The rough draft of your should contain an introduction leading to your thesis; the body with at least two sections to cover the The four research sources from your annotated bibliography should be presented in APA format at the end of the paper. STEP ONE: Please read attachments to read the introduction and two changes I have already identified which affect physicians under the ACA MACRA Law.  STEP TWO: FIND some research (AMERICAN ONLY) on causes of the changes, long term and short term effects of the changes.  PLEASE WRITE in English and use American sources! Government or state sources are the most accurate.