I think targeted programs are what we need currently, because we see gaps in the way care is generally delivered. The goal would be to get to a place where it doesn't matter if you're a physician in your riding or in the centre of Toronto; your competency would be sufficient enough that you could deliver care. Until then, of course, we need to invest in targeted programs.
Now, it's not one size fits all. Some folks will want to go to a very queer centre, one with rainbows and things like that, but others may want a discreet entrance. That may not change even once we deal with the stigma and shame; it's just a difference in terms of how we offer the services and the uptake.