Managed Care, Managed Dependency: Is Washington's Social Service Sector Building Solutions or Sustaining Itself?
Washington's nonprofit social service sector has grown dramatically over the past two decades, absorbing billions in government contracts and philanthropic funding. Yet the problems those organizations were created to address — homelessness, persistent poverty, workforce exclusion — have worsened by nearly every measurable indicator. This examination asks a question that the sector rarely poses about itself: whether the funding structures that sustain Washington's largest charities may be inadve