Last year, USA Today reported that since the start of covid, over 338,000 lives would have been saved if universal health care had been in place to address pre-existing conditions that contributed to COVID-related deaths.

It wasn't laziness that killed people, it was the systematic greed of our medical and pharmaceutical system.
Trump's politicization of the virus makes him guilty of pandemicide, but mass death was assured when a handful of unregulated-free-market capitalists smelled profits.