Toward Improved Care for LGBTQ Patients: New Guidelines Shine Spotlight on Addressing Health Disparities

doctorsOn January 5, Florida became the 36th state in the nation to legalize same-sex marriage, joining a movement that is sweeping across the United States. With federal judges striking down same-sex marriage bans left and right, it seems inevitable that we will soon live in a country that recognizes the freedom to marry. Yet, although more Americans than ever support marriage equality, the fight for the full inclusion of lesbian, gay, bisexual, and transgender individuals in our society is not over, as they continue to face significant barriers to quality medical services.


Full equality includes access to high-quality medical care, regardless of sexual orientation or gender identity.


The obstacles that have historically prevented LGBTQ patients from obtaining medical care continue to plague our modern health care system. Sure, the American Psychiatric Association no longer considers homosexuality a mental illness. But a concerning number of health care providers still refuse to serve LGBTQ individuals, and until the passage of the Affordable Care Act, insurance companies were not required to extend domestic partner benefits to same-sex couples. Moreover, the stigma that surrounds homosexuality prevents many patients from disclosing their sexual orientation to doctors. Because the LGBTQ community faces higher rates of certain conditions, including depression and substance abuse, failing to discuss sexual activity can lead to inadequate treatment.

One of the U.S. health care system’s most serious shortcomings is its failure to prepare doctors to work with LGBTQ patients. Young doctors are emerging from medical school ill-equipped to deal with the specific needs of the LGBTQ community. A 2006 study published in Family Medicine surveyed 248 medical students, finding that the vast majority of students held positive attitudes toward LGBTQ patients and hoped to provide them top-tier care. Unfortunately, the same group of students failed spectacularly when tested on LGBTQ-specific health concerns. Another study revealed that most medical schools throughout the United States and Canada devote minimal (if any) instructional time to LGBTQ issues, and that the quality of such instruction varies drastically across institutions. And significantly, many doctors report that they feel uncomfortable discussing sexual behavior with LGBTQ patients. Continue reading

Opening Day Rally #NoCrAZy

#NoCrAZy

Opening Day Rally For Common Sense Solutions!

Economy * Equality * Education * Elections * Environment

Opening Day at the Arizona Legislature is next Monday, January 12, and Planned Parenthood Advocates of Arizona invites you to join dozens of Arizonans and a diverse coalition of organizations to stand up for equality, education, health care, reproductive rights, fair pay, fair elections, and justice. Organizations and activists will hold a rally and press conference to present common sense solutions for Arizona’s most pressing needs.

The rally begins at 10 a.m. at the Rose Garden on the north side of the old Arizona State Capitol at 1700 W. Washington Street. A press conference begins at 10:20 a.m. at the same location. Please bring as many friends and supporters as possible!

Show up! Be heard! Make change!

If you are unable to attend, please help share and amplify the messages on social media using the hashtag #NoCrAZy.

Meet Our Candidates: Fred DuVal for Governor of Arizona

The Arizona general election will be held on November 4, 2014, and early ballots need to go out in today’s mail! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

Fred DuVal scaledIn recent years, many Arizonans have been rightly concerned by members of the Legislature passing bills that are overtly partisan, regressive, and extreme. As part of the executive branch of the government, one of the governor’s roles and responsibilities is to act as a check-and-balance on the Legislature: The governor can veto bills that are harmful. A governor who is consistently on the side of sexual and reproductive health care access could, at the very least, make it much more difficult for members of the Legislature to continue attacking women, the LGBTQ community, and organizations like Planned Parenthood.

Fred DuVal will be that governor. In addition to making education a fundamental platform in his campaign, Mr. DuVal has consistently placed himself in support of equal rights and meaningful health care access.

All of this is of vital importance, but none of it gets at the real reason I’m voting for Fred DuVal on November 4. During the course of this election, I’ve had the opportunity to speak with or meet a number of candidates, including the opportunity to meet Mr. DuVal twice through some campaign volunteer events organized by the Arizona Education Association. What struck me most about him was his willingness to listen — not just stop talking, but really step back and listen — to questions voters were asking or experiences they were sharing.

Put all of that together, and I know he’s the kind of person I want representing me.

Fred DuVal was kind enough to take some time out of his busy schedule to answer a few of our questions earlier this month.


“Extremism has dominated Arizona’s political landscape for far too long.”


Tell us a little about your background.

I grew up in Tucson, Arizona. After graduating from Occidental College, I returned to Arizona, where I earned my law degree from Arizona State University. I went on to serve in Bruce Babbit’s office, helping craft our Medicaid system and bringing the highest levels of education funding in state history. I have dedicated my life to making my state a better place to live and raise a family. I intend to continue that as Arizona’s next governor. My wife Jennifer and I live in Phoenix with our 4-year-old son. Our older son, Will, attends college and is an ROTC cadet.

