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Column: In San Francisco’s dystopian Tenderloin, the city goes rogue to slow drug overdoses

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Column: In San Francisco’s dystopian Tenderloin, the city goes rogue to slow drug overdoses


When individuals have interaction in criminal activity, they typically attempt to disguise it.

That’s been the case in San Francisco, the place for months, metropolis officers have quietly been working a protected drug consumption web site — a violation of state and federal regulation.

The mysterious Tenderloin Middle, because it’s recognized, features a fenced-in patio obscured by tarps that blocks off a part of a public sq., throughout the road from a brand new Complete Meals. Right here, with ineffective Swiss-cheese secrecy, the town has allowed addicts to make use of medication whereas evading the reality publicly.

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Media have been barred, regardless of repeated requests. Direct questions on whether or not company have been allowed to make use of medication have obtained roundabout, wink-wink solutions, with fast redirects to the bevy of different obtainable companies contained in the adjoining constructing. Medication? Let’s speak housing!

That stonewalling broke Thursday, when journalists together with myself have been allowed inside, albeit when the middle was closed and there wasn’t a lot to see.

It was an overdue acknowledgement that the Metropolis by the Bay has gone rogue in its combat towards a rising surge of overdose deaths — 38 on this neighborhood alone from January to April.

Although the furtiveness across the heart led to distrust and misinformation (and supercharged no less than one political marketing campaign primarily based on a return to lock ’em up insurance policies), it’s long gone time that California bought critical about stopping overdose deaths — even when it means asking forgiveness slightly than permission.

Good job, San Francisco — in braveness if not candor.

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Vitka Eisen, the chief govt of Healthright 360, a nonprofit that’s in command of the overdose prevention space, informed me (nervously) that as much as 200 individuals a day come to make use of unlawful medication they’ve introduced with them, although no shopping for or promoting is allowed. About two-thirds of these are smoking — largely fentanyl but additionally crystal meth and heroin — whereas the remainder inject.

Vitka Eisen, president and chief govt of Healthright 360, a healthcare supplier for very low-income and marginalized Californians, holds up a field of the anti-overdose medicine Narcan on the Tenderloin Middle on Thursday.

(Anita Chabria / Los Angeles Instances)

Greater than 100,000 individuals died of overdoses within the U.S. final yr, practically a 30% rise over the prior yr. That’s one individual each 5 minutes who dies from a trigger so easy to keep away from it often simply requires a couple of squirts of the nasal medicine Narcan, which Tenderloin Middle employees carry and which is stacked across the facility for others to take and use on the road. To date, 92 overdoses have been reversed because the heart opened in January. That’s 92 not-dead individuals who survived one other day of dependancy to perhaps, simply probably, begin restoration tomorrow.

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The state Legislature is contemplating a invoice that will legalize the San Francisco facility and permit Los Angeles and Oakland to open them as effectively. However the measure’s destiny is unsure in an election yr when tough-on-crime speak is well-liked and the dialogue of government-sanctioned drug use is heated. The middle has a turn into a floor zero within the debate over how we must always deal with dependancy, with one conservative gubernatorial hopeful, Michael Shellenberger, allegedly going as far as to leap the fence.

Critics, together with Shellenberger, name the middle and the world round it an open air drug market that has added to the chaos of an already-troubled neighborhood. Additionally they contend it quantities to dependancy upkeep, successfully condoning use over abstinence.

I’ll take the second a part of that first.

Shaun “Chuky-G” McKnight was dope sick and determined for fentanyl after I met him out entrance, earlier than the middle opened. Unable to enter, he smoked a lime-green nugget of fentanyl blended with meth standing on the sidewalk. It smoldered right down to a billowing burst of smoke that carried on the wind and hit me within the face.

Shante Luster and Shaun "Chuky-G" McKnight wait in line to enter the Tenderloin Center.

Shante Luster and Shaun “Chuky-G” McKnight wait to enter San Francisco’s Tenderloin Middle on Thursday.

(Anita Chabria / Los Angeles Instances)

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“I don’t like doing it out on the road in entrance of youngsters,” he informed me, after the bodily ache of withdrawal subsided and he may speak. “It offers them a foul impression that it’s OK when it’s not OK. It’s not OK to do medication.”

