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"content": "\u003cp>Dr. Coley King of the Venice Family Clinic is one of a growing number of medical professionals making house calls to the homeless.\u003c/p>\n\u003cp>Instead of trying to power-wash the problem away, California’s hospitals, public health departments and homeless service organizations are increasingly sending trained health practitioners into homeless encampments in a quest to improve health outcomes for individual homeless people.\u003c/p>\n\u003cp>“Western medicine is very much built around the ideal care for the ideal patient. Most of these folks are not in the ideal situation,” King said. “We can make some compromises that still do good medical care and get them to a very good average. It's better to take half of your medicine than none of your medicine.”\u003c/p>\n\u003cp>One late September day, King makes a house call on Shawnda Thornton, a homeless woman in her late 40s living on the sidewalk across the street from a Silicon Beach tech campus in Venice.\u003c/p>\n\u003cfigure id=\"attachment_11777769\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777769\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/Coley-King-1920-800x1200.jpg\" alt=\"Dr. Coley King practices “street medicine” in West Los Angeles County.\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-1920x2880.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920.jpg 1365w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Coley King practices 'street medicine' in Los Angeles County. \u003ccite>(Courtesy Coley King)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“OK, how are you feeling now on these medications?” he asked her.\u003c/p>\n\u003cp>“I love these medications because I'm not tired. I don't have to sleep all day. I can walk around and manage myself just like I used to,” she responded.\u003c/p>\n\u003cp>Thornton has congestive heart failure, and September is the first month this year that she hasn’t been hospitalized.\u003c/p>\n\u003cp>The goal King has for Thornton is to ensure she has access to ongoing medical care that keeps her out of the hospital. He thinks a lot of the public discussion that revolves around California’s crisis of homelessness misses the individual people who are physically deteriorating because they lack shelter.\u003c/p>\n\u003cp>“The pitfall of labeling it a public health crisis is it becomes a reactionary ‘not-in-my-backyard’ issue,” King said. “That’s not what this is about. This is about the individuals who are sicker than the rest of us, and who are dying sooner than the rest of us.”\u003c/p>\n\u003cp>\u003cstrong>Life on the Streets Is 30 Years Short\u003c/strong>\u003c/p>\n\u003cp>The reality of California’s homelessness crisis is that it has a body count. Life expectancy for those who are living outside is about 30 years shorter than those who are housed. The median age of death outside is about 52.\u003c/p>\n\u003cp>The most comprehensive study available of mortality on the street \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2687991\" target=\"_blank\" rel=\"noopener\">comes from Boston\u003c/a>. It found that two of the three most common causes of death were heart disease and cancer.\u003c/p>\n\u003cp>Los Angeles County, the epicenter of the state’s homelessness crisis, is expected to see more than 1,000 people die while experiencing homelessness this year. Last year, the \u003ca href=\"https://www.latimes.com/california/story/2019-09-04/homeless-deaths-los-angeles-coroner-record\" target=\"_blank\" rel=\"noopener\">number was 921\u003c/a>. In \u003ca href=\"http://www.ocsd.org/news/details?NewsID=5863&TargetID=88\" target=\"_blank\" rel=\"noopener\">Orange County in 2018\u003c/a>, it was 210; \u003ca href=\"https://www.sfdph.org/dph/hc/HCAgen/2019/February%2019/Homeless%20Mortality%20-%20Health%20Commission%20Background%20Reading%2020180219.pdf\" target=\"_blank\" rel=\"noopener\">San Francisco, 135\u003c/a>; \u003ca href=\"https://www.sacbee.com/news/local/article234279812.html\" target=\"_blank\" rel=\"noopener\">Sacramento, 132\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Distinct from the plainly human toll, the amount of money spent on the medical care of the sickest homeless people, many of whom eventually die on the street or in the hospital, is mind-bogglingly high.