Lots of people would not have the care they need for illnesses and diseases. A Republican president would have appointed conservatives to the Supreme Court. Roe vs Wade would be overturned by now. Voting rights would have been taken out from minorities. A large amount of veterans would still be fighting in Iraq.
The keystone would be working. Clean air would be harder to be sure of because major corporations would have few watchdogs. No "equal rights or pay for Women" law would have been signed. Industrial accidents would be no big deal. Corporations would pay a big amount and that would probably be all.
Here are somethings he did. I am sorry that I cannot give you the full answer but I thought that maybe you can build off of these. Sorry if they don't help!
It is true that at one point Catholics and Jews were not allowed to vote in Pennsylvania, although this was due less to racial disparities than it was to limiting immigration policies.