He would slightly be out of sight, he mentioned. McKnight has been utilizing fentanyl not too long ago, however has been on medication his “complete life,” born with heroin in his system to a mother who gave him up at start. McKnight, who’s white, mentioned he was adopted at 3 days outdated by a Black household in South-Central and was as soon as a member of the Crenshaw Mafia Gang. Final yr, he was run over by a recycling truck whereas handed out in a close-by alley, leaving a imply scar working down his leg.

He’s an unabashed addict and he doesn’t see himself quitting, although he’d wish to. He’s been in jail, so the “robust love” of incarceration didn’t preserve him clear. As I listened to his story, I couldn’t assist however surprise: Is it higher to have him abuse medication on the sidewalk or inside the middle? You possibly can name it dependancy upkeep, however the road means an elevated threat of dying. Both approach, he’s going to maintain utilizing for the foreseeable future.

Which brings us to lawlessness of the neighborhood. Sure, the Tenderloin is chaos and people arriving on the heart are chaotic.

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I bought there early on the morning of the tour to seek out police rousting a cluster of a dozen individuals across the nook, many sucking up fentanyl smoke by means of straws because it burned on squares of tinfoil. By the point the tour began and the patrol automobile had left, the gang had tripled, milling on the steps of the federal constructing brazenly shopping for, promoting and utilizing.

Once I got here out of the middle an hour later, about 70 individuals have been lined up ready for it to open. San Francisco Division of Public Well being employee Erica McGary was wrangling that queue, with a good-natured endurance that included telling practically everybody she met, “I recognize you,” though I’m not sure she did.

McGary known as a ride-share service for a lady pregnant together with her fourth youngster and organized for a prenatal examination on the hospital. She broke up an argument between a person in a wheelchair and a girl toting her laundry in a blue basket stolen from Ross Costume for Much less. She greeted an Asian lady promoting cigarettes. She urged a person mendacity below an umbrella smoking fentanyl to come back inside to do it, earlier than turning her consideration to a different man in a wheelchair whose toes clearly wanted pressing medical consideration. A boy who appeared about 5 wandered by means of, trailing a couple of toes behind a girl in slippers that paid him little thoughts.

It was certainly pandemonium, so dire that in December, San Francisco Mayor London Breed declared a state of emergency within the space for a couple of months, resulting in the opening of the middle and a promise of a police crackdown. That state of emergency has since expired, however the anarchy has not.

Elgin Rose, the senior director of Code Tenderloin, which was dealing with some logistics for the middle, informed me it’s a false impression that the neighborhood has instantly been lurched into mayhem. Rose, 49, mentioned he’d been there since he was a younger man, and till three years in the past, was homeless. The Tenderloin has lengthy been the Tenderloin, he mentioned.

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I labored down the road from this location as a cocktail waitress 25 years in the past, getting off at 3 a.m., and I can inform you he’s proper.

Elgin Rose, senior director of Code Tenderloin

Elgin Rose, senior director of Code Tenderloin, an outreach group, stands in entrance of the Tenderloin Middle, the place homeless and susceptible individuals can join with companies and the place the town is working an overdose prevention web site.

(Anita Chabria / Los Angeles Instances)

It has been a neighborhood of final resort for many years — for immigrant households who can’t afford lease elsewhere, for the transgender group that hasn’t at all times been welcome in different places, for intercourse employees, addicts and unsheltered individuals pushed by gentrification and stigma into smaller and smaller areas.

What’s modified is we’re paying extra consideration to the chaos because it flails towards the backdrop of a pandemic that made practically every thing on this planet worse, and course of a rightful misery about fentanyl and different medication coming down the road which can be more and more harmful and low cost. The Tenderloin Middle is a too-easy goal for all of our fears and anxieties that every thing isn’t simply going to hell, it’s already there.

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The middle isn’t making something worse, although, the identical approach it isn’t going to repair all our issues. However it could assist — each the neighborhood and people. Regardless of a want that we may pressure individuals off medication, particularly when it’s somebody we care about, it not often works.

