The lack of social repercussions for things means the status quo stays, because there's no reason for it not to so long as it doesn't directly affect the majority in a way that they can see.
EDIT: Additionally, frankly, you can't make me interact with people, or support people, who refuse to accept that I exist as a real, healthy person who doesn't need to be "fixed". That goes against all manner of rights, and is severely unhealthy for me.