Agreed. I know with mandated reporting it's not necessarily super safe to count on doctor-patient confidentiality, but I still try to be honest with all my medical providers and I know I'm more honest with them than with some blood relations. Also, same here as a 46yo, white, cis, male in Arkansas -- most medical people do it out of a sense of community service (it's not like the big bucks come from here) and try to remain non-judgemental.