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.
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.
If you have the money, medical science has come a huge way. Rich people can life 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.