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=== Netherlands === On the other hand, there is limited research that suggests that block grants have a positive impact on policy outcomes. One study in the Netherlands evaluating the ADHA (Assistance in Daily Housekeeping Activities) block grant finds that for each additional euro of grant money given to local governments, 50 cents is spent on ADHA. Consequently, the authors argue that block grants can achieve important outcomes, and that categorical grants are not necessary to force spending on particular issues.<ref>{{Cite journal |last1=Kattenberg |first1=Mark |last2=Vermeulen |first2=Wouter |title=The stimulative effect of an unconditional block grant on the decentralized provision of care|journal=CPB Netherlands Bureau for Economic Policy Analysis|pages=10}}</ref> However, block grant critics would likely argue that this 50% spending rate on ADHA is a sign of ineffectiveness, as it means that local governments are spending the rest of the funding on unrelated issues.
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