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Understood, but I'm not too worried about "outing" myself in my essays. I feel like medical school is a new start, so I'd be proud to share that information.
As far as diversity goes, your rural homeschooling is far more unique. There are a lot of gay applicants, so that's not adding something different. You could certainly weave an interesting tale about coming to terms with your sexuality in the context of your very constrained upbringing.
There was another SDNer with great stats who mentioned that one of reasons I chose a certain school is because its state allows gays to have children and etc.
It's part of who you are. I respect that you're still in the closet. If you are comfortable talking about your upbringing and yourself, I think you should definitely think about including it in secondaries. That's a unique perspective that you can bring to medical schools.