San Francisco, CA
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.
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.
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.
“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)
“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.
One of San Francisco’s busiest freeways remained shut down Saturday, creating major traffic delays and dampening business for some local restaurants and shops.
All eastbound lanes of Interstate 80 just before the Bay Bridge are closed as crews work around the clock to rehabilitate the roadway. The 55-hour shutdown, which began on Friday night, is scheduled to last until Monday morning in time for the commute.
The closure has forced drivers onto detour routes, leading to heavy congestion for those trying to reach the East Bay, including Oakland and Berkeley.
The impact is being felt beyond the roadways.
At MoMo’s, a restaurant across from Oracle Park, staff found business noticeably slower.
“A little bit more mellow than usual. We usually see a little bit more foot traffic, a little bit more people on Saturdays,” said Daniel Bermudez, executive chef at MoMo’s.
Bermudez believes the freeway closure may be discouraging visitors from coming into the city this weekend, despite favorable weather.
“The weather is beautiful today. It’s nice and sunny. So we have plenty of tables outside,” he said.
With the San Francisco Giants playing an away game, the restaurant had hoped fans would still gather to watch, but turnout during game time remained light.
“This is kind of like our off-season Saturday. A lot slower than our baseball weekend,” said Casandra Alarcon, general manager at MoMo’s.
Other small businesses in the Mission Bay and South of Market neighborhoods reported similar trends, saying most of their customers are regulars who live nearby rather than visitors.
“A little bit slower for sure. Before, we had tourists come and walk to the baseball park,” said Ajaree Safron, manager at Brickhouse Cafe & Bar.
Caltrans has shut down eastbound lanes between 17th and 4th streets to repave the 71-year-old roadway. The goal is to extend the life of the Bayshore Freeway by another decade.
City and transportation officials said the timing of the closure was intentional, noting fewer major events scheduled in San Francisco this weekend, aside from the Cherry Blossom Festival.
Westbound lanes remain open, and officials said traffic heading into San Francisco from the East Bay has not been significantly affected.
“Getting into the city, it wasn’t too bad. Regular [traffic], what we expect on a Saturday morning,” said visitor Andrea Inouye.
While the closure has posed challenges for businesses, some workers said they are taking it in stride.
“Hopefully, it’s not for too long and we get past it, and get back to our normal routine,” Bermudez said.
Despite early concerns about widespread gridlock, transportation officials said the region has avoided the worst-case scenario. Traffic remains heavy in areas near detours, but the anticipated “carmageddon” has not materialized, in part because many drivers chose to avoid the area or take public transit.
Bay Area High School baseball fans are treated to a rare opportunity Saturday (April 18) with three games at Oracle Park, home of the San Francisco Giants, including the famed Bruce-Mahoney clash between West Catholic Athletic League rivals St. Ignatius and Sacred Heart Cathedral.
The first pitch of the 20th annual Dante Benedetti Baseball Classic starts at 11 a.m. and pits two more San Francisco private schools as University (9-7), winners of four straight, taking on Riordan (5-11).
That will be followed by the Bruce-Mahoney game at 2:30 between St. Ignatius (12-5, 4-2 WCAL) and the Irish (7-10, 1-5) and finished off with a North Coast Section clash between North Bay’s Marin Catholic (9-7) against Acalanes (7-6-1).
The Benedetti Classic, founded by Dante’s Boys Foundation board member Tom Lounibos and Giants president Larry Baer, benefits the DBF which honors the spirit of Benedetti who for nearly 40 years owned San Francisco’s Mr. Baseball nickname for his kindness and generosity to baseball-playing youth in the area.
Among their philanthropic efforts are glove and baseball equipment drives, field renovations and contributions to scholarships and sponsorships.
After starting the season 0-4 — three of those losses were by one run — University, under head coach Andrew Suvunnachuen, has found its way, winning the last four, all in Bay Counties League play, by a combined 51-6 count over Lick-Wilmerding (16-1 and 11-3) and San Domenico (13-2 and 11-0).
Senior catcher and pitcher Jett Messenger leads the way with a .447 average, while getting on base at a .638 rate. He also leads the team with 20 stolen bases. Junior third baseman Tate Gebhart is hitting .419, while Leo Felder and Behbart share the RBI lead with 15 each.
Junior Matthew Foley is 3-2 on the mound with a 2.38 ERA and 25 strikeouts in 17.2 innings.
Riordan, under second-year head coach Craig Sargent, was 5-5 in nonleague games but lost six straight in the rugged WCAL, losing two tough games this week to Mitty (3-2 and 7-4). Junior third baseman and pitcher Santiono Williams leads the team in batting average (.371), on-base percentage (.488) and stolen bases (nine). He’s also been the team’s top pitcher at 4-2 with a 2.84 ERA.
