be blamed for what the American serial killer Jeffrey Dahmer did just because he was gay; we shouldn’t blame all Muslims, all people of Middle Eastern origin, or any other large demographic group for the crime of one terrorist. Even if the terrorist had been a refugee and a Muslim, it shouldn’t actually matter, because under the law in any modern non-authoritarian country, an individual shouldn’t be held responsible for the actions of their social group.
After all, when a white, Christian, cisgender, heterosexual, neurotypical person commits a crime, it is almost always seen as an individual’s fault. Why is it different for marginalized groups? The idea of collective responsibility harmed the gay community for decades and is harming the trans community right now, for example after Charlie Kirk’s murder. The best thing we can do is stop this narrative, because it will be used against us.
The only reason I explained about ISIS and the refugee experience in Germany is to show how far from reality the popular accusations are.
4. Witch-hunts and scapegoating serve the far-right agenda and are extremely anti-queer
From my own experience, as an openly trans person speaking against Islamophobia, sexism and queerphobia who was accused of supporting the cult that kills queer people, promotes the sexual exploitation of women and sees the majority of Muslims as legitimate targets, I can say for sure that moral panic can go wild.
People who remember the Satanic Panic of the 1980s, or even the attacks on Muslim communities after Sept. 11, should know this.
Now even queer people are attacking refugees and Muslim communities online while the German government is introducing more draconian measures against those groups.
ILGA-Europe, the biggest LGBTQ organization in Europe, made a statement warning against any attempt to weaponize the attack.
“This tragedy must not be used to fuel hatred against migrants, foreigners or Muslim communities. We reject any attempt by anti-democratic actors to exploit what happened to divide communities, scapegoat minorities or turn one group against another,” Chaber, the group’s executive director, said. “LGBTI people must not be instrumentalized to spread hatred against others, nor should the existence of racism, Islamophobia or anti-migrant hatred be used to minimize the threats faced by LGBTI people. The rights, safety, and dignity of all people must be defended.”
People who live at the intersection of multiple marginalized identities — LGBTQ Muslims, LGBTQ people of color and LGBTQ refugees — will probably suffer the most from this moral panic. Moreover, these are the same political groups that target refugees, Muslim communities and queer people. If this hatred isn’t stopped now, everyone is potentially at risk.
Condemning terrorism is important, but it is no less important to stop creating more victims.
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