Welfare has been means-tested out of existance. If you can stand upright, the state gives you a broom and a section of road to sweep. In return, you get to live in absolute squalor. The states do everything they can to make families responsible for every lowlife that needs help. The size of the average American household has doubled in the last four years.
Orphanages come back.
Drug dealers are a useful scapegoat, and a lot of death penalties are handed out to them. There are a lot of spare houses and apartments around. A real buyer's market. Americans travel much less than they did. The very wealthy live lives of idle splendor, and they are adored by the tabloids for boosting sales.