\u003c/p>\n\u003cp>A 2016 study found that L.A. County spent nearly $400 million in one year \u003ca href=\"http://homeless.lacounty.gov/wp-content/uploads/2019/02/homeless-costs-final.pdf\" target=\"_blank\" rel=\"noopener\">on its “frequent flyers”\u003c/a> — the 5% of the homeless population in poorest health who most frequently cycle through publicly operated institutions like jails and hospitals. \u003ca href=\"https://www.rand.org/pubs/research_briefs/RB10000.html\" target=\"_blank\" rel=\"noopener\">A RAND estimate\u003c/a> placed the individual cost per person for another particularly sick study group around $38,000 annually. Neither of those estimates include insurance costs typically paid out by California’s Medi-Cal program.\u003c/p>\n\u003cp>\u003cstrong>A Futility Merry-Go-Round\u003c/strong>\u003c/p>\n\u003cp>Corinne Feldman of USC’s Keck School of Medicine studies health care for homeless patients. She calls the persistent cycle of emergency hospitalizations a “futility merry-go-round.”\u003c/p>\n\u003cp>“We all sort of end up on this seemingly never-ending merry-go-round together, and no one feels good about it,” Feldman said. “The ER provider who's seen the same person five times in the last five shifts recognizes wholeheartedly that the plan that they have is not going to work, the patient is going to come back, and around we go again on the merry-go-round.”\u003c/p>\n\u003cp>There is some, but relatively limited, evidence that shows doctors deployed to homeless encampments directly reduces public health care expenditures. There are also patient-centered studies that show regular visits from health practitioners have been shown to increase homeless patients' engagement with \u003ca href=\"https://www.brightresearchgroup.com/wp-content/uploads/2018/10/Street-Medicine-Models-Summary-of-Findings-9.26.18.pdf\" target=\"_blank\" rel=\"noopener\">primary care and behavioral care services\u003c/a>.\u003c/p>\n\u003cp>“Street medicine has been a vehicle to stop the merry-go-round a little bit,” Feldman said. “If we do this differently, and look at the problem differently, and tackle it together, we can at least maybe slow down the merry-go-round. Maybe we can stop it altogether.”\u003c/p>\n\u003cfigure id=\"attachment_11777771\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777771\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/Western-Avenue-1920-800x600.jpg\" alt=\"A disabled homeless man begs for change at the Western Avenue exit from the Santa Monica Freeway.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A disabled homeless man begs for change at the Western Avenue exit of the Santa Monica Freeway. \u003ccite>(Matt Tinoco/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The logistics of how street medicine teams are funded and deployed varies from county to county. In the case of Los Angeles, county agencies dole out grants to free clinics and hospitals, and contracts health providers directly to provide street outreach. Hospitals and other foundations also offer to fund programs, too. On a typical weekday, L.A. county officials say there are 38 outreach teams of doctors, nurse practitioners, physician assistants and mental health professions out working.\u003c/p>\n\u003cp>That means they’re providing basic primary care, basic psychiatry, enrolling people in Medi-Cal insurance, setting referral appointments and arranging transportation for homeless individuals to clinics.\u003c/p>\n\u003cp>Street medicine is practiced in most California counties where there is street homelessness. Besides Los Angeles County, San Francisco, San Mateo, Santa Clara, Alameda, Ventura, San Diego, Santa Barbara, Riverside and Sacramento counties have dedicated public or private funding for some health-oriented homeless outreach.\u003c/p>\n\u003cp>[aside tag='california-dream' label='More Stories From the Cal']\u003c/p>\n\u003cp>Earlier this year, Orange County’s CalOptima health system proposed \u003ca href=\"https://voiceofoc.org/2019/04/caloptima-unveils-medical-care-street-teams-for-homeless-commits-100-million-to-homeless-services/\" target=\"_blank\" rel=\"noopener\">earmarking $100 million for homeless health care\u003c/a>, including street medical teams.\u003c/p>\n\u003cp>But the process to do so has been complicated after \u003ca href=\"https://voiceofoc.org/2019/09/homeless-shelter-commitments-expand-to-three-new-cities/\" target=\"_blank\" rel=\"noopener\">objections from local hospitals\u003c/a>. They argued in an \u003ca href=\"https://voiceofoc.org/wp-content/uploads/2019/09/OC-hospital-execs-letter-about-homeless-health-outreach-August-2019.pdf\" target=\"_blank\" rel=\"noopener\">August 2019 letter\u003c/a> to CalOptima that not including private hospitals in the planning process would inevitably hamstring the effort.