I would agree with everything that Dr. Abramovich said. I think we need more education about providing sexual and gender-affirming care at multiple levels, so I think it can begin in the schools so people can have an early general sense of the power and the sense of self-confidence that comes from acknowledging and embracing diversity in sexuality and gender.
Then, yes, we do need these very highly trusted, really critical gatekeepers, whether they're health care providers or teachers. They need to understand as well, and we need to catch them up so they understand how not to ask questions that will then deter that person from seeking care again. We know from the work Greg Oudman referred to that in the sexual health clinics and in the community-based organizations we have people showing up for concerns that aren't necessarily specific to, let's say, HIV or sexual health. That's because there's a feeling of trust there.
I think we can learn from organizations like his, from other LGBTQ2S organizations, on how they've created safe and inclusive environments, and create standards or guidelines that would then transfer to other health care settings across the country.