Sometimes the problems center around the principles or the very nature of
our government. The cumbersome framework of our political process can deflate
a proposal for many reasons. Delays and postponements can cause a strategy to
wither on the vine. The fact that most grants involve multiple levels and organizations
means that dissention in only one of those areas can sabotage even the most
sophisticated plan. Often, these roadblocks cannot be predicted, but a good lobbying
agency may be able to assist the hospital in steering around these obstacles.