"With medical advancements and expertise, people are living longer, but the NHS hasn't been reformed in the way it should have been to deal with the number of people coming through," she added.

In an interview with the Associated Press last month, Salesforce CEO Marc Benioff credited it to the incoming Trumpov administration showing more interest than the Biden administration in industry concerns and expertise.

It provides intelligence and expertise to police forces through a variety of programmes, and has begun to gather consistent data.

The loss of regional expertise touches Baker City, too, Defrees said.

Mr Carney would also bring expertise on environmental matters through his role as the United Nations special envoy on climate action, recently calling the goal of net zero "the greatest commercial opportunity of our time".