Presence, sure. What about legal protections around seemingly trivial daily things like bathroom use? Family planning services focusing on the needs of LGBT families? Doctors who have experience with LGBT patients, whom these patients can trust and talk to candidly? Churches that welcome LGBT members without pressuring them to change fundamental aspects of their lives? Mental health specialists that cater to LGBT needs? People who are visibly out (or trans) in the workplace and talk about their loved ones without discomfort? Support for children and adolescents with diverse identities?

There's a world of difference between "yeah, we have gay people" and being a place where LGBT people can build happy, stable lives.