Vice President Harris has struggled to combat former President Trump’s anti-transgender attacks, which are a major part of the Republican’s closing argument. The Trump campaign has flooded the airwaves with advertisements that paint Harris as extreme for her past support for trans-inclusive policies, including a response recorded on an American Civil Liberties Union candidate questionnaire during her 2019 presidential run that she would guarantee transgender people who are in prison and immigration detention have access to gender-affirming care.