Do we say "death from car accidents" or "death with car accident"? Do we discount terminal cancer patients, diabetics and asthmatics from car accident stats because they had a preexisting condition? In the case of covid as with car accidents, it's a distinction without a difference. Yes people are more predisposed to die from covid because of them, but analyses of all-causes excess mortality do not support the hypothesis that there is a large difference between deaths with covid and deaths from covid.

EDIT: except when there isn't enough testing, which underreported deaths with covid towards the beginning of the pandemic.