I visited Vancouver not too long ago, the place overdose prevention facilities have been pioneered a long time in the past. Speaking to of us inside these Canadian services modified how I assumed. Sure, it sounds defeatist and cynical to permit individuals to do lethal medication with out demanding something from them. However the individuals I met knew they have been hooked on one thing grisly, and nonetheless, for various and private causes, weren’t prepared or capable of change.

The protected consumption websites didn’t simply provide an escape from dying and the unsanitary and harmful circumstances on the road. They provided escape from the stigma that kilos on the ugliness of their dependancy till there isn’t any daylight between who they’re and what they do. Disgrace is never a long-term motivator.

The Tenderloin Middle doesn’t have nice numbers on getting individuals into dependancy remedy — 53 individuals have been referred to substance abuse remedy to this point and there’s no info on the outcomes. But it surely has individuals akin to Rose, McGary and Eisen who truly do recognize the humanity and vulnerability of those that come inside. That’s how relationships are constructed and alter occurs.

It’s sluggish and haphazard — a Band-Assist, not an answer. However, Rose, who’s walked within the sneakers of the individuals he now helps, is aware of that each minute he spends getting somebody to speak to him — even when they’re injecting fentanyl on the time — is a minute that would result in change.

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“I simply ask that folks see the hope in it,” he mentioned. “As a result of there ain’t lots of hope out right here.”





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San Francisco, CA

San Francisco's first Black female mayor is in a pricey battle for a second term

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San Francisco's first Black female mayor is in a pricey battle for a second term


SAN FRANCISCO (AP) — When London Breed was elected as San Francisco’s first Black woman mayor, it was a pinch-me moment for a poor girl from public housing whose ascension showed that no dream was impossible in the progressive, compassionate and equitable city.

But the honeymoon was short-lived as a COVID-19 pandemic shuttered stores and tech workers retreated to home offices. Tent encampments surged and so did public drug use.

Breed now finds herself in a pricey campaign as she battles for a second term.

The moderate Democrat faces four main challengers on the Nov. 5 ballot, all fellow Democrats, who say Breed has squandered her six years in office. They say she allowed San Francisco to descend into chaos and blamed others for her inability to rein in homelessness and erratic street behavior, all while burglarized businesses pleaded for help.

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Her closest competitors appear to be Mark Farrell, a former interim mayor and venture capitalist who is the most conservative of the group, and Daniel Lurie, an anti-poverty nonprofit founder and an heir to the Levi Strauss fortune who has pumped at least $6 million of his own money into his first bid for mayor.

The other two are Aaron Peskin, president of the Board of Supervisors, the most liberal of the candidates, and Ahsha Safaí, a city supervisor and former labor organizer.

Streets have become cleaner and homeless tents much harder to find, but the daytime shooting in September of 49ers rookie Ricky Pearsall in a popular central shopping district reignited the public safety issue.

“Even though San Francisco is seen as this kind of West Coast liberal icon, the city has experienced a series of episodes that challenge that, and that puts voters into kind of a testy mood,” said David McCuan, a political science professor at Sonoma State University.

McCuan added that he thinks Breed still has the advantage, but “she’s just got difficulties around her.”

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The Nov. 5 vote in a presidential election year is happening amid a national debate on public safety and a statewide vote on a tough-on-crime proposition that would, if approved, reclassify some misdemeanor theft and drug crimes as felonies.

Voters concerned over crime ousted progressive San Francisco prosecutor Chesa Boudin in a rare recall in 2022, and across the bay this year, the Oakland mayor is facing a recall election due in part to crime concerns.

In an interview, Breed, 50, said San Francisco is turning a corner — thanks to her hard work — and voters she meets are upbeat.

She championed a pair of successful public safety ballot measures in the March primary to expand police powers and compel some people into drug treatment. She ordered a crackdown on homeless tent encampments following a U.S. Supreme Court decision that said bans on outdoor sleeping are allowed. Reported crime is down.

“We laid the groundwork, and now people are reaping the benefits of our infrastructure projects, the capacity we built and the technology we’re using to combat crime,” Breed said, adding that voters “know that someone’s in charge and making it happen.”

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Farrell challenged that notion at a meeting with voters at a boisterous gastropub on a recent evening, saying Breed failed to maintain the streets he cleared of tents when he was interim mayor in 2018. Farrell, 50, was a city supervisor who served in the role for six months following the death of Mayor Ed Lee.

