The distinction is IMO exaggerated & exploited as a divide by our mutual adversaries.
Economic rights & freedom are not isolated from social issues. The activist libertines don't just live & let live, they impose their costs on others & demand that because they have a "right" now to live as they please, it follows their lifestyles & consequences shall be subsidized by the rest of us. E.g. Sandra Fluke.
HIV & AIDS has been so economically devastating as well as deadly & horrible (I lost a family member to AIDS & I wouldn't wish it on my worst enemy) that I honestly think it strained the health insurance & healthcare system to crisis, leading to political activism for Obamacare.