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I don't know what the person you're replying to does for work, but I feel like what their work is really makes a big difference. Teachers don't (or shouldn't) teach kids any differently based on orientation, political ideology, etc., other than perhaps excusing them from work that goes against their beliefs (for example celebrating a holiday they take objection to). The teacher isn't required to "go against their beliefs" and do something they disagree with, only to keep their mouth shut about any disagreements they may have with a student's lifestyle. A teacher should not be able to refuse to teach anyone because they are not being asked to do a special job catering to any particular student. If they disagree with the curriculum, I would guess they just shouldn't be a teacher then (as in, if you're a high school science teacher you may be required to teach evolution).
Similarly with a doctor, they should not be able to say "I refuse to treat you because you're gay/religious/political." Everyone gets the same medical care. The only exception I can think of is transgender medical care, but if they don't want to do that they can just not go into that field.
Anything that involves creating is a little different. A wedding photographer would be more actively participating in a gay wedding. Or a Christian wedding, etc. If they feel really uncomfortable with that, they shouldn't have to. That doesn't change my opinion that they're closed-minded and bigoted, and it doesn't mean people can't leave them bad reviews stating as much. Plus, these services are not basic rights, whereas healthcare and education are basic rights.
There's been lots of recent stories of teachers refusing the call kids by their preferred pronouns, for one. But also, I think you're trying to be more rational than these conservatives are. They don't need there to be a difference in how they work with someone to refuse to do it. Some will literally claim it's against their religion to be involved with an LGBT person at all.
Stuff like education is an obvious basic right, yeah, but there's so much fuzziness. Should the only store in walking distance be able to refuse to serve you? Especially in small towns where there might only be a single business providing a service, they can easily make the area effectively an unlivable area for whichever group is the current focus of conservatives.
Plus there's the good ol' paradox of intolerance. By just allowing people to discriminate, it spreads. When it's acceptable for one business to discriminate, it's more likely others are going to adopt the same stance. More people will be taught their intolerance. It's basically a social illness. Much like a real illness, that needs to be isolated and prevented from spreading.