What to know about the 2024 Election

He envisions a San Francisco where police feel respected and older residents don’t have to hire private security when the city has a $15 billion annual budget.

“San Franciscans, given the state of our city right now, want not only a change of leadership, but a sense of direction for the city,” Farrell said in an interview this week.

Lurie, 47, says voters deserve a true public servant and that as a political outsider, he has the experience to overhaul corrupt government bureaucracy.

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Voters are “desperate, desperate for someone that is going to come in there and bring accountability,” Lurie said.

As founder of the nonprofit Tipping Point Community, he says, he built tiny cabin shelters and permanent subsidized housing at a fraction of the cost and time that it would take City Hall.

Breed, Farrell and Lurie all have strong ties to wealthy business donors.

Lurie leads in fundraising with more than $13 million, including $1 million from his mother, businesswoman Miriam Haas, to an outside committee supporting his candidacy. Breed has collected more than $4.6 million, including $1.2 million from former New York City Mayor Michael Bloomberg, while Farrell has raised $3.5 million.

All three candidates also carry baggage.

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Breed is embroiled in an unfolding scandal over financial mismanagement in the Dream Keeper Initiative, her marquee racial equity program for Black communities. The mayor says the program does good work.

Farrell has been accused by opponents of dodging campaign contribution limits by pooling staff and office costs with a campaign he established in support of a ballot measure, which can accept unlimited donations. Farrell says he is following the law.

And critics of Lurie say the affordable housing project his nonprofit built cannot be replicated citywide because it used a construction method opposed by local labor unions and required massive private investment. Lurie says naysayers will naysay.

San Francisco elects its mayor using a ranked choice voting system that could yield a winner who did does get the most first-place votes. It also can encourage unusual alliances between rival candidates and, indeed, this week Farrell and Safaí agreed to ask their supporters to make the other their No. 2 pick.

Breed won election as mayor in June 2018 to serve out the remainder of Lee’s term and was reelected in 2019 to a full term that has lasted five years instead of the typical four after voters changed the election calendar to line up with presidential contests.

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Can San Francisco fix its public image? Mayoral hopefuls vow to restore the iconic city

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Can San Francisco fix its public image? Mayoral hopefuls vow to restore the iconic city


SAN FRANCISCO (KGO) — With just about a month left until the November election, the top candidates in the race for San Francisco mayor are battling to be voters’ top choice.

In interviews with the four leading candidates, ABC7 News anchor Reggie Aqui teamed up with our media partner The San Francisco Standard and its political and business reporter Annie Gaus, along with Kara Swisher, author and host of the “On with Kara Swisher” podcast. Our panel asked the candidates about some of the biggest issues facing the city: including public safety and crime, homelessness, downtown recovery and the economy, tourism and public perception of the city.

WATCH: Top San Francisco mayoral candidates detail vision for city, tackling crime, homelessness and more

All four candidates – Mayor London Breed, Aaron Peskin, Mark Farrell and Daniel Lurie – were in agreement about the severity of the homelessness problem in San Francisco, but they all differ in approaches for solutions.

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In recent years, especially following the pandemic, San Francisco has struggled like other major metropolitan areas. But the city has particularly been the target of conservative media outlets or politicians, blaming Democratic policies for the city’s struggles.

All four candidates acknowledged the city has had a PR problem, but maintained their love for San Francisco and its ability to bounce back as a crown jewel of the West Coast.

Farrell: city perception cannot change until problems solved

Former interim mayor Mark Farrell said it’s going to take a leader who can help rapidly solve some of San Francisco’s biggest issues before the city’s reputation can actually be restored.

“Unless you fix the underlying issues that are truly making it tough for people who live here – but also people that visit here – to me, it’s like lipstick on a pig, right? We need to have sustainable growth, sustainable difference in San Francisco,” Farrell said.

He said he will also prioritize marketing the city to the business and tourist community.

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Lurie says he knows how to deliver on big projects

Levi’s heir and nonprofit executive Daniel Lurie said his years of experience at the helm of Tipping Point, his antipoverty nonprofit, makes him the most qualified in these types of projects.