\u003c/p>\n\u003cp>The health system first proposed the project after learning that \u003ca href=\"https://www.ocregister.com/2019/05/29/orange-county-supervisor-tells-caloptima-how-to-spend-60-million-for-homeless-health-care/\" target=\"_blank\" rel=\"noopener\">three-quarters of the 210 homeless people who died\u003c/a> in Orange County in 2018 were enrolled in CalOptima.\u003c/p>\n\u003cp>\u003cstrong>The Street Is No Place to Heal\u003c/strong>\u003c/p>\n\u003cp>The challenge for CalOptima is the same confounding public health officials across the state; How do you get quality medical care to people who neither have shelter, money, nor (typically), transportation?\u003c/p>\n\u003cp>According to advocates, street medicine is a first step to proactively including people in a health care system that otherwise excludes them until the last possible minute. Dr. King says street medicine is a start, but what he really pines for is the ability to write a prescription for a patient for a housing unit with affordable rent.\u003c/p>\n\u003cfigure id=\"attachment_11777772\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777772\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/San-Pedro-Street-1920-800x615.jpg\" alt=\"San Pedro Street in Los Angeles’ Skid Row.\" width=\"800\" height=\"615\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-800x615.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-160x123.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-1020x785.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-1200x923.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Pedro Street in Los Angeles’ Skid Row. \u003ccite>(Matt Tinoco/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My novel intervention for all the illness that comes with chronic homelessness would be affordable housing,” King said. “But right now, I'm left with trying to give good health care to these folks, trying to find them, engage them and make them welcome in my clinic.”\u003c/p>\n\u003cp>As for his patient, Shawnda Thornton, when it comes to getting off the street, she’s actually doing better than most. After more than three years of waiting, she obtained a Section 8 housing voucher. Her challenge now is finding a place to use it. While she’s had several appointments to meet with property managers, she hasn’t been able to because she’s been so sick.\u003c/p>\n\u003cp>“Every time I had an appointment, I would be in the hospital,” Thornton said.\u003c/p>\n\u003cp>And now her voucher is close to expiring, Dr. King’s job is to make sure she stays on her meds, stays out of the hospital and has time to actually find a place where she can heal that isn’t a red nylon tent.\u003c/p>\n\u003cp>“You can work on it, it’s certainly a place to start working. But to fully heal out here, I don’t think it’s possible,” Thornton said.\u003c/p>\n\u003cp>\u003cem>The California Dream series is a statewide media collaboration of CalMatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting and the James Irvine Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11768052\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg\" alt=\"\" width=\"800\" height=\"219\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219-160x44.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Homeless people who live outdoors die, on average, 30 years earlier than those who are housed. In California locales, 'street medicine' teams are trying to improve those odds.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Coley King of the Venice Family Clinic is one of a growing number of medical professionals making house calls to the homeless.\u003c/p>\n\u003cp>Instead of trying to power-wash the problem away, California’s hospitals, public health departments and homeless service organizations are increasingly sending trained health practitioners into homeless encampments in a quest to improve health outcomes for individual homeless people.\u003c/p>\n\u003cp>“Western medicine is very much built around the ideal care for the ideal patient. Most of these folks are not in the ideal situation,” King said. “We can make some compromises that still do good medical care and get them to a very good average. It's better to take half of your medicine than none of your medicine.”