Related by context. Frequent words. (Click for all words.) 52 inadequate 46 neglected 44 shortfalls 44 inefficient 44 outdated 44 overcrowded 43 unaffordable 43 flawed 42 overworked 42 demoralized 42 chronically 41 funded 41 shortfall 40 deficient 40 antiquated 40 depleted 40 cash strapped 40 pension 39 fragmented 39 budget shortfall 39 insufficient 39 funding 39 lagging 38 unprepared 38 underdeveloped 38 unsustainable 37 disorganized 37 overpaid 37 ineffective 37 shambles 37 bloated 36 pensions 36 budget 36 lacking 36 incompetent 36 burdened 35 fund 35 degraded 35 inept 35 unreliable 35 modernize 35 marginalized 35 dysfunctional 35 budgets 35 mismanagement 35 decimated 34 underserved 34 crumbling 34 privatized 34 undervalued 34 lagging behind 34 overmatched 34 budgeted 34 crippled 34 disrepair 34 underperforming 34 unrealistic 33 cutbacks 33 staffed 33 overhauling 33 overloaded 33 coffers 33 budget deficits 33 lax 33 bureaucracy 33 deficits 33 overrun 33 funds 33 health care 33 retirees 33 short sighted 32 undermined 32 lags 32 ballooning 32 hopelessly 32 reforming 32 privatize 32 insolvent 32 overvalued 32 obsolete 32 overpriced 32 unmet 32 disjointed 31 underperformed 31 indigent 31 overstated 31 overhauled 31 floundering 31 lagged 31 abysmal 31 ignored 31 discredited 31 dilapidated 31 staffing 31 malnourished 31 disarray 31 dire 31 shrinking 31 nonexistent 31 Medicaid 31 financed