Jean Yang, head of the flailing Massachusetts Health Connector, wept at a Thursday board meeting over her staff’s demoralizing struggle to prevent residents from losing coverage in the face of a broken website and mountain of paper applications to be processed, the Boston Globe reports.

The state had requested a six-month extension from the Affordable Care Act’s requirements. Massachusetts already had an exchange-based health care system similar to Obamacare.

Staff is working on a backlog of 50,000 paper applications, exchange officials announced at the board meeting, which Yang said would take two hours each to process.