The minute-long commercial features Donna Arthur, the estranged mother of Ramaswamy's opponent Amy Acton, accusing her daughter of lying about her childhood and urging Ohioans not to vote for her. "She lies about her past," Arthur says in the spot. "She's lied her entire life." Arthur also disputes Acton's account of experiencing homelessness as a child.
The ad began circulating on social media late Monday without language identifying its sponsor. A $4 million statewide buy began streaming Tuesday night. Campaign sources said the ad tested well with "persuadable" voters, prompting the decision to expand it.
Acton, a 60-year-old physician, has said she was sexually abused at age 12 by her stepfather, who faced criminal charges, and that her mother sided with him. She and her brother were removed from their mother's custody, and her brother has said their mother remained married to Acton's alleged abuser until his death. In a Facebook statement Tuesday, Acton wrote that she was abused "between the ages of 10 and 12" while her birth mother "did nothing to protect me." She added: "I've always known that she was deeply sick and unwell, and it's sad to see Vivek Ramaswamy exploit her all for his own political gain." Her brother, Philip Stearns, called the ad "disgusting."
Several prominent Republicans urged Ramaswamy to distance himself from the spot. Republican strategist David Urban drew a parallel to the Epstein controversy, warning that voters are especially sympathetic to victims of sexual assault and that the ad could backfire. Conservative commentator Mary Katharine Ham wrote on X: "It seems crazy to me one would assume this would work and not backfire." Some conservatives defended the commercial, including Donald Trump Jr., who urged Ohio voters to watch it. Ramaswamy's campaign manager, Jonathan Ewing, said: "This is a campaign-ending moment for Amy Acton. The people who know her best keep warning Ohioans about her."
A mid-October Marist survey showed Acton leading Ramaswamy 50% to 43% among likely voters. Ramaswamy and Republican Senator Jon Husted are set to campaign with Vice President Vance in Cincinnati on Wednesday.