I run jail-based drug treatment programs for a rural Hispanic County. One day in 1998, John, a staff member, came charging into my office waving a GPRA manual in my face.
At that time, GPRA was the new set of assessment tools required by the feds to measure the impact of all programs. The GPRA tool we used measured improvement in substance-abuse related behaviors.
"I was doing an assessment on a big guy named Jesus!" John shouted. "He had a crucifix tattooed on his bicep. He was in for aggravated battery. I was supposed to ask him, 'Have you had unprotected anal intercourse more than one hundred times this month?'"
"Are you trying to get me killed?!"
If you want to know why the feds demanded that John ask inmates about their sexual habits, and why the OMB's failure to report the results is endangering health care reform today, read on.