Great point. Someone like me could come along to anything good someone is trying to do and say "Hey, what about the orphans!" You do have to start where you can and with what you have - and doing one thing doesn't mean you can't do another later.
Sergey holds a special place in the world since he is one of the wealthiest ($15+ billion) and holds major control over one of the wealthiest companies in the world ($135+ billion - more than even Coca Cola). Most of us would say that places considerably more responsibility in his hands when it comes to taking on world problems. Just a sliver of his wealth can change the lives of millions.
So the letter really is an attempt at a wake-up call for Sergey. The homosexual marriage movement is wealthy, well-supported, and has a very loud megahorn. Using a public company to support a divisive political measure for already wealthy and vocal adults when there are children languishing elsewhere without a voice, just seems like a misplacement of Google's power.