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8 Things America Gets Terribly Wrong About Sex

America does many things well. Sex is not on the list.

We get many things right here in the good ol’ U.S. of A. We were the first to put a man on the moon (Neil Armstrong), the first to achieve flight (the Wright brothers), and we came up with the greatest television phenomenon ever: Shark Week. But when it comes to sex, we are all mixed up. For all of America's cultural pornification—we can’t even sell a router or a chicken sandwich without a bikini-clad model dry-humping it—we still haven’t let go of a lot of the puritanical values our country was founded on. Here are a few of the things our otherwise great nation gets wrong about sex and sexuality.

1. Sexual healthcare is not a priority.

Unless we get pregnant, a raging case of crabs, or need erection pills, it’s pretty rare for Americans to schedule an appointment with a doctor for sexual health reasons, even though the World Health Organization tells us that sexual health is “a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.” Since Americans barely get any kind of health care at all, and the tiniest amount of sex education in school, it’s not surprising that people only visit doctors for sexual reasons under the most dire of circumstances, and not equally important concerns such as sexual ethics, consent, gender identity, trauma care, and desire. It’s also not surprising that we have the highest STD rates in the industrialized world. A recent report called our rates an “epidemic.” We’re number one!

2. Billions of dollars wasted on abstinence education.

Abstinence-only education—that is, teaching children, primarily girls, that the only way they can preserve their self-worth is to wait until they are married to have sex—has been a popular pastime in the U.S. for roughly the last 20 years, despite the fact that it’s been  repeatedly proven not to do a damn thing to prevent teenagers from having sex. In fact, it does the exact opposite by  negatively impacting condom use and sexual health.

Some lawmakers are still  trying to pass legislation to end federal funding for abstinence-only programs, which mushroomed under George W. Bush, and which Obama later eliminated, only to have Republicans  restore them as a concession to social conservatives under Obamacare. Thus far, however, lawmakers have been unsuccessful at ending the insanity. If only conservatives practiced abstinence as much as they preached it....

3. Discrimination against LGBT people is rampant.

In 2014, you can still get fired for being gay, lesbian, or bisexual in 29 states. The number increases to 33 states if you include transgender people. The stigmatization of sexual minorities also leads them not to seek sexual healthcare (and general healthcare) as often as their straight counterparts, leading to poorer health overall, mental health issues and long-term problems. Many don’t even feel comfortable coming out to their doctors, potentially putting them at higher risk for more serious illnesses.

And don’t even get us started on how many Americans believe bisexuality doesn’t exist.

4. We have seriously warped body images.

The only naked bodies we see (unless you are one of the rare breeds who come from a nudist household) are found in porn, and hence, we think of the porn body as the “ideal,” even though very few people’s bodies and genitals look like that without severe modification. A few brave souls are attempting to normalize the diversity of genitalia, Betty Dodson, for instance, but by and large Americans have a lot of shame surrounding their bodies and private parts, leading to such horrors as anal bleaching, labiaplasty, vaginal rejuvenation, and vajazzling, also known as turning one’s vagina into a glittery disco.

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