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Ground in example sentence

But most importantly, what we are trying to do right now is we are trying to scale this up, because there are over 250,000 ASHA workers on the ground who are these amazing foot soldiers, and if we can give at least a fraction of them the access to these things, it just changes the way the economics of public health care works, and it changes the way systems actually function, not just on a systematic planning level, but also in a very grassroots, bottom-up level.
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