This will have a tremendous impact on access to care.
It has a tremendous impact on human lives and also the whole creation.
"There's going to be a tremendous impact on the local economy."
If you're going to spend a lot of time working on one thing, you better make it something which may have tremendous impact.
Even though they are not on screen that much, the women have a tremendous impact because of the way they're written.
"Students remember what they feel, and you can have a tremendous impact with a hook like a film."
Global forces also have a tremendous impact on local violence.
"But she died in his arms and that had a tremendous impact on him."
He made, and continues to make, a tremendous, positive impact on the university community.
But at the same time, the experience of working here has a tremendous impact.