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Programs are not funded or delivered in a vacuum. Legislation, public policy, public perception and attitude, media coverage, political process and political will, funding priorities, and the availability of funds, are just some of the systemic factors that play a role in determining which programs are funded, the extent to which they are funded, and to some degree, how they are allowed to function. It is important to “be in the loop” in any decision-influencing or decision-making process.