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"otherwise could not" is correct and commonly used in written English
It usually signifies that something did not happen because of certain obstacle or lack of possibility. Example: Without the help of her family, she otherwise could not have had the resources to attend college.
Exact(60)
Drug companies say the plans help some patients afford medicines that they otherwise could not.
Her lawyer said she was trying to help people who otherwise could not obtain bank loans.
The Blaschka models also provide a way to see what otherwise could not be seen.
That's why they can sell their products at cut-rate prices to foreign buyers, who otherwise could not afford them.
Lora S. Urbanelli, the museum's director, said the show allowed the museum to present work it otherwise could not afford.
Giving people help to afford what they otherwise could not is potty and will end in tears".
The arts center will provide cooperative space for music and arts teachers who otherwise could not afford permanent space downtown.
Those businesses in turn open a market by selling affordable eyeglasses to a population that otherwise could not afford them.
"Through the medium of the puppet, the child finds himself/herself able to express thoughts, ideas and feelings that he/she otherwise could not have.
F.H.A. loans appeal to first-timers who otherwise could not afford to buy, he noted, adding, "They don't have 20 percent to put down".
There were no rings to distribute and no flag to be raised, but opening day at the Stadium otherwise could not have gone better for the Yankees.
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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