News & Insights

Why “outness” matters

Moxi Stern, sitting in the IBX courtyard

National Coming Out Day is celebrated every year on October 11. I’m going to discuss why I think it’s important for LGBTQIA+ people to be “out” if we can…and why workplaces, families, and communities should welcome, support, and appreciate those of us who are LGBTQIA+. And, in the spirit of National Coming Out Day, I’m going to illustrate this using my own story.

I’m Moxi Stern (she/her). I’ve been working at Independence Blue Cross (IBX) since 2020. I’ve written numerous blogs for IBX. And I came out as transgender (trans) in my late 50s.

What coming out is all about

In our society, we’re all taught from early on that:

  • People are either male or female, based on their anatomy.
  • Men are sexually/romantically attracted to women and vice versa.
  • Being male or female comes with a whole set of rules — from how we’re supposed to behave and dress to what rights we can have, what goals we should aspire to, and how much money we can expect to make.

These are our society’s expectations around sexual orientation and gender identity (SOGI). We learn these expectations from our families, places of worship, schools, TV shows, movies…they are everywhere.

But in reality, gender and sexual orientation are much more complex than these simple rules suggest. And for me, growing up, all these societal rules didn’t fit. In my childhood make-believe, I was always a girl. Going through puberty, I hated all the ways my body was changing (and all the ways that it wasn’t). I was attracted to girls…but boys, too.

I kept all these thoughts and feelings secret for much of my lifetime, because people who were different paid a heavy price. But finally, I chose to come out: I acknowledged — to myself and others — that my SOGI is different from what society expects, and I chose to live in a way that honors my authentic self.

Why coming out can be hard

In my elementary, middle, and high schools, kids who didn’t match their assigned gender roles got called names, bullied, and beaten up. Many LGBTQIA+ kids still face rejection and a lack of support from their families. They still get bullied and harassed and attacked, sometimes fatally. Many of them experience depression, hopelessness, and suicidal thoughts.

Likewise, many LGBTQIA+ adults still experience unemployment, underemployment, and poverty. They still get assaulted, battered, and murdered every year, and those hate crimes have gotten much more common recently as indicated by the 2025 GLAAD Anti-LGBTQ Extremism Reporting Tracker. So, coming out can be very risky.

Why coming out matters

When you’re hiding who you are from the world, you don’t get to experience the joy of being yourself. You feel like you have a secret you must protect. You may despise yourself because you’ve internalized our culture’s hatred of those who are different. All this can lead to loneliness, isolation, depression, and anxiety.

The effects of hiding don’t stop when we leave school. Whether we’re in or out of the proverbial “closet,” LGBTQIA+ people are more likely to experience problems like chronic illness, behavioral health issues, smoking, drinking, and substance use. That’s all a consequence of the negative social determinants of health we experience, from fewer employment opportunities to an ongoing fear of violence.

But by coming out, we can begin to accept ourselves. It can feel like a weight off our shoulders. It can help us find community.

Personally, I’ve felt much, much happier since I came out and transitioned. I no longer have to pretend I’m someone I’m not. Everyone is now getting the real me.

There are other reasons why being out matters:

  • It helps make LGBTQIA+ people more visible and can build understanding and acceptance.
  • It challenges our society’s narrative that everyone is cisgender and heterosexual (“cis-het”).
  • It provides more positive role models and helps give closeted individuals hope of being able to come out someday.

Not everyone can come out safely. I’m taking a risk just by sharing my story on this public platform. But because I’m able to be out, I feel a responsibility to try to make coming out safer for others.

Why being welcomed matters

When I started transitioning, I was concerned how it might affect my career. But at IBX, I’ve experienced no workplace discrimination. I was out to my coworkers from the very beginning, and no one ever batted an eye.

People use my preferred pronouns when referring to me. I wear clothes and jewelry that match my gender identity. I use the women’s restroom and no one looks at me funny. I feel appreciated for everything that makes me me, including the fact that I’m trans.

And, in fact, IBX has a PRIDE associate resource group for its LGBTQIA+ employees and their allies, which gives us a space to experience community and a collective voice within the company. I’ve been a very committed and engaged member of PRIDE since I started working here. Through the group, I’ve made meaningful connections and found another place where I feel accepted and supported.

The fact that IBX fosters a culture of inclusion, including acceptance of SOGI diversity, means that a wider range of people can get hired here. It means LGBTQIA+ employees are more likely to stay. We’re more likely to be happy and productive. We’re more likely to be loyal and give the company our best effort every day.

And that’s the way it ought to be — for everyone, everywhere, regardless of their identity — at work, at home, and out in the community.

And LGBTQIA+ people have made incalculable contributions to our world, from the sciences to athletics, literature, entertainment, and politics.

So letting us be ourselves, and accepting us for who we are, makes life better for everyone.

Moxi Stern

Moxi works for Independence Blue Cross as a senior copywriter. She enjoys building the company’s relationship with its members through communications that are clear and personal. Outside of work, she is a volunteer civil servant, a member of an LGBTQIA+ organization’s board of directors, a musician, and a human rights advocate. She was named one of Philadelphia Gay News's "50 Most Influential LGBTQ+ Leaders" in 2026. Her pronouns are “she” and “her.”