I find the opening statement kinda funny. Bethesda changes a lot game to game, actually. Hence every single TES generating a firestorm when it lands as one group calls it garbage and the other calls it an unqualified improvement. Obviously the structure and such will be fairly similar and the feel will be the same but that's good. Good sequels are progressive evolutions, not necessarily total reinvention.
So, yes, I would be disappointed if there weren't some serious improvements and additions. But unless their game trailers have just been total lies, that shouldn't be an issue. Improvements to gunplay, extensive crafting that makes use of tons of items, customizable power armor, freaking jetpacks and other aireal travel. Yeah, Fallout 4 is looking like a step forward for sure.