I’d love be as optimistic as you but unless Trump changes his mind the US will get a brainwormed fanatical anti-vaccier in charge of deciding which vaccines are safe to use. Even if the states don’t cooperate with trump’s agenda there are so many long standing federal institutions which till now you’ve never needed to think about that are about to get wrecked.
There is alot of things the government does for you that most people likely have never thought about. Take invasive species for instance; There are huge efforts to contain and eradicate a variety of invasive species. You’ve probably never heard about these efforts. But they are needed to maintain and protect both farmland and the ecology of the United States. If those efforts are defunded and those species are allowed to run rampant it’ll be almost impossible to put that genie back in the bottle.