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Harris’ line specifying that “federal prisoners and detainees” should receive gender-affirming care, including surgeries, would seem to include those held by Immigration and Customs Enforcement (ICE), a division of the Department of Homeland Security. ICE currently operates at least 92 detention facilities across the U.S., according to its official website. Per official records monitored by Syracuse University’s Transactional Records Access Clearinghouse (TRAC), more than 36,000 immigrants were held in ICE detention as of August 2024. (In the 2019 survey, Harris also pledged to reduce ICE funding and close detention centers, but has since adopted a harsher stance.)
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