Fraud does happen. But it doesn't happen enough for it to be worth setting up an entire bureaucracy to prevent it. Especially if that bureaucracy undermines the value of the program for everyone who's faithfully making use of the services in the intended manner.
More and more, it seems that keeping social welfare programs inefficient is benefiting the people who want to remove them entirely (in favor of lowering taxes).
Fraud does happen. But it doesn't happen enough for it to be worth setting up an entire bureaucracy to prevent it. Especially if that bureaucracy undermines the value of the program for everyone who's faithfully making use of the services in the intended manner.
More and more, it seems that keeping social welfare programs inefficient is benefiting the people who want to remove them entirely (in favor of lowering taxes).