I agree. I live in Cambodia. There is a great need for humanitarian relief, but unfortunately as you said, a majority of the NGO's are staffed at the upper levels by over paid bureaucrats and while they often do have staff who care, and work hard, most of the resources go to provide said bureaucrats with unnecessary luxuries while the original point of the organization gets left behind. There really are some wonderful people doing things, but as Heidi said, its usually at the grassroots level on the ground where the right people, and resources come together to actually make a difference in people's lives. If you ever make it to Cambodia, particularly the Siem Reap province, let me know. I can put you in touch with good folks doing great things with minimal resources. Its a sad truth that many people use the most desperate people and the great needs they have to hoodwink kindhearted people into donating only to enrich themselves. The whole voluntourism sector here is growing rapidly and unfortunately it's barely helping anyone, except the few who use the good intentions of people to make profits for themselves.