\u003c/p>\n\u003cp>One late September day, King makes a house call on Shawnda Thornton, a homeless woman in her late 40s living on the sidewalk across the street from a Silicon Beach tech campus in Venice.\u003c/p>\n\u003cfigure id=\"attachment_11777769\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777769\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/Coley-King-1920-800x1200.jpg\" alt=\"Dr. Coley King practices “street medicine” in West Los Angeles County.\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920-1920x2880.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Coley-King-1920.jpg 1365w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Coley King practices 'street medicine' in Los Angeles County. \u003ccite>(Courtesy Coley King)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“OK, how are you feeling now on these medications?” he asked her.\u003c/p>\n\u003cp>“I love these medications because I'm not tired. I don't have to sleep all day. I can walk around and manage myself just like I used to,” she responded.\u003c/p>\n\u003cp>Thornton has congestive heart failure, and September is the first month this year that she hasn’t been hospitalized.\u003c/p>\n\u003cp>The goal King has for Thornton is to ensure she has access to ongoing medical care that keeps her out of the hospital. He thinks a lot of the public discussion that revolves around California’s crisis of homelessness misses the individual people who are physically deteriorating because they lack shelter.\u003c/p>\n\u003cp>“The pitfall of labeling it a public health crisis is it becomes a reactionary ‘not-in-my-backyard’ issue,” King said. “That’s not what this is about. This is about the individuals who are sicker than the rest of us, and who are dying sooner than the rest of us.”\u003c/p>\n\u003cp>\u003cstrong>Life on the Streets Is 30 Years Short\u003c/strong>\u003c/p>\n\u003cp>The reality of California’s homelessness crisis is that it has a body count. Life expectancy for those who are living outside is about 30 years shorter than those who are housed. The median age of death outside is about 52.\u003c/p>\n\u003cp>The most comprehensive study available of mortality on the street \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2687991\" target=\"_blank\" rel=\"noopener\">comes from Boston\u003c/a>. It found that two of the three most common causes of death were heart disease and cancer.\u003c/p>\n\u003cp>Los Angeles County, the epicenter of the state’s homelessness crisis, is expected to see more than 1,000 people die while experiencing homelessness this year. Last year, the \u003ca href=\"https://www.latimes.com/california/story/2019-09-04/homeless-deaths-los-angeles-coroner-record\" target=\"_blank\" rel=\"noopener\">number was 921\u003c/a>. In \u003ca href=\"http://www.ocsd.org/news/details?NewsID=5863&TargetID=88\" target=\"_blank\" rel=\"noopener\">Orange County in 2018\u003c/a>, it was 210; \u003ca href=\"https://www.sfdph.org/dph/hc/HCAgen/2019/February%2019/Homeless%20Mortality%20-%20Health%20Commission%20Background%20Reading%2020180219.pdf\" target=\"_blank\" rel=\"noopener\">San Francisco, 135\u003c/a>; \u003ca href=\"https://www.sacbee.com/news/local/article234279812.html\" target=\"_blank\" rel=\"noopener\">Sacramento, 132\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Distinct from the plainly human toll, the amount of money spent on the medical care of the sickest homeless people, many of whom eventually die on the street or in the hospital, is mind-bogglingly high.\u003c/p>\n\u003cp>A 2016 study found that L.A. County spent nearly $400 million in one year \u003ca href=\"http://homeless.lacounty.gov/wp-content/uploads/2019/02/homeless-costs-final.pdf\" target=\"_blank\" rel=\"noopener\">on its “frequent flyers”\u003c/a> — the 5% of the homeless population in poorest health who most frequently cycle through publicly operated institutions like jails and hospitals. \u003ca href=\"https://www.rand.org/pubs/research_briefs/RB10000.html\" target=\"_blank\" rel=\"noopener\">A RAND estimate\u003c/a> placed the individual cost per person for another particularly sick study group around $38,000 annually. Neither of those estimates include insurance costs typically paid out by California’s Medi-Cal program.