Well if you're not one of the people dead from ice, healthcare cuts, environmental impacts from all the solar/wind cuts, dead from cancer from the research we stopped, dead from food illness, dead in the war in Iran, dead in the invasion of ukraine, dead from measles, dead from USAID being gutted, or completely destitute from the cost of living, then yeah here's not much "harm reduction" to be had really.
Maybe this argument works if Trump hadn't completely ruined the world and directly caused hundreds of thousands of deaths, and probably much more when diseases start spreading because of government sponsored vaccine denial and USAID cuts.