One can "consort with male prostitutes" in almost any country in the world - and if you don't realise that then you seriously need to get out more.
What FarangRuMak is lauding (I believe) is the lack of any need in Thailand to be discreet about it, the easy availability - and even if one is not "consorting", the opportunity not to *have* to be discreet about one's sexuality generally.
As for "confrontation" - the only confrontation I've ever had in Thailand has been from loud-mouthed (and I have to be honest and say *American*) farangs who seem unable to process that I'm perfectly entitled to mince round Royal Garden Plaza with someone not just 1/2 but nearer 1/3 my age. Not that their highly vocal disapproval ever bothered me in the slightest though.