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San Francisco buys vodka shots for homeless alcoholics in taxpayer-funded program

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San Francisco buys vodka shots for homeless alcoholics in taxpayer-funded program


The City of San Francisco is providing free beer and vodka shots to homeless alcoholics at taxpayer expense under a little-known pilot program. 

The “Managed Alcohol Program” operated by San Francisco’s Department of Public Health serves regimented doses of alcohol to voluntary participants with alcohol addiction in an effort to keep the homeless off the streets and relieve the city’s emergency services. Experts say the program can save or extend lives, but critics wonder if the government would be better off funding treatment and sobriety programs instead.

“Established in countries such as Canada and Australia, a managed alcohol program is usually administered by a nurse and trained support staff in a facility such as a homeless shelter or a transitional or permanent home, and is one method to minimize harm for those with alcohol use disorder,” the California Health Care Foundation explains in an 2020 article describing the pilot program. 

“By prescribing limited quantities of alcohol, the model aims to prevent potentially life-threatening effects of alcohol withdrawal, such as seizures and injuries.” 

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A man pours liquor from a small bottle into a glass in the evening. San Francisco has funded a pilot managed alcohol program to provide free beer and vodka shots to homeless people with severe alcoholism.  (Soeren Stache/picture alliance via Getty Images)

The San Francisco managed alcohol program, or MAP, was established during the COVID-19 pandemic to prevent vulnerable homeless people who were placed in isolation in hotel rooms from suffering from alcohol withdrawal. But the program, which started with 10 beds, has since been expanded into a 20-bed program that operates out of a former hotel in Tenderloin with a $5 million annual budget, the San Francisco Chronicle reported.

Alice Moughamian, the Nurse Manger of the Managed Alcohol Program and the San Francisco Sobering Center, explained in an October presentation that nurses provide clients with a motel room, three meals a day, and enough alcohol “to meet their addiction needs, but keeping someone at a safe level of intoxication.” 

Initial success in stabilizing alcoholic patients prompted health officials to expand the pilot into a long-term program with 10 beds earmarked for “the Latinx and indigenous population,” while 12 additional beds are supported at the city’s traditional sobering center, Moughamian said. 

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Bryce Bridge, a social worker involved with the program, said during the presentation that once a client is identified as having alcohol abuse problems and admitted, they are assessed to determine individual needs. Clients are connected to a primary care doctor, provided resources to secure government identification if they lack a social security card or other documents and assisted with psychiatric care, wellness activities on site and other evidence-based treatments. 

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A homeless encampment is seen in the Tenderloin District of San Francisco, California, United States on June 6, 2023. (Tayfun Coskun/Anadolu Agency via Getty Images)

“We actually connect them to different community-based organizations that assist us with conducting art groups, and poetry groups and just kind of help them explore ways that they can express themselves,” Bridge said. 

Bridge also said marijuana use is “fairly common in our sites” and said there is no policy prohibiting marijuana consumption, though health providers monitor that activity to prevent ill health effects or interpersonal conflicts. 

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While relatively unknown until now, the program is under fresh scrutiny after Adam Nathan, CEO of an AI company and chair of the Salvation Army San Francisco, made several social media posts criticizing what he witnessed at the location. 

“Inside the lobby, they had a kegs [sic] set up to taps where they were basically giving out free beer to the homeless who’ve been identified with AUD (Alcohol Use Disorder),” Nathan wrote on X after visiting the hotel in Tenderloin where homeless alcoholics are served.

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San Francisco’s managed alcohol program is run out of an old hotel on Eddy Street in Tenderloin.  (Google Maps)

“It’s set up so people in the program just walk in and grab a beer, and then another one. All day,” he claimed. 

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“The whole thing is very odd to me and just doesn’t feel right. Providing free drugs to drug addicts doesn’t solve their problems. It just stretches them out. Where’s the recovery in all this?” he asked. 

The Salvation Army promotes abstinence for alcoholics and provides free adult rehabilitation programs. 

Public health officials called some of Nathan’s claims misleading. In a statement to the San Francisco Chronicle, the health department said alcohol is dispensed by a nurse and homeless people who aren’t participating can’t just walk in to the facility and get a free beer. The program operates in a former Tenderloin tourist hotel that has a bar, but on-site taps are “inoperable and unused,” the statement reportedly said. 

Still, the program has also received criticism from none other than San Francisco Mayor London Breed, who said in February that harm reduction was “not reducing harm” but “making things far worse.” 

