For trans people local politics usually matters more than the federal or even state level.
Trump brings home the pity points that gets things done where it actually matters.
If people care about LGBTQ issues they should focus on mutual aid, education, and media, not politics.

USA already has informed consent clinics, and is ahead of the curve on transgender issues that actually matter.
It is not like Biden would or could disband the far-right militias and shut down Breitbart, KF, TERFs, pol, etc.