There's a need for accepting responsibility - for a person's life and making choices that are not just ones for immediate short-term comfort. You need to make an investment, and the investment is in health and education.
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“When I was a child I asked my mother what homosexuality was about and she said - and this was 100 years ago in Germany and she was very open-minded - 'It's like hair color. It's nothing. Some people are blond and some people have dark hair. It's not a subject.' This was a very healthy attitude.”