Nurses fervently distinguish themselves from all other medical professionals as definitive patient advocates. In spite of this lofty claim of distinction, a significant portion of the population remains without representation from the nursing profession. In health care organizations, as well as in nurse academic settings the LGBT population has been essentially ignored. Diversity training in the nursing profession is quite narrowly defined, such that LGBT concerns and issues are most often overlooked. LGBT related research in nursing is embarrassingly scant. Opportunities for LGBT inclusive policies in health care organizations have been disregarded by the nursing profession. The health of the LGBT population has indeed suffered because of this neglect (Potter, 2010). One might have reasonably expected from such a large group of professional at Northwestern Hospital to patient-advanced and courageous leadership toward LGBT inclusiveness and equality. Further, one might reasonably have expected the impetus of such exemplary advocacy to have come from Magnet designated hospitals, self-described representatives of nursing excellence.