There is sure to be an impact. It's yet to be seen how much courage there is in the US polity to push back against the Trump- Musk idiocy. The FDA has been shut down (no external communications or negotiations) temporarily. How long, who knows. https://apnews.com/article/trump-health-communications-cdc-hhs-fda-1eeca64c1ccc324b31b779a86d3999a4 A very worrying time for anyone dealing with the US.
(20min delay)