I imagine in terms of medical care access and affordability or welfare stimulus, practically negligible, but in terms of CDC funding, science literacy, public policy, and general preparedness, it would be a whole lot better put together.
So I'd say... 10% fewer deaths? 200K vs. 220K deaths sounds about right.
Not to mention our federal government is handicapped by design from leading a coordinated, national response. Even if Bernie was president, every single municipal jurisdiction would insist on doing things their own way.
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