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EXCLUSIVE: SF supervisor calls for 'compulsory detox and treatment' for drug users

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EXCLUSIVE: SF supervisor calls for 'compulsory detox and treatment' for drug users


SAN FRANCISCO (KGO) — The quarter-mile stretch of 6th Street in San Francisco’s South of Market neighborhood has long struggled with open air drug usage, but Supervisor Matt Dorsey says it’s only getting worse.

It’s why he’s calling for mass-arrests of drug users to put them into “compulsory detox and treatment” and off the streets.

Dorsey first told ABC7 News about his request to the city agencies that deal with these issues to come up with an enforcement plan in order to solve drug-related “lawlessness” on the streets.

“Historically, most of the work that we’re doing is focused on drug dealers, and I think that’s something that needs to continue, but we also need to be making criminal justice interventions in public drug use,” he said. “We do need to be making arrests of drug users with an eye toward making sure that any criminal justice intervention we make is a medical and life saving intervention.”

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MORE: California’s Prop 36 now in effect, increasing penalties for certain theft and drug crimes

The San Francisco Police Department estimates that at least 200 people “loiter and use drugs” in the area on a nightly basis. Dorsey wants to see no fewer than 100 arrests per night going forward.

It’s not the first time the city has tried to use the criminal justice system to get those with substance use disorders off the streets and into treatment. In 2023, Mayor London Breed directed SFPD to make more drug-related arrests.

Dr. Tyler TerMeer, CEO of the San Francisco AIDS Foundation, is critical of this approach, saying it does not address the root causes of substance abuse.

“Decades of research have shown that criminalizing people for their health conditions or circumstances perpetuates harm rather than fostering recovery. Forced treatment under the threat of incarceration undermines trust in health services and disproportionately impacts marginalized communities,” TerMeer said in a statement to ABC7 News. “What San Francisco truly needs is increased investment in overdose prevention services, voluntary treatment programs, and supportive housing. These approaches save lives, reduce public health crises, and strengthen our city.”

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MORE: San Francisco launches new ‘Living Proof’ health campaign to encourage drug addiction treatment

Dorsey believes the city’s longtime harm reduction approach is no longer working. And as a former addict himself, it’s personal.

“What may have worked in the heroin era is not working in the fentanyl era. We are facing drugs that are deadlier than ever before in human history. And we’re seeing levels of addiction driven lawlessness that we have never seen even in a city that has taken a permissive approach to drug use in years past,” he said.

When asked what this will cost, Dorsey did not provide specifics but said San Francisco cannot afford to ignore this problem.

Dorsey’s letter of inquiry asks five different agencies to come up with a plan for large-scale arrests and involuntary holds within the next 30 days. It is directed to the following agencies: San Francisco Police Department, San Francisco Sheriff’s Office, San Francisco Fire Department EMS Division, San Francisco Department of Public Health, and San Francisco District Attorney’s Office.

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San Francisco, CA

Trump floats sending federal agents to San Francisco to tackle crime

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Trump floats sending federal agents to San Francisco to tackle crime


President Donald Trump was once again floating the idea of sending federal agents to San Francisco to tackle crime.

It happened during a cabinet meeting on Thursday. The president praised Mayor Daniel Lurie’s efforts to lower crime but said he can do it more effectively.

“San Francisco, I know, they have a mayor who’s trying very hard. He’s a Democrat, but he’s trying very hard, but we can do it much more effectively, because he can’t do what we do. He can’t take people out from the city and bring them to back to the country, from where they came, where they were in prisons,” Trump said.

“He’s trying. He’s doing okay, but we could do much better. We could make it a lot safer than it is. San Francisco, a great city, was a great city, could quickly become a great city again. But, you know, they’re going very slowly,” he continued.

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The president implied that the mayor needs federal help to battle crime, saying immigrants are responsible for the lawlessness. However, according to a 2025 study by researches at UCLA and Northwestern, arresting and deporting undocumented immigrants was not associated with reduced crime rates.

Gabriel Medina, executive director of La Raza Community Resource Center In San Francisco agrees.

“I think we need to make sure that our city does not also try to play this game of making up ideas about always associating crime with immigrants, when immigrants commit less crime, so that’s really bad,” Medina said.

In response to the president comments, the mayor released a statement that reads: “In San Francisco, crime is down 30%, encampments are at record lows, and our city is on the rise. Public safety is my number one priority, and we are going to stay laser focused on keeping our streets safe and clean.”

This isn’t the first time President Trump has mused with the idea of sending federal agents to the Bay Area; last October, agents were staged at a military base in Alameda, but Trump called off the plan after talking with Lurie and Bay Area tech leaders.

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“We cannot normalize what this president is saying from San Francisco, that crime is associated with immigration. We need to stop conflating that,” Medina said.



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Man convicted in the deadly 2021 assault of a Thai grandfather in San Francisco avoids prison

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Man convicted in the deadly 2021 assault of a Thai grandfather in San Francisco avoids prison


SAN FRANCISCO (AP) — The man convicted in the fatal 2021 attack of an older Thai man in San Francisco, which galvanized a movement against anti-Asian hate, will be able to avoid prison time, a judge ruled Thursday.

Antoine Watson, 25, was sentenced to eight years for manslaughter in the death of Vicha Ratanapakdee, 84. But, having already spent five years in jail awaiting trial, Watson received credit for time served, and San Francisco Superior Court Judge Linda Colfax said he could have the remaining three years suspended if he follows the rules of his probation.

Ratanapakdee’s daughter, Monthanus, expressed her family’s disappointment in a statement shared by Justice For Vicha, the foundation named for her father.

“We respect the court process. However, this is not about revenge — it is about accountability,” she said. “When consequences do not reflect the seriousness of the harm, it raises concerns about how we protect our seniors and public safety.”

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Vicha Ratanapakdee was out for his usual morning walk in the quiet neighborhood he lived in with his wife, daughter and her family when Watson charged at him and knocked him to the ground. Ratanapakdee never regained consciousness and died two days later.

Watson testified on the stand that he was in a haze of confusion and anger at the time of the unprovoked attack, according to KRON-TV. He said he lashed out and didn’t know that Ratanapakdee was Asian or older.

San Francisco Public Defender Mano Raju, whose office defended Watson, also said at his trial that the defendant is “fully remorseful for his mistake.”

The Office of the San Francisco Public Defender did not immediately respond to an email requesting comment on Watson’s sentencing.

Footage of the attack was captured on a neighbor’s security camera and spread across social media, prompting a surge in activism over a rise in anti-Asian crimes driven by the COVID-19 pandemic. Hundreds of people across several U.S. cities commemorated the anniversary of Ratanapakdee’s death in 2022, seeking justice for Asian Americans who have been harassed, assaulted and even killed in alarming numbers.

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Asians in America have long been subject to prejudice and discrimination, but the attacks escalated sharply after COVID-19 first appeared in late 2019 in Wuhan, China. More than 10,000 hate incidents against Asian Americans and Pacific Islanders were reported to the Stop AAPI Hate coalition from March 2020 through September 2021.

While the Ratanapakdee family asserts he was attacked because of his race, hate crime charges were not filed and the argument was not raised in trial. Prosecutors have said hate crimes are difficult to prove absent statements by the suspect.



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Authors gathering in San Francisco to raise awareness and money for the National Kidney Foundation

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Authors gathering in San Francisco to raise awareness and money for the National Kidney Foundation


A number of notable authors are set to take part in a special event in San Francisco this Sunday, celebrating a shared love of reading while shining a light on an often overlooked health issue. The National Kidney Foundation Authors Luncheon brings together writers and community members to support kidney health awareness and raise funds for critical programs.



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