I think that the us perspective on politics is surprising self-centered. If millions will die remains to be seen, but an unpredictable us leadership will certainly shift power dynamics on an international scale. The trump administration might randomly decide to side with land grabbing dictators, might embolden Israel, or switch to Doge Coin as the main currency. Those things might not directly cause death, but will disrupt the world stage to a degree which might overpower currently stable institutions. Which in turn might lead to death and suffering as a consequence. I’m not trying to say that everything should remain as is. Things are awful in a lot of places, but one of the biggest and most powerful nations with a “leader” that might throw a world ending tantrum over a Twitter thread is nothing anybody, but the most nihilistic acclerationists want. Also Trump’s plans to withdraw from climate change mitigation will certainly add to the pile of dead bodies which we will inherit in the next 50 year as a consequence of our actions today.