\u003c/p>\n\u003cp>\u003cstrong>A Futility Merry-Go-Round\u003c/strong>\u003c/p>\n\u003cp>Corinne Feldman of USC’s Keck School of Medicine studies health care for homeless patients. She calls the persistent cycle of emergency hospitalizations a “futility merry-go-round.”\u003c/p>\n\u003cp>“We all sort of end up on this seemingly never-ending merry-go-round together, and no one feels good about it,” Feldman said. “The ER provider who's seen the same person five times in the last five shifts recognizes wholeheartedly that the plan that they have is not going to work, the patient is going to come back, and around we go again on the merry-go-round.”\u003c/p>\n\u003cp>There is some, but relatively limited, evidence that shows doctors deployed to homeless encampments directly reduces public health care expenditures. There are also patient-centered studies that show regular visits from health practitioners have been shown to increase homeless patients' engagement with \u003ca href=\"https://www.brightresearchgroup.com/wp-content/uploads/2018/10/Street-Medicine-Models-Summary-of-Findings-9.26.18.pdf\" target=\"_blank\" rel=\"noopener\">primary care and behavioral care services\u003c/a>.\u003c/p>\n\u003cp>“Street medicine has been a vehicle to stop the merry-go-round a little bit,” Feldman said. “If we do this differently, and look at the problem differently, and tackle it together, we can at least maybe slow down the merry-go-round. Maybe we can stop it altogether.”\u003c/p>\n\u003cfigure id=\"attachment_11777771\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777771\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/Western-Avenue-1920-800x600.jpg\" alt=\"A disabled homeless man begs for change at the Western Avenue exit from the Santa Monica Freeway.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/Western-Avenue-1920-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A disabled homeless man begs for change at the Western Avenue exit of the Santa Monica Freeway. \u003ccite>(Matt Tinoco/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The logistics of how street medicine teams are funded and deployed varies from county to county. In the case of Los Angeles, county agencies dole out grants to free clinics and hospitals, and contracts health providers directly to provide street outreach. Hospitals and other foundations also offer to fund programs, too. On a typical weekday, L.A. county officials say there are 38 outreach teams of doctors, nurse practitioners, physician assistants and mental health professions out working.\u003c/p>\n\u003cp>That means they’re providing basic primary care, basic psychiatry, enrolling people in Medi-Cal insurance, setting referral appointments and arranging transportation for homeless individuals to clinics.\u003c/p>\n\u003cp>Street medicine is practiced in most California counties where there is street homelessness. Besides Los Angeles County, San Francisco, San Mateo, Santa Clara, Alameda, Ventura, San Diego, Santa Barbara, Riverside and Sacramento counties have dedicated public or private funding for some health-oriented homeless outreach.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Earlier this year, Orange County’s CalOptima health system proposed \u003ca href=\"https://voiceofoc.org/2019/04/caloptima-unveils-medical-care-street-teams-for-homeless-commits-100-million-to-homeless-services/\" target=\"_blank\" rel=\"noopener\">earmarking $100 million for homeless health care\u003c/a>, including street medical teams.\u003c/p>\n\u003cp>But the process to do so has been complicated after \u003ca href=\"https://voiceofoc.org/2019/09/homeless-shelter-commitments-expand-to-three-new-cities/\" target=\"_blank\" rel=\"noopener\">objections from local hospitals\u003c/a>. They argued in an \u003ca href=\"https://voiceofoc.org/wp-content/uploads/2019/09/OC-hospital-execs-letter-about-homeless-health-outreach-August-2019.pdf\" target=\"_blank\" rel=\"noopener\">August 2019 letter\u003c/a> to CalOptima that not including private hospitals in the planning process would inevitably hamstring the effort.\u003c/p>\n\u003cp>The health system first proposed the project after learning that \u003ca href=\"https://www.ocregister.com/2019/05/29/orange-county-supervisor-tells-caloptima-how-to-spend-60-million-for-homeless-health-care/\" target=\"_blank\" rel=\"noopener\">three-quarters of the 210 homeless people who died\u003c/a> in Orange County in 2018 were enrolled in CalOptima.