Outgoing Gov. Jan Brewer had a major accomplishment when she pushed through Medicaid expansion, despite opposition from within her own party. What will you do to build upon that success and ensure that every Arizonan has access to quality health care?

I applaud Gov. Brewer’s decision to continue to fund Medicaid. Arizona’s AHCCCS system has been praised as one of the best in the country, and as governor I would keep it that way. I fully intend on keeping Medicaid expansion; ensuring all Arizonans have access to high-quality, affordable health care is one of the main goals of my administration. Continue reading

Meet Our Candidates: Sheila Ogea for State Representative, LD 25

The Arizona general election will be held on November 4, 2014, and early voting is already underway! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

Sheila Ogea scaledLegislative District 25 is located in Maricopa County, covering much of Mesa. Planned Parenthood Advocates of Arizona has endorsed two candidates in the House race: Sheila Ogea and David Butler.

In stark contrast to their Republican opponents, our endorsed House candidates in LD 25 are strong supporters of reproductive health and justice. As Ms. Ogea told AZCentral.com, “We need to make sure abortion is safe and accessible and work together to decrease unwanted pregnancies by making birth control and sex education available.” We asked her to talk to us in more depth about her views on reproductive-rights issues in Arizona.

Ms. Ogea was kind enough to share her thoughts with us on October 17, 2014.


“I strongly trust in a woman’s right to make her own decision about her body.”


Tell us a little about your background.

I am one of six children raised by a single mother. We lived in Arizona and California when I was growing up.

I have been married to my husband, Robert, for 47 years. We have two daughters. We lived in Michigan for about 30 years. I was a housewife, working part time occasionally as a waitress and volunteering at the school. When my daughters were old enough, I started going back to school, taking word-processing and accounting classes. I starting working through temp agencies to try and get some experience, and eventually I got a job with Wayne County Health Department.

I joined the National Organization for Women (Downriver Chapter in Michigan) in 1989 right after attending a huge rally for abortion rights in Washington, D.C. Our chapter used to volunteer to escort patients at a local abortion clinic. Continue reading

Meet Our Candidates: David Butler for State Representative, LD 25

The Arizona general election will be held on November 4, 2014, and early voting is already underway! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

David Butler 2014In the House race for Legislative District 25, Planned Parenthood Advocates of Arizona has endorsed two candidates: David Butler and Sheila Ogea. LD 25 covers much of Mesa, where earlier this year high school yearbooks drew attention to Arizona’s high teen pregnancy rate by featuring a two-page spread that spotlighted the high school’s teen parents. Ranked against other states, Arizona’s teen pregnancy rate has been among the highest in the nation for many years.

David Butler is running for one of the House seats in LD 25 because he would like to see education improved in Arizona — and that includes sex education. His position on that and other reproductive justice issues earned Butler an endorsement from Planned Parenthood Advocates of Arizona when he ran in 2012 — and again this year, as he makes another run for the Arizona Legislature.

Butler faces two opponents in the race, Republicans Russell Bowers and incumbent Justin Olson, both of whom hold positions that would be detrimental to reproductive justice if given legislative traction. Bowers, who has a zero percent rating from the Stonewall Democrats of America, opposes access to abortion and does not support medically accurate sex education. Olson, too, wants to restrict abortion access and sponsored a bill to defund Planned Parenthood.

Butler generously took the time on October 18, 2014, to tell us why he is optimistic about this year’s election and to elaborate on the positive changes he’d like to see in Arizona’s health care policy.


“Caring for patients should be in the hands of the doctors and not the politicians.”


It’s great to talk to you again! How has your commitment to serving Arizona grown over the past two years? On the policy level, what has happened during that time to give you hope, and what has happened to strengthen your convictions?

My commitment and desire to serve the citizens of Arizona continued to grow over the past two years. Where policy is concerned, our state is still stuck with its head in the desert sand. My hopes and convictions are focused on the 2014 midterm elections. I feel strongly that our Democratic ticket of candidates is very strong from top to bottom. I’m amazed at the excitement and hope that so many volunteers are showing.

Earlier this year, the state legislature passed HB 2284, which permits the health department to inspect abortion clinics without a warrant. What do you think about this new law?

