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The phrase "aca it" is not correct or usable in written English.
It appears to be a misspelling or a truncation of a phrase, and without context, it does not convey a clear meaning.
Example: "I need to clarify what you meant by 'aca it'."
Alternatives: "here it is" or "this is it."
Exact(26)
It is absolutely no surprise that the ACA IT systems are being deferred as this is written.
I'm not saying the individual mandate doesn't matter to the framework of the ACA (it does), but in these times of uncertainty, there are far bigger existential threats to the ACA than the impact of this executive order on the individual mandate.
Jacobs argued that the data suggests if politicians were not so ferociously against the ACA, it would quickly become popular, "because it's already registering with people — and the bulwark against its popularity is partisanship and distrust in government," he said.
Agree or disagree with the ACA, it has set us on a completely new trajectory for healthcare — one that relies heavily on new technology.
Although the fallout from the option to refuse to expand Medicaid may be the biggest unexpected turn of events in the rollout of the ACA, it is far from the only one.
In 2006, Massachusetts adopted health care reform which strongly resembles the ACA: it created near universal insurance coverage, set minimum standards for health insurance, mandated that employers offer insurance and individuals must have it, and created a health care exchange.
Similar(34)
From this point the antioxidant capacity increased gradually with the temperature, until it reached almost 200% ACA as it approached 50°C, just before it was possible to see evidence of aggregation.
Although initially part of the ACA as it worked its way through congressional committees, it was bitterly opposed and soon killed by private insurers and other corporate stakeholders in the medical-industrial complex.
ACA fix it don't nix it". Pam Slavin, who helped organize the protest, estimated that about 150 people showed up for it by the time it ended.
"In Kentucky, for example, Mitch McConnell and Rand Paul should have to explain to their state, which may have benefited more than any other state in this country from the ACA, why it is that they think it is appropriate to throw hundreds of thousands of people in their own state off of healthcare," Sanders said.
The Trump administration, as Bagley observes, "loathes the ACA". Why it does so is a mystery, unless one simply assumes that it thinks driving up premiums for ordinary Americans and locking millions out of the health insurance market is a desirable outcome.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com