Answer: The answer is true. However this may be wrong depending on the question, as this question is not complete. So, what is the full question?
President Ronald Reagan's policies had a positive effect on the country overall. He had a plan for the country's economy that included cutting taxes, deregulation, and reducing the size of government. Because of his policies, he was able to be re-elected and help America improve further.
There wouldn't be a USA, and...
the Indians would still have pretty much all of the Middle-west of the USA.
Hawaii would still be under their kings/queens
Alaska would still be part of russia
China would pretty much never had any technological progress (they isolated themselves)
Japan would still be going around with pretty much katanas.
etc etc
if you want more i can give you more (if you want information on why one is on the list, post it in the comments)
hope this helps