This is one of the most poetic issues I've ever seen. Please read it this way:

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A little backed up, are we?

Very sad, frustrating, huh?

Lots of agencies calling other agencies;

YNHH, Griffin, Cornell Scott, Beth-El , Waterbury's Safe Haven..

Every Nursing Home and convalescent homes;

Many having ties to the above mentioned (that little issue about nursing home/convelescent/rehab $ and when it runs out)

There was some empty units out in the valley, seems like local politics have complete control now

Waiting for local voters and supporters to get eligible.

Please give some clients a bit of heads up as to what to expect

And watch out for in The New Promised Land.
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It's a beautifully articulated issue. If it doesn't bring tears to your eyes, you don't understand poetry.