Unless something changes drastically re: our budget, spending, budget deficits, national debt, etc., we will have no choice but to make painful cuts in many programs in the near future.
A Republican president with a Republican House and Senate would make some changes. Repealing Obamacare is a first major step and I believe that will be done if Republicans win the presidency and a majority in the Senate.
Did that happen the last time we had Republicans in charge?