\u003c/p>\n\u003cp>\u003cstrong>The Street Is No Place to Heal\u003c/strong>\u003c/p>\n\u003cp>The challenge for CalOptima is the same confounding public health officials across the state; How do you get quality medical care to people who neither have shelter, money, nor (typically), transportation?\u003c/p>\n\u003cp>According to advocates, street medicine is a first step to proactively including people in a health care system that otherwise excludes them until the last possible minute. Dr. King says street medicine is a start, but what he really pines for is the ability to write a prescription for a patient for a housing unit with affordable rent.\u003c/p>\n\u003cfigure id=\"attachment_11777772\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11777772\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/San-Pedro-Street-1920-800x615.jpg\" alt=\"San Pedro Street in Los Angeles’ Skid Row.\" width=\"800\" height=\"615\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-800x615.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-160x123.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-1020x785.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920-1200x923.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/10/San-Pedro-Street-1920.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Pedro Street in Los Angeles’ Skid Row. \u003ccite>(Matt Tinoco/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My novel intervention for all the illness that comes with chronic homelessness would be affordable housing,” King said. “But right now, I'm left with trying to give good health care to these folks, trying to find them, engage them and make them welcome in my clinic.”\u003c/p>\n\u003cp>As for his patient, Shawnda Thornton, when it comes to getting off the street, she’s actually doing better than most. After more than three years of waiting, she obtained a Section 8 housing voucher. Her challenge now is finding a place to use it. While she’s had several appointments to meet with property managers, she hasn’t been able to because she’s been so sick.\u003c/p>\n\u003cp>“Every time I had an appointment, I would be in the hospital,” Thornton said.\u003c/p>\n\u003cp>And now her voucher is close to expiring, Dr. King’s job is to make sure she stays on her meds, stays out of the hospital and has time to actually find a place where she can heal that isn’t a red nylon tent.\u003c/p>\n\u003cp>“You can work on it, it’s certainly a place to start working. But to fully heal out here, I don’t think it’s possible,” Thornton said.\u003c/p>\n\u003cp>\u003cem>The California Dream series is a statewide media collaboration of CalMatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting and the James Irvine Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11768052\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg\" alt=\"\" width=\"800\" height=\"219\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219-160x44.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Residents with a place to live on Clinton Park, a street in San Francisco, pooled their money together to buy boulders for the neighborhood’s sidewalks.* The residents have complained that people living in an encampment across the street were committing crimes and using drugs. So, the boulders were placed on the sidewalks to deter that. But others reject that argument saying rocks are not a solution to the city’s housing and affordability crisis.\u003c/p>\n\u003cp>Guest: \u003ca href=\"https://twitter.com/FitzTheReporter\">Joe Fitzgerald Rodriguez\u003c/a>, Columnist for the San Francisco Examiner\u003c/p>\n\u003cp>\u003cem>Subscribe to \u003ca href=\"https://www.kqed.org/news/tag/the-bay\">The Bay\u003c/a> to hear more local, Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">Apple Podcasts\u003c/a>, \u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">Spotify\u003c/a>, \u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">Stitcher\u003c/a>, NPR One, or via \u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">Alexa\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Residents with a place to live on Clinton Park, a street in San Francisco, pooled their money together to buy boulders for the neighborhood’s sidewalks.* The residents have complained that people living in an encampment across the street were committing crimes and using drugs. So, the boulders were placed on the sidewalks to deter that. But others reject that argument saying rocks are not a solution to the city’s housing and affordability crisis.