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Adding to the attract are hefty profit margins for packages like these — as high as 15 {909c18c5dded026788e0b94d240998b6343ef530ef7695d91d45a3098ccf154f}, in contrast with a mean of 2 percent among nursing homes — and geographic monopolies which can be all however assured by state Medicaid businesses to ensure the solvency of suppliers.

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