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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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REP. SCHIFF REPORTEDLY ROBBED IN SAN FRANCISCO, FORCED TO ATTEND RITZY CAMPAIGN DINNER WITH NO SUIT TO WEAR

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. 

BLUE STATE DEMS TURN ON GOVERNOR AS HOMELESS COUNCIL CAN’T ACCOUNT FOR $20B IN SPENDING

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.

LOS ANGELES IN HOT WATER FOR SPENDING HUNDREDS OF MILLIONS ON WORSENING HOMELESS CRISIS

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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Iran conflict disrupts flights out of SFO

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Iran conflict disrupts flights out of SFO


SAN FRANCISCO (KRON) — Attacks on Iran by U.S. and Israeli forces have disrupted air travel across the Middle East, leading to thousands of flight cancellations and delays worldwide. The instability has reached the Bay Area, where international flights at San Francisco International Airport have been canceled or grounded. The travel disruptions followed retaliatory strikes […]



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Hundreds Rally in San Francisco Against U.S.-Israel Strikes on Iran | KQED

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Hundreds Rally in San Francisco Against U.S.-Israel Strikes on Iran | KQED


She acknowledged that Iranian Americans hold a range of political views, including some who support U.S. intervention, but said she believes the future of Iran should be determined by its people.

“The Iranian people in Iran can decide the future of their country,” she said. “War, I don’t think, is going to help.”

Speaking to the crowd, Mortazavi challenged what she described as a narrative that Iranians broadly support U.S. and Israeli military action.

“They want you to believe that every Iranian … is cheering on the United States and Israel,” she said. “That is unequivocally false.”

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She urged attendees to continue organizing beyond the rally and announced plans for additional demonstrations.

A demonstrator holds an Iranian flag as protesters gather outside the San Francisco Federal Building during a “Hands Off Iran” rally Feb. 28, 2026, in San Francisco. The demonstration called for an end to U.S. involvement in the strikes on Iran. (Gustavo Hernandez/KQED)

Dina Saadeh, an organizer with the Palestinian Youth Movement, said multiple groups mobilized quickly in response to the strikes.

“I’m angered today,” Saadeh told KQED. “People here don’t want to see our country engaged in more endless war.”

Saadeh described the protest as part of a broader effort to oppose sanctions, military escalation and what she called U.S. imperialism. She said participants were calling on elected officials to redirect public funds toward domestic needs.

“People want money for jobs and education, not for war and occupation,” she said.

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KQED’s María Fernanda Bernal contributed to this story.



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Sam Smith’s San Francisco Residency Charts New Course for the Castro

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Sam Smith’s San Francisco Residency Charts New Course for the Castro


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Sam Smith has kicked off his residency at the Castro Theatre in San Francisco, with the singer’s 20-date stint helping to officially usher in a new era for the historic landmark.

First erected in 1922, the Castro closed in 2024 for a reported $41 million renovation project. But the century-old Spanish-style Baroque theatre is open for business — and music — once again, with its gilded ceiling and ornamental walls restored to its original design, while seating is now reconfigurable for different events, including 650 seats that can be removed to create more standing room space (like for Smith’s concert). More importantly, city officials hope the re-opening of the Castro Theatre will also help revive the predominantly queer neighborhood it sits in, which shares a name with the venerable venue.

“Do you guys realize how special this street is?” Smith asked the sold-out crowd, during night two of their residency last week. “I grew up in a village in the middle of f-ckin’ nowhere,” they shared. “I was the only gay in the village and yes I was very dramatic about it as well,” they added with a laugh.

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“There is nothing like this street and nothing like the Castro and the community here,” Smith said. “I’ll never forget coming here when I was 20 years old, so reopening this theater now is such an honor.”

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Tickets to Smith’s Castro residency quickly sold out when the shows were first announced but you can still find stubs on sites like StubHub, Vivid Seats and SeatGeek. New users can use the promo code THR30 to save $30 on orders of $300 and up at VividSeats.com. SeatGeek customers can use promo code HOLLYWOOD10 to save $10 at SeatGeek.com.

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Smith’s San Francisco stint follows their “To Be Free: New York City,” residency which took place last fall at Brooklyn’s historic Warsaw club. Other artists set to play at the Castro this spring include Father John Misty, José González, Santigold and Lucy Dacus. The Castro will also help celebrate the 50th anniversary of the LGBTQ-themed Frameline Film Festival this June.

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Smith’s residency runs until March 14.

According to tourism officials and local businesses, Smith’s new Castro residency and the reopening of the theatre has already helped to bring in a number of new visitors to the area. Mat Schuster, the executive chef and owner of long-time neighborhood fixture, Canela, says business has been “very busy” in the last few weeks, crediting Smith’s show with bringing out new diners to the Spanish restaurant, which has been on Market Street since 2011. Other local hotspots like wine bar Bar49, the San Francisco outpost of Hi Tops, and the women’s sports bar, Rikki’s (named after Gay Games Federation founder Rikki Streicher), were all packed on a recent evening following Smith’s Castro concert.

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According to San Francisco Tourism, the reopening of The Castro Theatre is poised to deliver “meaningful economic gains” to the surrounding neighborhood, which some stats estimating that the venue will draw more than 200,000 visitors annually.

With the Castro Theatre now open again, local officials are looking ahead to other upcoming celebrations, including a planned reimagining of the Castro and Market Street intersection into The Memorial at Harvey Milk Plaza, honoring the first openly gay elected official in California (and the inspiration for the 2009 Sean Penn film). Milk’s legacy is already enshrined at the San Francisco airport of course, with terminal 1 at SFO renamed as the “Harvey Milk Terminal;” the new memorial is scheduled to be completed by 2028. The annual Castro Street Fair, meantime, a community street celebration founded by Harvey Milk in 1974, will take place on the first weekend of October.

The reopening of the Castro comes amidst a busy few months for San Francisco, which recently saw a number of athletes and celebrities in town for the Super Bowl. Steph Curry’s new speakeasy, The Eighth Rule, was among the hotspots over the big game weekend and the basketball star’s bourbon-forward bar continues to be a hot reservation in the city. Opened in the fall, the bar is tucked away in a nondescript hallway inside the Westin St. Francis hotel in Union Square, offering an intimate and exclusive setting for the Golden State Warriors point guard’s Gentleman’s Cut Bourbon, which can be ordered on its own or as part of a six-course omakase-style cocktail tasting (we loved the clarified coconut milk punch and the truffle-vanilla whiskey sour). Of course, guests can also order cocktails a la carte, choosing from different bourbons and whiskeys, plus a full selection of other spirits.

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Next door to The Eighth Rule is Bourbon Steak San Francisco, the latest outpost of Chef Michael Mina’s award-winning steakhouse. The restaurant marks the celebrity chef’s return to the Westin St. Francis, where he opened his first eponymous restaurant in 2004. In addition to its selection of steaks, seafood and caviar offerings (like Mina’s famous “caviar twinkee”), this Bourbon Steak outpost offers a family-style dining experience for six people, available through advance reservations. This is the only Bourbon Steak location to offer this communal table format.

New this month is the highly-anticipated opening of JouJou, an elevated French brasserie concept from the owners of the two Michelin-starred Lazy Bear. Located in the city’s Design District, JouJou is poised to be the next celebrity hangout, with its ornate dining room and marble-topped counters setting the scene for steak frites and star sightings alike. As chef David Barzelay told the San Francisco Chronicle when asked about the inspiration for JouJou: “It always feels like you’re just in a place where it’s happening.”



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