Say goodbye to satellites and space tourism for the next 200 years :(
So, no Starlink, but you'd still have COSPAS SARSAT in a reduced form, you'd still have geostationary telecoms birds, space telescopes, and various other things.
GEO is one of the few orbits we could actually one-shot trash for generations. (Well, any high-altitude orbit is. But GEO is special. If a random high-altitude orbit gets trashed, you can probably do fine with a slightly-different trajectory.)