Ok, so a few things: Yeah, in every government the decision makers are in the middle. The president, VP, everyone at the top are figureheads for the lobbies, the governors and all those peeps.
Secondly, yeah, people not being personally against queer people is not relevant: we're the collateral. And fun fact, you know who also platformed on economy? A certain guy who's moustache didn't fit in a gas mask. They do that to get the base, just as the left, but to get the radical vote, that's what the other stuff is for.
And lastly, removing trans healthcare for minors is an absolutely shit idea. Puberty blockers are fully reversible and a life saver.