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Pretty much what's on the tin.
The front-engined cars were a well-known hazard, and "Big Daddy" Don Garlits was the first to make it work. But, there were a number of earlier attempts, none a success. (Such as Steve Swaja's AA/Gas Wedge I in '63 or Roger Lindwall's TF/D Re-Entry in '66.)
So, WI somebody else made it work first? How much different would TF/D be?
Would anybody be alive today who got killed in a front-engined car? It seems very likely Mike Sorokin and John Mulligan wouldn't get killed in mid-engined cars.