Block grants (to states for Medicaid)

When the federal government writes a $5 billion check for Medicaid to a state, what are the chances none of that will be siphoned away from healthcare and into the pockets of connected state people and companies?

Just like billions sent to Iraq and Afghanistan, it will end up in the pockets of corrupt government officials and government-connected crony businesses.

Block grants are the LEAST EFFICIENT AND MOST OPEN TO CORRUPTION method of distributing tax money for healthcare. That is why block grants are favored by weasel Republicans, they can't wait to get their hands into the billion dollar cookie jar.