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Las médicas casi siempre están muy ocupadas.

Las médicas casi siempre están muy ocupadas.
The doctors are almost always very busy.
From Lesson 77:Adverbs of frequency (a veces, nunca)·Spanish (Spain)

Questions & Answers about Las médicas casi siempre están muy ocupadas.

Why is casi siempre placed right before the verb están?
In Spanish, adverbs of frequency like casi siempre (almost always), siempre (always), and nunca (never) usually go immediately before the verb. While you might occasionally see them at the very beginning or end of a sentence for emphasis, putting them right before the verb is the most standard choice.
Can I flip the words and say siempre casi?
No, the order is fixed as casi siempre. Just like in English where we say 'almost always' and not 'always almost', the word casi (almost) has to come directly before the word it modifies.
Why do we use están instead of son for being busy?
We use the verb estar (here as están) because being busy is a temporary state or condition. If you used son (from the verb ser), it would sound like being busy is a permanent personality trait of these doctors!
Why does this sentence use Las médicas and ocupadas instead of Los médicos and ocupados?
This sentence specifically refers to a group of female doctors. Because médicas is feminine and plural, the adjective describing them (ocupadas) must also be feminine and plural to match. If it were a mixed group of male and female doctors, you would use the masculine plural: Los médicos casi siempre están muy ocupados.

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