Expanding healthcare to another 50-60 million makes a hell of a lot of difference to those people. I would say that is better "in a way that matters".
But letting corporations raise the price of insulin hurts in a way that matters, especially to people who already had insurance. (I'm an American doctor btw) I can't tell you how many of my patients had to ration insulin despite having insurance. Sure 50-60 million sounds great but you're giving them access to a system that will still bleed them dry. Plenty of patients with insurance still have to pay hundreds of dollars for blood thinners. An emergency room visit is still hundreds of dollars. I have great insurance and I just had routine blood work done and the bill was still close to $300. They just created another problem that gave people access while making things more expensive for everyone.
That we know of. Trump stopped reporting the numbers, so I wouldn't bet on that record holding.
The "we don't know whose killed the most brown people" argument doesn't really help the argument that "the Democrats are drastically different than the Republicans"