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I've had fantastic luck with rentacoder, but it takes some patience picking a programmer. Once you find a good one, stick with them.
As for hiring, it is a pain to find exactly what you need, from someone who happens to be available at the exact time you're looking, of course. But there's always someone right for every job, you just need to accept that if you're not paying top dollar, you may experience some turbulence.
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