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I have to disagree with "don't ask don't tell." The subjects of kids, home life, life partners, relationships and so on come up naturally as most humans are socially inclined animals. This is particularly true in an intimate setting such as EMS where you may spend 12 or more hours in close contact with another person or a small group of people. I simply cannot see how such subjects would not come up as a natural consequence of normal social activities. Unfortunately, in the United States, a whole bunch of people care. Going into elections, this is becoming an issue that potential candidates are already talking about on national and international multimedia. Additionally, the Supreme Court will be making a decision that will (hopefully) address the issue of equal treatment. Regardless of the decision, this country is markedly polarised on certain issues and to think that the issue will not be in the minds of EMS providers is probably rather myopic and naïve. Remember, as little as two decades ago, these issues were largely buried and not at all on the forefront of the cultural consciousness of the United States. Things have changed in a big way and the zeitgeist of our nation and perhaps the world may very well be changing and doing so on the scale of human lifetimes.