San Francisco mayor London Breed has criticized harm prevention programs that provide addictive substances to substance abusers.  (KTVU)

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“Are we just going to manage people’s addictions with our taxpayer dollars in perpetuity forever? It seems like that’s basically what we’re saying,” said Tom Wolf, who is in recovery for heroin addiction, in a statement to the Chronicle. “I think we should be spending that money on detox and recovery.” 

But recovery is not the point, according to Moughamian. 

“Our goal at MAP is not to decrease the amount of alcohol that is consumed, or to taper someone towards abstinence, although both of these things have happened with clients in our program,” she said in the October presentation. “The goal is to mitigate the many health, legal and interpersonal harms associated with unsafe alcohol use.” 

San Francisco health officials say the program has saved $1.7 million over six months in reduced hospital visits and police calls made by participants who previously heavily relied on emergency services. Officials said that after clients entered the program, visits to the city’s sobering center dropped 92%, emergency room visits declined more than 70%, and EMS calls and hospital visits were both cut in half, the Chronicle reported.

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City officials have previously said that just five residents who struggled with alcohol addiction had cost the city more than $4 million in ambulance transports over a five-year period, with as many as 2,000 ambulance transports during that time, according to the Chronicle.

The San Francisco Fire Department has spoken positively about the program, telling the outlet the managed alcohol program “has proven to be an incredibly impactful intervention” at reducing emergency service use for a “small but highly vulnerable population.” 

Other countries, including Canada, Portugal and the U.K. have adopted managed alcohol programs at a much faster pace than the U.S. Canada has more than 40 such programs, according to the University of Victoria’s Canadian Institute for Substance Use Research. 

A 2022 study of Canada’s managed alcohol programs found that homeless people suffering from severe alcoholism had a reduced risk of death and fewer hospital stays after participating.

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Popular brewery shutters San Francisco location amid industry woes

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Popular brewery shutters San Francisco location amid industry woes


A Northern California brewery has become the latest victim of declining alcohol consumption after it announced the closure of its taproom in a trendy San Francisco neighborhood.

“We’re sharing that our San Francisco Tasting Room will close Today, Monday, June 29,” a message on Ballast Point Brewing’s Instagram page read about the closure of its location in Mission Bay.

“We’re grateful to everyone who visited, shared a beer, celebrated milestones, and made this location part of the local craft beer community over the years.”

A Northern California brewery becomes the latest victim in declining alcohol consumption across the country after it announced the closure of its taproom. Google

“Thank you for your support and for the memories we’ve made together,” it added.

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Started in San Diego’s Home Brew Mart in 1992, the craft beer company has been a favorite of IPA lovers for decades, according to their website.

Known for fan-favorite brews like Fathom, Sculpin and Longfin IPA — the San Diego beer maker rocketed from local favorite to craft brewing giant after opening a flagship brewery and restaurant in the city’s Little Italy neighborhood in 2013.

By 2015, Ballast Point had become one of the country’s top craft breweries by sales volume — and landed a staggering $1 billion buyout from Constellation Brands.

But the brewery’s fortunes quickly went flat.

It started in San Diego’s Home Brew Mart in 1992. ullstein bild via Getty Images

Just five years later, Constellation unloaded Ballast Point to Chicago-based brewer Kings & Convicts in a deal reportedly worth less than $100 million, according to Food & Wine.

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Even as ownership changed hands, Ballast Point continued expanding its footprint, opening restaurants and tasting rooms across California between 2013 and 2023 — including its San Francisco location, which debuted in 2023, the San Francisco Chronicle reported.

Other craft beer companies and wine makers have experienced similar situations amid declining sales of liquor, beer and wine over the past few years. ullstein bild via Getty Images

Three years later the company announced to fans it was leaving, with no explanation as to why. It also pointed out people could still visit their tasting rooms in “Little Italy, Anaheim, and Long Beach” and find their beers at their favorite “local bars, restaurants, and grocery stores.”

“To everyone who supported our San Francisco Tasting Room over the years, thank you,” the message added.

“Your enthusiasm and loyalty have meant the world to us, and we look forward to raising a glass with you again soon.”

Other craft beer companies and wine makers have experienced similar situations amid declining sales of liquor, beer and wine over the past few years.

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Cases of Ballast Point Brewing beers are stacked at a Costco Wholesale store on May 15, 2026 in San Diego. Getty Images

Earlier this year, major winemaker Gallo announced the closure of a large production facility and the elimination of nearly 100 jobs across the wine growing region of Napa and Sonoma counties. 

