President Donald Trump and Democratic challenger Joe Biden have met for the second and last time on a debate stage after a previously scheduled town hall debate was scrapped when the Republican incumbent became one of the millions of Americans to contract coronavirus.

For Mr Trump, the match-up at Tennessee’s Belmont University was perhaps the final opportunity to change the dynamics of a race dominated, much to his chagrin, by his response to the pandemic and its economic fallout. For Mr Biden, it was 90 minutes to solidify an apparent lead less than two weeks before the election.

Here are key moments from the debate:

– Covid-19

Mr Trump’s difficulty articulating a defence of his handling of the coronavirus crisis remains a drag on his campaign. The opening topic of the debate was entirely predictable — Mr Trump has received variations of the same question in interviews and has rarely delivered a clear answer.

Asked to outline his plan for the future, Mr Trump instead asserted his prior handling was without fault and predicted a rosy reversal to the pandemic that has killed more than 220,000 Americans.

“We’re rounding the turn, we’re rounding the corner,” Mr Trump claimed, even as cases spike again across the country. “It’s going away.”

Mr Biden, who has sought to prosecute Mr Trump’s handling of the virus in his closing pitch to voters, came prepared. “Anyone who’s responsible for that many deaths should not remain as president of the United States of America,” he said.

Mr Biden added: “He says we’re, you know, we’re learning to live with it. People are learning to die with it.”

– Trump attacks Obamacare

Mr Trump and Mr Biden each sought to position themselves as the defender of America’s health care, keenly aware that it ranked among the top issues for voters even before the coronavirus pandemic struck the nation.

But Mr Trump’s efforts to repeal and undermine the Obama-era Affordable Care Act proved to be a liability, as Mr Biden hammered his efforts to strip coverage from tens of millions of Americans and his lack of a plan to cover those with pre-existing conditions.

Donald Trump and Joe Biden
Donald Trump and Joe Biden clashed in the debate (Jim Bourg/AP)

Mr Biden, by contrast, fended off Mr Trump’s attack that his plan to reinforce the Obama-era law with a “public option” amounted to a step towards socialised medicine by relying on his well-established public persona — and his vanquishing of Democratic primary rivals with more liberal healthcare policies.

“He thinks he’s running against somebody else,” Mr Biden said. “I beat all those other people.”

– Trump tones it down

Three weeks after drawing bipartisan criticism for his frequent interruptions and badgering of his Democratic rival, Mr Trump adopted a more subdued tone for much of the debate.

He took to asking moderator Kristen Welker for the opportunity to follow up on Mr Biden’s answers — “If I may?” — rather than just jumping in, and he thanked Ms Welker repeatedly as well.

From the first question, this debate seemed different from round one, when Mr Trump’s incessant interruptions and flouting of time limits derailed the 90-minute contest from the outset.

However, there still were digs.

“We can’t lock ourselves up in a basement like Joe does,” Mr Trump said, reprising his spring and summer attacks on Mr Biden staying at his residence rather than campaigning in-person amid the pandemic.

Mr Biden smirked, laughed and shook his head. He mocked Mr Trump for once suggesting bleach helped kill coronavirus.

The two men had a lengthy back-and-forth about their personal finances and family business entanglements.

But on the whole, voters got something they did not get on September 29: a debate.

It marked a recognition by Mr Trump that his bombastic side was a liability with the seniors and suburban women voters who have flocked from the Republicans to Democrats.

– Trump’s indirect personal attacks

Aiming to alter the trajectory of the race, Mr Trump returned to a tactic that he believes took him to the Oval Office four years ago — staccato personal attacks on his opponent.

Mr Trump repeatedly levelled unsupported allegations against mr Biden and his son Hunter in an attempt to cast his rival and his family as corrupt.

“I don’t make money from China, you do. I don’t make money from Ukraine, you do,” Mr Trump said.

Donald Trump
Donald Trump speaks during the final presidential debate (Julio Cortez/AP)

Mr Trump offered no hard proof for his assertions, and he has a record of making claims that do not withstand scrutiny.

When the Democrat sought to change the subject from the president’s attacks on his family to issues more relatable to voters, Mr Trump fired back with the charge that Mr Biden’s line reflected him being “just a typical politician”, mockingly adding, “Come on, Joe, you can do better.”

Both candidates struggled to explain why they were not able to accomplish more while in office, falling to the familiar tactic of blaming Congress for its inaction.

A larger question may be whether voters are moved at all, especially those undecided voters whom both candidates are trying to win over, especially given that more than 47 million Americans have already cast ballots.

– White men and race

With centuries of institutional racism coming to a head in 2020, it’s been a bit of disconnect to see a 74-year-old white Republican and a 77-year-old white Democrat battle for the presidency. Mr Trump and Mr Biden did little to dispel that disconnect.

Ms Welker offered both multiple opportunities to talk directly to black Americans. Both men said they understood the challenges black citizens face, but the segment amounted mostly to them attacking each other.

US presidential election 2020 opinion polls
(PA Graphics)

Mr Trump blamed Mr Biden as an almost singular force behind mass incarceration, especially of “young black men”. Mr Trump declared himself “the least racist person in this room” and repeated his claim that “nobody has done what I’ve done” for black Americans “with the exception of Abraham Lincoln, possible exception”.

Mr Biden, incredulous, called Mr Trump a “racist” who “pours fuel on every single racist fire.”

– Climate

Mr Trump and Mr Biden faced off on global climate change in the first extensive discussion of the issue in a presidential debate in 20 years.

Mr Biden sounded the alarm for the world to address a warming climate, as Mr Trump took credit for pulling the US out of a major international accord to do just that. Mr Trump asserted he was trying to save American jobs, while taking credit for some of the cleanest air and water the nation has seen in generations — some of it a holdover of regulations passed by his predecessor.

Mr Biden, tapping into an issue of particular importance to his base, called for massive investment to create new environmentally friendly industries. “Our health and our jobs are at stake,” he said.

Joe Biden
Democratic presidential candidate Joe Biden (Julio Cortez/AP)

Mr Biden also spoke of a transition from the oil industry, which Mr Trump seized upon, asking voters in Texas and Pennsylvania if they were listening.

– Foreign policy makes a cameo appearance

Mr Biden finally got a chance to talk a little about foreign policy. But only a little. The former vice president loved the topic in the early months of the Democratic presidential primary, but the general election has been dominated by the pandemic and other national crises.

He used it to hammer Mr Trump’s cosy relationship with North Korea’s authoritarian leader Kim Jong Un. “His buddy, who’s a thug,” Mr Biden said, arguing that Mr Trump’s summit with Mr Kim “legitimised” a US adversary and potential nuclear threat.

Mr Trump defended his “different kind of relationship… a very good relationship” with Mr Kim, prompting Mr Biden to retort that nations “had a good relationship with Hitler before he, in fact, invaded the rest of Europe”.

It certainly was not a deep dive into a pool of complex issues.