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a high level of knowledge regarding alternative sexual
behaviors. A sex-positive and sexually aware physician
will be proactive in seeking out information about your
sexual practices, and will not make assumptions about
your sexuality based on your appearance or background.
For example, if you identify as a lesbian, he will neither
assume that you need birth control nor assume that you
don't. His paperwork will reflect sexual realities regarding
gender (it will offer more options than "male" and
"female") and marriage (while it can be important for
legal and insurance reasons to know whether a patient
is legally married, many members of sexual minorities
are part of non-traditional relationships ­ multipartner
arrangements,
same-sex
marriages,
owner/slave
agreements ­ and the health care practitioner should be
aware of these as well).
Physicians have a reputation for being politically
conservative, and it's probably true that there are more
Republican doctors than Democratic ones. Even in San
Francisco, I have encountered quite a few doctors who
are somewhere to the right of Genghis Khan. What has
been truly amazing to me is that while these doctors
might personally disapprove of what you do, they will
still give you excellent medical care. I still refer patients
to these physicians ­ I don't care about their politics and
they don't care about mine (except once in a while in the
physicians' dining room, but that's another story).
How do you find a practitioner? If you don't currently
have a physician with whom you feel comfortable, you
may have to look around to find one.
Today, many people belong to HMOs (health
maintenance organizations), which we discussed in the