I'm unsure as to where he stands with his comprehension of the - I giess deep theoretical elements, including how those will play out in fact.
But he does seem to have suddenly realized that he can't totally ignore it in hopes that the opposition will melt away over time. That certain issues, like parental rights, are not things people will become less concerned about. Maybe that there were real issues on the medical side.
I do think they are utterly out of touch. Maybe for a long time.