I don't know about other parts of the world, but social progress and visibility in all sorts of issues have been fairly matched in central europe, not counting the UK (where trans people wait for 20+ years to begin assessing state health care...).

Krem could have also been a cis gay man facing homophobia and some people would say "nothing has been lost". I personally don't think it works that way. Everyone has struggles other people don't. Cis, straight people never need an optimal narrative reason to exist in DA.

I'm not sure what you mean about accessability. Is It that you would rather see partially blind people supported and those missing limbs/fingers?