The Reds have majority control of Senate and the Supreme Court. Trump is the least of America's problems. If they win the House too there will be no checks as it is so unbalanced.
They already had 9 more seats than dems and net flipped is 4 towards Republicans, think its pretty safe to guess which party will have a majority. Just a matter of how much.
Vance wants to usher in the technocracy. And not, like, the sci-fi dystopia one where actual engineers and scientists run things but get a bit eugenics-y.
My unfounded conspiracy theory is that the republican handlers will have trump killed either before his term starts or short afterwards so they can have a much more controlable and competent Vance in charge to better push their agenda. And they will make it look like a Demkcrat did it as well so they fan the civil war flame even more innthe process.
If you have the money, medical science has come a huge way. Rich people can live super unhealthy and still be active and mobile well into old age. Sure the brain goes, but with Trump that station was passed long ago.