I have some simple suggestions, although, maybe not easy suggestions. The main point I would make is that there has to be greater accountability for the services that are already out there. This relates to why people have such a bad view of social services. They see on TV people who head up these agencies scamming others, lying to government agencies, and generally do little good.
The problem is, simply, there is little to no accountability. Usually something askew pops up by accident (e.g., a donor notices something on his bill that is suspicious, a gov. agency does a random check only to find that most clients haven't been receiving services for months, or a disgruntled worker reports the agency).
And it is true that lots of places will do a last-minute tidying-up job so it looks like the agency is running smoothly. But, if the overseeing body does a thorough job, these type of shenanigans can usually be caught.
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