I lived through eight years of the Clintons and then eight years of Bush. Through it all, gay people were treated at the federal level like embarrassments or impediments. With Clinton, we were the means to raise money. With Bush, we were the means to leverage votes by exploiting bigotry. Obama seemed in the campaign to promise something else. I listened to him in the early days and found him sincere about ending discrimination by the government; and I came to respect, while vehemently disagreeing with, his position on federal civil unions. He seemed genuinely distressed that gay servicemembers should be treated with contempt and persecution by their commander-in-chief, that gay couples should have to fight for basic human treatment - like entry to hospital rooms, or being able to stay in the same apartment as their late spouse, or forced into cruel separation by immigration laws that treat gay couples as threats, rather than assets, or if you had the temerity to survive HIV, being treated at the US border the way Jesse Helms always wanted people with HIV to be treated - like perverts and pariahs and threats.
It is quite something to have a government stamp in your passport, as I do, that will tell any immigration or police officer with a connection to a government database that I have HIV, that I am therefore a threat and can be arrested and detained and deported at the border if necessary. I'm a big boy with money and a robust self-esteem as an HIV-positive survivor, but I think of thousands of others far less powerful and wealthy than I am who are afraid to enter or leave the US because their HIV status renders them criminals. I think of how the US is the only developed country - and one of only a handful of undeveloped countries - that still tells the world that people with HIV are dangerous pariahs, who need policing at borders and deporting if discovered. And yet this is the current policy of the Obama administration on global HIV and AIDS.