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Trump is objectively worse than Kamala. But don’t fool yourself. There is no real difference between the two on healthcare. Neither had any real plans to make any real reform. Biden has a trifecta, and he didn’t do shit. Kamala explicitly ran as Biden 2.0.
Of course there’s a difference. Among others vaccines might soon be banned. Think also about women’s healthcare (abortion etc.). But yeah, if you are thinking about systemic positive change she likely would not have done much.