These are all systemic issues though are they not? You could make all of these same arguments about gay people back in the 80s. I don't think so

These are all systemic issues though are they not? You could make all of these same arguments about gay people back in the 80s. I don't think so. Some but not all. There's nothing inherent about being gay that prevents healthy mutual interpersonal relationships. Many people on the autism spectrum have wonderful and fulfilling interpersonal relationships (I suspect I am one of these, in fact) but autism can negatively affect many of the building blocks (empathy, etc) of interpersonal relationships.