Most people underestimate the inefficiency of just about every government organization. Probably the only way to significantly improve the program's efficiency

Most people underestimate the inefficiency of just about every government organization. Probably the only way to significantly improve the program's efficiency would be to turn it over to a for-profit company that had an incentive structure to distribute the cash properly but as efficiently as possible. So far I don't think that company exists yet. Pay for performance contracts get twisted by the contractors into a game to maximize the performance metrics while spending as little as possible. The problem is that it's really hard (some say impossible) to set up performance metrics that can't be gamed.