The teams have split two previous games in their history, with Riordan winning 2-0 in 2023 and University prevailing 5-0 in 2021.
St. Ignatius, led by ninth-year head coach Brian Pollzzie, has already secured the Bruce-Mahoney trophy with four straight wins — one each in football, girls volleyball, boys basketball and girls basketball — but this rivalry is always spirited.
The Wildcats, who are ranked fourth in the Bay Area by the San Francisco Chronicle, are coming off a tough 3-0 home loss to No. 2 St. Francis on Friday after beating the host Lancers 10-6 on Tuesday.
The team is led by Stanford-bound Archer Horn, who is hitting .486 with four home runs and a .604 on-base percentage. The shortstop and pitcher also has not allowed an earned run in three pitching appearances while registering one save.
Pitching is a team’s strength with a 2.59 ERA, led by a brigade of strong arms including Leo Rhein (2-0, 2.38), Tycco Giometti (2-1, 2.62), Charlie Stecher 1-1, 0.72) and Chase Gordon (1-0, 2.80). The team is missing standout Finn Demuth, out of the season after undergoing Tommy John surgery.
Sacred Heart Cathedral, led by fourth-year head coach Gregg Franceschi, has scored 60 runs on the season and given up 61. The Irish are coming off two losses to eighth-ranked Valley Christian (5-2 and 10-1).
They are led offensively by junior outfielder Brody O’Sullivan (.381) and senior infielder Jacob Vines (.378). Johnny Nepomuceno and Max Nylander are other run-producers. Zach Stallworth (37 strikeouts, 29.2 innings) and Cooper Rogers Lewis (0.25 ERA) have been the team’s top pitchers.
The series has been remarkably close since 2005 with Sacred Heart Cathedral holding a 27-20 edge, though St. Ignatius won both games last season (5-0 and 6-3) after the Irish won 9-7 and 1-0 in 2024.
Marin Catholic hopes to get back to winning after starting the season 9-1, but have since lost six straight, four in Marin County Athletic League play, including 4-2 to Novato on Thursday. Senior outfield Luke Martin is the team’s leading hitter at .478 while senior infielder and pitcher Cooper Mitchell is at .455. Senior infielder Walker Untermann leads the team with 15 RBIs.
Acalanes is at the other end of the spectrum, winners of five of six after a 2-5-1 start. Junior infielder Tyler Winkles, also a highly recruited quarterback in football, leads the team with a .383 average and nine stolen bases. Riley Gates (2-3, 2.49 ERA, 30 strikeouts) is the team’s top pitcher.
The teams have played three times, all since 2022, with Marin Catholic owning a 2-1 lead. Acalanes won last year’s game 8-7.
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Chinatown fatal crash victim ID’d, safety measures proposed
The victim killed in Friday’s Chinatown crash was identified Monday by the medical examiner as Cutberto Zamora-Martinez, 49, of San Joaquin County. At a meeting on Monday, city officials said the cause of the crash is still under investigation.
SAN FRANCISCO – A 76-year-old man has been arrested on suspicion of vehicular manslaughter and speeding following a crash in San Francisco’s Chinatown that killed a man working in the area.
Zhuo Ming Lu, 76, is accused in the March 27 crash that left 49-year-old Cutberto Zamora-Martinez, of San Joaquin County, dead.
Suspect was trying to park
What we know:
Authorities said Lu was attempting to park near Grant Avenue and Jackson Street when his vehicle jumped the sidewalk and crashed into the landmark New Lung Ting Café, also known as the Pork Chop House. The vehicle also struck two pedestrians, including Zamora-Martinez.
Zamora-Martinez died from his injuries.
He had been working in the area, according to a GoFundMe page. A San Francisco Police Department source close to the investigation told KTVU the victims were carpet installers arriving for work.
The fundraising page described Zamora-Martinez as a husband and father who was the sole provider for his family and “a humble man who wanted the best for his family.”
Before his arrest, Lu had been cooperating with investigators. Authorities have not confirmed what caused the crash.
Some residents questioned whether the driver’s age or a possible confusion between the brake and gas pedals may have been factors.
“Maybe if people hit a certain age, you got to get retested for your driver’s license is something I was thinking about,” said Keith Hong, who works next door to the crash site.
Another case involving an elderly driver
Big picture view:
In an unrelated case, Mary Fong Lau, 80, was sentenced to probation after killing a family of four, two parents and their young children. in March 2024. Authorities said Lau struck the victims as they waited at a Muni stop on their way to the zoo.
Lau pleaded no contest to four felony counts of vehicular manslaughter, and a judge accepted the plea. A Superior Court judge cited her age, remorse and lack of criminal history in the sentencing decision.
She was placed on probation for two years, banned from driving for three years and ordered to complete 200 hours of community service.
The Source: San Francisco Police Department, prior reporting
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