The company said there would be staff cuts at Louis M. Martini Winery and the Orin Swift Tasting Room in St. Helena, as well as J Vineyards and Frei Ranch in Healdsburg.

In January, Constellation Brands notified more than 200 people at the Mission Bell Winery in Madera that they would be out of work. And Jean-Charles Boisset Collection closed two Napa Valley tasting rooms.

Ballast Point San Francisco : Yale and Duke alumni in San Francisco. Instagram/ballastpoint_sanfrancisco

Last year, two big Northern California brewing company’s — San Francisco’s Fort Point Beer Co and Sonoma County-based HenHouse brewing — merged in order to keep operating.

The number of American adults who say they consume alcohol has fallen to 54%, according to an August 2025 Gallup poll.

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Headlines, June 30 – Streetsblog San Francisco

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Headlines, June 30 – Streetsblog San Francisco


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Anza expedition celebrates 250th anniversary in San Francisco

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Anza expedition celebrates 250th anniversary in San Francisco


June 27, 1776, was a momentous day for the Bay Area, California, and the world as 240 men, women, and children arrived mostly by foot from Mexico to what is now called San Francisco to set up camp and lay the groundwork for the future.

The “traveling village” is known as the Anza Expedition.  

On Saturday, the 250th anniversary of the event was commemorated on Pershing Square at the Presidio of San Francisco in a two-hour ceremony.

The celebration opened with piercing fifes and thundering drums from the Young Patriots Fife & Drum Corps from Pleasanton, as a nod to America’s quincentennial.

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But it was then followed up by a Spanish hymn, sung by musicians, dressed in 18th-century Spanish Colonial attire, including the garb of soldado, vaquero, pioneers, military, and indigenous peoples. The song is known as “Alabado” and it was sung by the ancestors as they made their long journey to the Bay.  

 A proclamation on a scroll was then read with gusto by local actor Dane Andrew, who was portraying the Spanish trailblazer Lt. Colonel Juan Bautista de Anza.

The message was loud and clear: When it comes to history in the Bay Area, Spain swings a big sword.

 “People don’t realize in California our early Spanish history. While on the East Coast was becoming a brand-new U.S.A. was a small part. Actually, Spain owned a large part of the West Coast,” remarked Andrew.

 The Anza Expedition established the first reliable overland route from Mexico to what was then known as Alta California, claiming San Francisco Bay for the Spanish Crown.

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In 1776, the expedition’s leaders established both the Presidio as well as Mission San Francisco de Asis, which is known today as Mission Dolores.

In the crowd, the direct descendants of those who traveled the long, arduous route, including 98-year-old Eddie Grijalva of Vallejo.  He was accompanied by his wife Lydia and her son Jeff.

 “What an honor to be here and to remember my ancestor,” exclaimed Grijalva.

The event was coordinated by the nonprofit Los Californianos. The nonprofit represents the direct descendants of those who were part of the Anza Expedition.  Its documented purpose includes efforts “to preserve the heritage of early Hispanic Californians in Alta California, to conduct research on genealogy, and to provide an accurate and authentic interpretation of Alta California’s history”

Carol Eber represents the group and is the co-chair of the event. She told us the group is thrilled to celebrate its heritage along with the quincentennial of the United States.

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 “We have a celebration on the East Coast. We wanted to have the 250th celebration on the West Coast as well as recognizing history was made on both coasts,” noted Eber.

During the ceremony, the crowd recited the Pledge of Allegiance and heard from Superintendent David A. Smith, who is with the Golden Gate National Recreation Area.

There were also presentations from the Daughters of the American Revolution and a group called “Our American Patriots”. The keynote speech was delivered by Professor Damian Bacich. He focused on San Francisco’s Spanish-American Legacy.

Also on hand for the festivities, the Consul General of Mexico Marco Mena. Mena told CBS News Bay Area that this was his first visit to Presidio and found it beautiful. He was pleased to be invited.

 “The Anza expedition is very related to Mexico, especially to the states of Sonora and Sinaloa,” Mena explained.

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As the Presidio ceremony was underway, a mass was said at Mission Dolores. The event concluded with a Roll Call, which was the reading of the names who those who walked on the route in 1776.

 Descendants, including Grijalva, placed a flower in a memorial wreath as children were asked to blow bubbles for expedition members named without descendants.   

Afterwards, participants went on docent-led tours of the Presidio’s Heritage Gallery and also were invited to tour the site of the Spanish Presidio Chapel.



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