\u003c/p>\n\u003cp>Guest: \u003ca href=\"https://twitter.com/FitzTheReporter\">Joe Fitzgerald Rodriguez\u003c/a>, Columnist for the San Francisco Examiner\u003c/p>\n\u003cp>\u003cem>Subscribe to \u003ca href=\"https://www.kqed.org/news/tag/the-bay\">The Bay\u003c/a> to hear more local, Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">Apple Podcasts\u003c/a>, \u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">Spotify\u003c/a>, \u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">Stitcher\u003c/a>, NPR One, or via \u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">Alexa\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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Gavin Newsom on Thursday signed into law a hefty package of legislation aimed at addressing California’s mounting homelessness crisis.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.gov.ca.gov/2019/09/26/building-off-historic-investment-action-to-help-cities-and-counties-tackle-homelessness-governor-newsom-signs-series-of-bills-addressing-homelessness/\" target=\"_blank\" rel=\"noopener\">13 new laws\u003c/a> give cities and counties across the state greater leeway to build supportive housing and shelters at a faster, more efficient pace, and in some cases, allow exemptions to existing regulations.\u003c/p>\n\u003cp>The bills will “give local governments even more tools to confront this crisis,” Newsom said in a statement. “State government is now doing more than ever before to help local governments fight homelessness, expand proven programs and speed up rehousing.”\u003c/p>\n\u003cp>Three of the bills exempt certain new supportive housing and shelter projects from the California Environmental Quality Act (CEQA), a 50-year-old regulation requiring state and local agencies to assess the environmental impact of new construction. Although defended by many environmental groups, critics have argued that CEQA is too often weaponized to delay development of new projects, including shelters and affordable housing.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"homelessness\"]\u003c/p>\n\u003cp>“Supportive housing and shelters aren’t being built quickly enough, and as long as Californians are struggling to survive in our streets, we have a moral responsibility to do everything in our power to provide the shelter and assistance they need to get back on their feet,” said Assemblyman Miguel Santiago, a Los Angeles Democrat, whose bill provides CEQA exemption for supportive housing and shelters in the city of Los Angeles.\u003c/p>\n\u003cp>Several bills in the package signed by Newsom aim to increase the number of emergency shelters throughout the state. One law will allow the use of vacant armories as temporary shelters for homeless people during hazardous weather. Another authorizes Caltrans to lease its property to local governments at a cost of $1 per month for emergency shelter use.\u003c/p>\n\u003cp>One new law, authored by Assemblywoman Sharon Quirk-Silva, a Democrat from Orange County, adds Orange and Alameda counties, and the city of San Jose, to the list of places that can declare emergencies and build shelters on publicly owned land, while allowing the temporary suspension of state health, planning and safety standards. It builds on a 2017 law that lets Berkeley, Emeryville, Los Angeles, Oakland, San Diego, Santa Clara and San Francisco declare similar crises.\u003c/p>\n\u003cp>The spate of new legislation comes as California faces its worst homelessness crisis in more than a decade, the most visible outcome of a statewide housing shortage that has sent rents and home prices soaring. From 2016-2017, the homeless population increased 14% statewide, \u003ca href=\"https://www.usich.gov/homelessness-statistics/ca/#targetText=California%20Homelessness%20Statistics,and%20Urban%20Development%20(HUD).\" target=\"_blank\" rel=\"noopener\">according to estimates\u003c/a> from the federal Housing and Urban Development Department.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Our state has more than 1.7 million low-income households spending more than half their income \u003cstrong>in\u003c/strong> housing costs,” Ben Metcalf, director of the state Department of Housing and Community Development, \u003ca href=\"https://calmatters.org/housing/2018/06/homeless-in-california-what-the-data-reveals/\" target=\"_blank\" rel=\"noopener\">told CalMatters\u003c/a>. “When you’re paying that much for housing, with so little left over, even a minor shock can start a cycle of homelessness.”