inspired by the Medical Industrial Complex model by Mia Mingus, et al.

A table with nine columns. Column 1. People: Attorney general. Celebrity “experts” who may or may not have training or background beyond life experience. “Influencers." Podcasts, bloggers. Porn producers, directors, actors; Snapchat models, independent models/actors. Business CEOs. Educators, activists. Column 2. Services: Cosmetic medical procedures. Sex work. Body work/intimacy work. Sexual surrogacy work. Relationship coaching. Relationship therapy. Adult entertainment lawyers and accountants. Column 3. Products: GOVERNMENT- REGULATED: Reproductive control, sterilization, contraceptives; Pharmaceuticals like stuff for erectile dysfunction. NON-REGULATED: Sex toys. Woo stuff, “as seen on Goop”. High end stuff. Everything in between. Kink gear. Column 4. Businesses: Pharmaceutical companies. Bunny ranch, brothels, massage parlors, escort agencies. Sex toy stores, kink/leather stores. Dungeons and sex clubs. Websites (porn, stores, clips, etc.) 2257 specialists Porn studios. Column 5. Licensing: Gynecologist, urologist, therapist, sexologist. Column 6. Education: Medical schools. Column 7. Advocacy: Abortion, Roe. Sex ed in schools. Access to contraception. Human trafficking vs sex work decrim. Ending parental “right” to sterilize disabled children. Greater access to sex ed and sexual health products for disabled people, BIPOC, people in rural areas, etc. Column 8. Orgs/NGOs: What are the main areas that the sexual health orgs focus on and then which orgs are the biggest players in those areas? Column 9. Gov: States control sex ed curriculum in public school

A very rough first draft.

The age-long question: are gender issues sexual health issues? If so, are ALL gender issues sexual health issues? Are only transgender issues sexual health issues?

For many years now, trans issues have been lumped in with sexuality issues (LGBT), but is that where they belong when discussing sexual health? I want a sexual health world that is trans-informed, but I don’t know if it’s appropriate to say that every gender issue is also a sexual health issue. And I don’t know if it’s appropriate to say that only transgender issues are sexual health issues.

Sexual health issues can be related to sex and to gender. But not every gender-related issue is a sexual health issue and not every sexual health issue is a gender-related issue. So what’s the best approach?