I am against HB 2284 because in my opinion it is anti-woman and anti-health care. Also, in some negative way it is tied to Planned Parenthood, since Planned Parenthood is one of the providers it targets. Continue reading

Meet Our Candidates: Esther Durán Lumm for State Representative, LD 21

The Arizona general election will be held on November 4, 2014, and early voting is already underway! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

Esther Duran Lumm scaledEsther Durán Lumm is currently seeking to represent Legislative District 21 — an area that includes El Mirage, Peoria, and part of Glendale — in the Arizona House of Representatives, and is the only House candidate we endorse in that district. We recommend a single-shot vote for her — voting for Esther Durán Lumm and no other House candidate will give more weight to your vote.

She kindly took time for an interview on October 10, 2014.


“If Americans are ensured of the pursuit of happiness, they must be entitled to choose their own life partners and lifestyle without government dictating to them its version of right or wrong.”


Tell us a little about your background.

I’m a native of Arizona, born of immigrant parents from Mexico. I am married and have a blended family of five children, 12 grandchildren, and one great-grandson. I retired in 2001 after working for Bull Information Systems, Inc., formerly Honeywell, for 27 years as an editor for their worldwide newsletter, a supervisor, a technical writer, and a project manager. Prior to that I worked for Mountain Bell as a directory assistance operator for five years, and a member of the Communications Workers of America Union.

Simultaneously to my career at Bull Information Systems, I worked part-time as a facilitator for victims of domestic violence at Faith House. I have been an advocate for education, working people’s rights, children’s rights from K through 12, faculty and administrators’ rights in higher-education colleges, and laborers’ rights. My advocacy efforts have been voluntary through the Arizona Hispanic Community Forum, an advocacy organization of which I am a member since 1987.

Earlier this year, one of your opponents, Rick Gray, voted for HB 2284, which permits the health department to inspect abortion clinics without a warrant. What do you think about this new law?

I am opposed to this law, as it violates women’s rights. I see it as just another unjust movement to keep women as second-class citizens. Continue reading

Meet Our Candidates: Scott Prior for State Senator, LD 16

The Arizona general election will be held on November 4, 2014, and early voting starts today! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

Scott Prior scaledCovering parts of Pinal and Maricopa counties, including Gold Canyon, Apache Junction, and parts of Mesa, Legislative District 16 is home to more than 220,000 Arizona residents. Scott Prior made the decision to run for Senate in LD 16 so that his fellow constituents could be represented by someone who advocates for workers, makes education a priority, and supports equality for Arizonans regardless of race, religion, gender, or sexual orientation. Both he and his spouse Cara are seeking to represent LD 16 to bring more attention to those issues in the legislature, with Cara running for one of the open seats in the House of Representatives. Planned Parenthood Advocates of Arizona has endorsed both Scott and Cara Prior because of their commitment to reproductive justice.

Mr. Prior returns to the campaign trail after running in 2012. At that time, he shared his thoughts with this blog on the many issues that needed to be addressed in the legislature, including Arizona’s high teen birth rate, inadequate sex education, and health care policy that interferes with private decisions between doctors and patients.

On October 4, Mr. Prior generously took the time to share his thoughts with us again, highlighting many of those same issues but explaining why he is hopeful for a better outcome in this year’s election.


“Let’s leave the practice of medicine to the doctors … and keep legislation out of it.”


It’s great to talk to you again! How has your commitment to serving Arizona grown over the past two years? On the policy level, what has happened during that time to give you hope, and what has happened to strengthen your convictions?

Over the past two years, it has become even more imperative to get common sense people in the state legislature. We have seen a continuing shift over the past several years of elected officials working for the benefit of corporations and special interests, and away from helping the people of our great state. I firmly believe that until we can elect people who will concentrate on the important issues of the economy, creating jobs, and fixing our failing education, we will continue to be the laughingstock of the late-night comedy circuit.

This election cycle will be different, I believe, as my opponent doesn’t have the [same] name recognition and popularity as my opponent in 2012. This gives me hope that I might be able to make a difference, and have a good chance that this election will be much closer of a contest. My convictions are strengthened by the fact that in the 2014 primary, I gathered more votes than I did in the 2012 primary. This means that people are more interested in getting their voices heard, even in a midterm election.

Earlier this year, the state legislature passed HB 2284, which permits the health department to inspect abortion clinics without a warrant. What do you think about this new law?

I personally believe that HB 2284 is just another way for those who don’t believe women can make their own health care choices to try to intimidate and prevent women from exercising their constitutional rights. If those same people who supported this bill spent as much time working on taking care of children after they are born as they do before they are born, then my district would not have a 16 percent child poverty rate, 11 percent of the children in my district would not be without health insurance, and education statewide would not be ranked so low compared to other states. Continue reading