> so many people in the (still relatively free) West denying basic agency to their fellow human beings

Because there's a lot of cynicism with charities and foreign aid. There is an active campaign here in Britain to reduce the latter and anecdotally, I have friends and relatives who refuse to donate to aid agencies because they believe that the whole thing is a sham.

Sure there's bureaucracy, but most of them are genuinely hardworking and already operating on shoestring budgets...