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It is doctors who seem to be the primary obstacle.
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"Crime is the primary obstacle to development in Latin America," Mr. Maduro said in an interview.
The Senate is the primary obstacle facing the decriminalization proposal, which the Assembly speaker, Sheldon Silver, a Manhattan Democrat, has endorsed.
The trolls of the Treasury, my unflattering term for the people who are the primary obstacle to green ambition in the UK, have had an unwelcome light shone into their dark world.
Shaath criticised Obama's speech for failing to address what he said was the primary obstacle to peace negotiations: the continued construction of Jewish settlements in the occupied territories.
They clamoured that Mr Fayyad was the primary obstacle to the reunification of the West Bank and Gaza, arguing that Western insistence on retaining him was aimed at scuppering plans for a unity government with Hamas.
Ontology heterogeneity is the primary obstacle for interoperation of ontologies.
Moreover, I do not believe that perceptions of economic burden are the primary obstacle to inclusive solidarity.
The nearly singular integrals, which is the primary obstacle associated with the BEM formulations, are dealt efficiently by using a general nonlinear transformation technique.
Incorporation of electric arc furnace (EAF) steel slag aggregates in asphalt mixes boosts their performance, but the high bitumen consumption is the primary obstacle that hinder their widespread application.
The criminalization of drug use is the primary obstacle to treatment and rehabilitation.
More suggestions(15)
be the primary cause
be the primary method
be the primary population
be the primary effector
be the major obstacle
be the primary defect
be the primary culprit
be the primary factor
be the primary care
be the primary protein
be the primary approach
be the primary basis
be the primary diagnosis
be the primary exposure
be the main obstacle
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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