I'll admit it. I'm a city boy. I escaped suburban Central Florida for Chicago (and the occasional trips to New York). The luxuries of a major metropolitan city are endless — from food to fashion, from hot night spots to leading healthcare. But not every city or state for that matter has a Boystown or Hell's Kitchen, and many gays and lesbians in these areas face exponentially more stigmas and problems than their urban counterparts.
Montana used to just be that big, almost rectangular rural state near Canada with no connection to me. That is until I met my roommate and best friend, whose family lives in the Treasure State. Suddenly, I'm connected and notice articles like Monday's story in the Billings Gazette about gays and HIV.
On Oct. 1, Montana enacted a state law that physicians and health care officials must offer an HIV test to all patients, regardless of gender, race or sexual orientation, in an effort to address the upward trend of AIDS, HIV and hepatitis C cases in the state over the past 20 years. So far this year, there's been 27 new HIV cases. The most frequent mode of exposure to HIV and AIDS is men who have sex with men.

