Practically speaking, this decision is the result of a decades-long campaign (which started right after Roe itself) that had very strong public support for the majority of that period. Overturning anything else would fundamentally be starting from scratch, and against far greater political opposition. Equally important, having that mentioned in the concurrence suggests that it is a minority opinion even among the conservative wing.
Legally, however, at least Lawrence drew on Roe for structural support, so this decision does weaken it.
Anti-abortion has relatively weak support at 37% vs 61% according to Pew. Going after queer people is a lot easier.
Clearly this court disregards public opinion anyway. It only matters for the midterms, where Democrats may get an ENTIRELY un-earned boost by desperate pro-choice voters. Maybe, MAYBE that even leads to them finally passing some WILDLY POPULAR legislation on these rights. They're already whining about how Manchin is going to stop them, even as they beg for donations to save abortion.
I'm going to vote Democrat and hope for the best, but I'm going to remain extremely unhappy about it. It's a sick game these people are playing with our liberties, but I have to do what I can to help people trapped in Handmaiden's Tale states. That's largely going to involve mutual aid work, but it also means cynical electoralism.
Related, it also involves helping marginalized people in my area reach the polls. People who have been very deliberately denied access to polling locations and hours. These fuckers HATE democracy, so I still believe that helping people vote is a good way to "fight" back.