If it really is fascism vs. fascism (it isn't), why not choose the side where less people die?
US life expectancy may have plateaued, but doesn't appear to be in decline, and it's still above even Cuba, which has perhaps the highest amount of social spending on healthcare as portion of GDP.
Meanwhile, Venezuela and Mexico are in clear declines.
With regards to which extremes of the political spectrum have the highest body counts, I would say the far-left Marxist states are the clear winners, with somewhere in the region of 42 to 160 million killed.
[0] https://ourworldindata.org/grapher/life-expectancy?tab=chart...
Here is a copy of the chart with some additional countries: https://ourworldindata.org/grapher/life-expectancy?tab=chart...
Australia is even higher than Sweeden, yet both the UK and Australia are currently governed by conservative parties.
I'm an Australian myself, and in favor of socialized medicine, I just get annoyed by characterization of left vs right as a good vs evil scenario, as our polarized political discussion so often likes to do.
The answer is instead to support human rights and freedoms, and fight back against attempts to take away our freedoms no matter who is trying to take them away.