thoughts on bondage friendly doctors
As a lawyer, the first, and foremost, thing that comes to mind is the need for awareness with respect to local laws in this area. In many parts of the USA, the law denominates certain catergories of persons as "mandated reporters."
The idea is that for certain types of injuries certain categories of person are required by law to report to the authorities, with stiff penalties for failure to comply. For professions with state-issued licenses, this is particularly coercive; doctors, of course, are one such category of person.
This is problem enough, but the potential exists for even greater trouble. Privilege. Layman often talk about legal privileges (eg spousal privilege not to testify) as if they actually knew what they were talking about. Privileges such as that, or the doctor/patient privilege, are not absolute and protect confidential communications; they do not protect observations made with the physical senses, though for a doctor that may be a closer call. Reliance on this to protect oneself is misplaced and foolhardy.
Doctors are required by law, for example, to report gun shot wounds to the police. These are very obvious, with little wriggle room. BDSM-related injuries can be less clear-cut, more open to interpretation, even for a mandated reporters. For this reason it is critical to have a doctor available who is familiar with these injuries, knows treatment modalities for them, and whose discretion can be trusted absolutely.
The best preventative measure may be to take a page from the gay men's playbook from less enlightened times. They often had two doctors: one to treat the everday things to which we are all susceptible; the other to treat certain things where discretion is required. Gay men of a certain persuasion often had BDSM-type injuries. The trick, of course, is to find the right doctor.
The important thing is to find such a person in advance of need. The suggestions in other posts are excellent, to which I would add gay/lesbian groups, who are well organized in this area and who often have legal counsel available when needed.
Reliance on "the times they are a-changin" is also misplaced. These sorts of things ebb and flow over time. Public mores change, with new laws being passed that reflect and implement these changes. Having a doctor at the ready with whom one has established a relationship over time is the best protection.
Care must be exercised in choosing a doctor, particularly in rural areas, where the doctors tend to reflect the conservative attitudes of the other residents.
Bottom line: find a trusted doctor now, before need arises.