Rhetoric v. reality ...
Me either. In a country where stem cell research is a major controversy,
Actually, it's not. Government-funded stem cell research in the controversy,
not privately funded.
where a woman's right to choose isn't a given,
Actually,
it is a given. I don't know where you're getting your legal information from.
About the only real threat to Roe v. Wade right now is the private legal case where the man is trying to dissolve himself from child support when he didn't agree to have the baby well before it was born. Right now the government cannot force a woman to have and be responsible for a child, but the government can force a man to. It's setting a very interesting legal precedent. I think the guy is slime, but it's scary when both women's advocate groups and the religious right see eye-to-eye, and every lawyer I know says this sets a dangerous precedent for Roe v. Wade.
Otherwise, no federal or state entity can seem to override Roe v. Wade, which is a clear US Supreme Court decision that is absolute. The government cannot force a woman to live with a mistake for over an 18 year term. It's the same reason why parental consent requirements for abortions by a minor are also Unconstitutional, because they affect the minor in majority and when her parents are no longer responsible.
where gay people can't get married,
Yes and no. Yes, they can have civil unions in more and more states. But no, they cannot have a state-sponsored title of marriage.
and where fundamentalist Christians are an immense power base,
As are bleeding heart liberals, those with self-fulfilling prophecy government jobs, the church of popular environmentalism, etc... Anyone who doesn't let you question with specific, pure or applied science is a problem, especially when their own knowledge is very limited, and they blindly believe others without questioning. It goes and applies
all ways.
the generalized legalization of prostitution isn't even (imo) a blip on the radar screen.
Depends on the state you live in. Some US states are more free than others.
Also remember that some of us see that "personal liberties" are intertwined with "fiscal liberties." It's one of the reasons I actually like Nevada, Florida, New Hampshire, Oregon and a few other states.