The historical narrative of the book starts in this chapter through a recap of the primary events in LGBTQ movement history in the United States leading up to the 1990s. The origin of the concept of ‘homosexuals’ in the medical research of the late 1890s, the firing of lesbians and gays during the Cold War for fears of communist association, the founding of Mattachine society, the development of distinctive lesbian and gay subcultures and urban communities in the 1970s, and the rise of AIDS and the LGBTQ community’s response in the form of ACT-UP in the 1980s are all discussed. ACT-UP’s response to the crisis proved to decisive turning-point in LGBTQ history. The chapter ends by presenting data showing that, by targeting the national news media, ACT-UP normalized media coverage of AIDS and LGBTQ issues, leading to increases in coming out.