In turn, this granted Model a degree of flexibility available to no other German general.
Another significant impediment is the grant to paper to grant model that slows or often ensures that the research never sees the clinic.
New York, Mr. Cuomo argued, should move away from what he called the "block grant" model of spending, especially in areas like school aid, municipal aid and Medicaid.
The legislation would also change the way the rest of the Medicaid system is financed, shifting to a "block grant" model in which Washington would pay a fixed amount to the states for each recipient.
Risk is part of the package, says Workman. "But at least equity financing gives us the prospect of a return, giving tax payers a far better deal than the grant model.
Under a block grant model, states would get a fixed payment they could use to provide health care largely as they please, although the payments would not necessarily grow with the population eligible for government aid.
Second, more than a decade of experience with the State Children's Health Insurance Program, which has vastly expanded coverage for children while being more flexible than Medicaid, shows the success of the block-grant model.
These populists embraced their vocational, open-access land-grant model as a bulwark against the outmigration of rural youth from the countryside, and as a vehicle for preserving the farm, the farmer, and the local community at the center of American democracy.
The problem was, United Way's grant model and strict requirement of demonstrated impact left little room for pioneering approaches that were promising but unproven.
The campus leadership needs to remain intact and must continue to deftly navigate Omani politics and convincingly advocate for the "Nizwa Idea" and its own unique take on a "land grant model," Omani style.
