In each case "state" can mean national, regional or municipal, with many institutions now falling painfully into the cracks.
But Francois falls painfully in love, and has no idea what to do about it.
She tried a couple of hops in his direction and fell painfully.
Several times they stumbled over roots or dead branches and fell painfully on the frozen ground.
Lethal anger flared in the human's eyes as he fell painfully into the dirt.
So quickly that she lost her balance and fell painfully to her knees.
I looked across the street at the door of my house, and suddenly a number of things fell painfully into place.
He had come up out of the chair, but there was no strength in his legs, and he fell painfully to his knees.
The woman had dealt with this man before and she had seen others fall painfully before him.