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Focus group participants indicated that the model sounded promising but noted the likely difficulty in enacting it in our current health care system.
They reported that they experienced difficulty in enacting MIPA because the strategies used in the cities do not meet the unique needs of the people living in rural regions, nor do they adequately address the experience, context, and capacity of ASOs in rural regions.
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However, in light of extensive evidence for the difficulties in enacting meaningful changes in schools as organizations (Evans 1996; Sarason 1996), we would expect to encounter significant challenges to successfully implementing and sustaining PAR efforts in such settings.
The legislative gridlock and partisan maneuvers that have stymied so many of Johnson's successors, the sheer difficulty presidents have faced in enacting their programs (even when their own party controlled the Congress), have made Johnson's skill seem all the more remarkable.
The Ming dynasty statesman Zhang Juzheng once said: "Of all things under Heaven, the difficulty is not in establishing law, but in enacting it".
In enacting the regulations by a 3-2 vote in 2015.
The republicans were unsuccessful in enacting any substantive changes.
Since Emmert became president of the N.C.A.A. in 2010, those close to him said he had expressed frustration with the difficulty of enacting change in college athletics.
Schwarzenegger discusses the difficulty of enacting sweeping change in government -- think back to the entire year he spent on trying to pass a Hillary Clinton-esque universal health care program after winning a landslide re-election victory in November 2006 -- and has some interesting things to say about his successor as governor.
The vetoes underscore the difficulty of enacting new gun control legislation, even in Democrat-dominated California, where the party controls every statewide office and both houses of the Legislature.
This can partially be attributed to increasingly well-defended issuers and shareholders realizing the inherent difficulties of enacting change in a fluctuating commodity price environment.
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