Birth control? An annual (3 years in Washington) cancer screening and check up for your birth control prescription. Possibly covered by insurance but not REQUIRED. Which is different from OUTLAWED. Not that it matters, my wife's birth control costs $85 every three months and we can pay for it with our HSA. That's hardly emptying anyone's bank account especially when you compare it to the ACA which requires every citizen spend >$100/mo on insurance that does mostly nothing!
Bathroom laws? Oh yeah? Which one! There are none currently in existence. There were certainly more than a few that were considered but only one passed and it was repealed!
LGBTQ restrictions on adoption? Adoption by same-sex couples is legal in all 50 states!
LGBTQ workplace protections? There are certainly protections at the federal level. But yes, you're right. Places like North Carolina do not have any laws on the books which expressly prohibit discrimination based on sexual orientation. But ask yourself, what is the practical effect on LGBTQ people? I would argue there is no effect. You might as well be in California. I have worked at many companies with many LGBTQ people and all of them were safer in their employment than I was! No company wants the backlash that comes from being perceived as anti-LGBTQ. Society has adequately regulated the protection of LGBTQ people where governments have not.
As for the apparent racism of rural areas. Having grown up with a great many black friends I've:
* Never met a black person who could not get a driver's license.
* Never been exposed to a dress code that prohibited black people.
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Look I have my own gripes about rural living (the South specifically). But I won't lie or live in some bizarre universe where the South is hell on earth.