“I’ve housed over 40,000 people since 2015. I know how to get big things done. And the key component of all of it is holding people accountable. If you want more of the same, you got four other people to choose from. If you want something different, if you want change in this city, I’m all I’m here for it,” Lurie said.

Lurie also touted his work on Super Bowl 50, saying then-Mayor Ed Lee reached out to him to chair the bid to bring the Super Bowl to San Francisco.

“It wasn’t because I was a sports guy. It was because he knew that I could deliver and we did. We brought a global sporting event $240 million of economic revenue,” he said.

Peskin: Board experience taught him to “work with people” on major issues

Aaron Peskin – longtime SF politician and current President of the Board of Supervisors – says his years of working with different types of people on the board has taught him cooperation, which he thinks will be key in tackling some of these issues.

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“I try to figure out what the best path forward is. I work with experts. I try to bring people together,” he said.

Peskin cited his recent work with Mayor London Breed on a mixed-use zoning project downtown, despite her being his current political opponent.

“The work that Mayor Breed and I did to change the zoning downtown, to build more housing; the work that I’m doing with my colleagues, to provide more affordable financing so we can address our housing crisis. But ultimately you listen to people and then you implement,” he said.

Breed says SF is on the rise again thanks to her leadership

Public safety and crime are main contributing factors when it comes to the international view of San Francisco in recent years.

Recent incidents – like the shooting of 49ers wide receiver Ricky Pearsall – have garnered negative national attention for the city. But the incumbent mayor insists, San Francisco’s overall numbers are trending in the right direction.

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Breed said crime rates are improving, largely due to newer technology police departments are able to take advantage of.

“Crime is lower than it’s been in a decade. And one of the great things we have now that we didn’t have before was 21st century technology. Never in the history of our police department were we able to use drones and cameras and other equipment, which has led to a remarkable change around crime,” she said.

But the mayor acknowledges, there are still improvements to be made across the board.

“We are well on our way. And when I say well on our way, many larceny thefts overall are down, especially car break ins,” Breed said. “This year, we’re excited about the new numbers, the new data. But again, unless you feel it, we of course still have work to do. And I acknowledge that.”

You can watch the full interviews with all four candidates, here.

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Gay bathhouses could come again. For once, no one is moaning

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Gay bathhouses could come again. For once, no one is moaning


“We’re gonna try to make these happen,” Mandelman said in an interview. “Or at least ensure that the city is not the barrier to this happening.”

His first try was unwinding restrictions on the operation of gay bathhouses in the city’s health code, a legacy of the AIDS crisis. He followed that by changing the planning code to allow bathhouses and sex clubs to operate in a larger swath of the city. Most recently, he’s attempting to remove the ultimate authority to regulate and permit these businesses from the San Francisco Police Department.

Mandelman introduced legislation Tuesday that would repeal Article 26 of the police code, which outlines standards around sanitation but also requires businesses to keep a registry of all patrons and prohibits services from being offered behind locked doors. The hope is to get the law passed by the end of the year. 

In a rare bit of San Francisco comity, pretty much everyone is on board. The Department of Public Health was already responsible for much of the Article 26 oversight, and a stretched police department was happy to get it off its plate. Police found themselves ill-equipped to answer questions about waterproofing and what exactly counts as a prohibited “service.”

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What goes on inside a sex club may be the stuff of feverish imaginings, but the business of running one is more prosaic, particularly in San Francisco, where red tape is less a bondage prop and more a fact of life.

Although the Tenderloin queer sex club Eros features a glory-hole alley, video play areas, and a handful of sex slings, what’s top of mind for co-owner Ken Rowe in running the 30-year-old business are his real estate footprint, throughput, and the rising cost of insurance. 

Over the years, he’s seen several efforts try and fail to spin up a bathhouse in the city. One of Rowe’s biggest outstanding questions is about utilities. With prices through the roof and the state in perpetual drought conditions, who can afford to fill, clean, and refill pools?

“There’s a reason why we describe ourselves as a sex club. We’re not trying to confuse people,” Rowe said. “But we’ve always said we do better when there’s more choices.”

The allure of reviving bathhouse culture in a gay mecca — paired with a city government trying to make the process easier — has inspired locals to try their hand. 

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