This election is largely a choice between "change" and "refurbished same old stuff"...
Seriously? I'd argue this election is a choice between "modifications to the current order" and "the current order". Barack Obama mentions gay rights nowhere in his manifesto. He mentions building on top of the current for-profit health care system in his manifesto. He mentions nowhere about paying down the national debt in his manifesto.
Barack Obama is not going to fundamentally change anything about America. When he leaves office people will still rely on either their employer or the government to purchase health care for them, from insurance companies whose bottom-line depends on denying as many claims as possible. When he leaves office the national debt will have increased substantially from where it is at now. When he leaves office there will be no federal civil rights legislation ensuring that gay partners receive all the benefits straight partners do. That's not change.
I accept that maybe there's no way anyone could accomplish such tasks; however building people up on the promises of fundamental system-wide change is disengenuous.