But anyone could have already paid someone who is decent enough at photoshop to make a convincing edited photo. It's not like you yourself needed to be good at photoshop for it to poison any image that someone wanted.
People could previously have afforded to get that done for any specific image, but now it's now possible for a propagandist to give each and every resident of the USA their own personalised faked image for a total cost of about $25k (if their electricity costs $0.1/kWh).