\u003c/p>\n\u003cp>With \u003ca href=\"https://www.ppic.org/blog/a-snapshot-of-homelessness-in-california/#targetText=California's%20rate%20of%20homelessness%2C%2033,%25)%20from%202017%20to%202018.\" target=\"_blank\" rel=\"noopener\">33 homeless people per 10,000 residents\u003c/a>, California has among the highest rates of homelessness in the country. On any given night in 2018, there were nearly 130,000 homeless people statewide — accounting for about a quarter of the national total — based on HUD’s latest count. Nearly 70% of that population live in unsheltered conditions.\u003c/p>\n\u003cp>Newsom’s action also comes amid President Trump’s ongoing criticism of California’s handling of the issue, including recently laying \u003ca href=\"https://apnews.com/6f3f7798e43c4736b47d18664c8a0fb2\">blame on homeless people for water pollution\u003c/a>. In response, Newsom has accused Trump of politicizing the issue and has called on the federal government to provide more aid to get people into housing.\u003c/p>\n\u003cp>\u003ci>Additional reporting from Kathleen Ronayne of the Associated Press\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>The Trump administration admonished California over the alleged impact homelessness has on the state’s water quality, with EPA Administrator Andrew Wheeler pointing to environmental risks that “may result from the homelessness crisis.”\u003c/p>\n\u003cp>Gov. Gavin Newsom called it “political retribution” against the state, and decried President Trump “persistently weaponizing our government to attack political opponents.”\u003c/p>\n\u003cp>https://twitter.com/GavinNewsom/status/1177259130957860864\u003c/p>\n\u003cp>There is nothing quite like an administration that has sought to \u003ca href=\"https://www.nytimes.com/interactive/2019/climate/trump-environment-rollbacks.html\" target=\"_blank\" rel=\"noopener\">weaken or eliminate 85 environmental rules\u003c/a> while blaming homeless people in San Francisco and Los Angeles for pollution.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>Mentioning \u003ca href=\"http://bit.ly/fioretrumpneedles\" target=\"_blank\" rel=\"noopener\">needles going into the ocean\u003c/a> and threatening EPA action, President Trump said San Francisco is in “total violation” due to pollution from homeless people.\u003c/p>\n\u003cp>I’m all for \u003ca href=\"https://www.kqed.org/news/11678299/cartooning-the-needle-sweepers\" target=\"_blank\" rel=\"noopener\">keeping waste and needles out of the ocean\u003c/a> but it is jaw-dropping that Trump would criticize San Francisco over an environmental issue. (And, yes, I know jaw-dropping is what the president always intends.)\u003c/p>\n\u003cp>While some filth in our ocean and getting stuck with a needle at the beach would be awful, remember that the current administration recently killed the Clean Power Act, as well as scores of other \u003ca href=\"https://www.nytimes.com/interactive/2019/climate/trump-environment-rollbacks.html\" target=\"_blank\" rel=\"noopener\">rules and regulations\u003c/a>.\u003c/p>\n\u003cp>Trump’s own EPA \u003ca href=\"https://www.washingtonpost.com/news/energy-environment/wp/2017/11/01/trumps-epa-says-obamas-climate-rule-could-prevent-up-to-4500-deaths-annually-moves-to-scrap-it/\" target=\"_blank\" rel=\"noopener\">analyzed the Obama-era Clean Power Plan \u003c/a>and determined it would prevent 4,500 premature deaths every year by 2030.\u003c/p>\n\u003cp>The EPA recently replaced the previous climate plan with the new “Affordable Clean Energy” rule, that would\u003cem> cause\u003c/em> *only* \u003ca href=\"https://www.rollcall.com/news/epa-finalizes-clean-power-plan-replacement\" target=\"_blank\" rel=\"noopener\">1,400 premature deaths every year\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mentioning \u003ca href=\"http://bit.ly/fioretrumpneedles\" target=\"_blank\" rel=\"noopener\">needles going into the ocean\u003c/a> and threatening EPA action, President Trump said San Francisco is in “total violation” due to pollution from homeless people.\u003c/p>\n\u003cp>I’m all for \u003ca href=\"https://www.kqed.org/news/11678299/cartooning-the-needle-sweepers\" target=\"_blank\" rel=\"noopener\">keeping waste and needles out of the ocean\u003c/a> but it is jaw-dropping that Trump would criticize San Francisco over an environmental issue. (And, yes, I know jaw-dropping is what the president always intends.)\u003c/p>\n\u003cp>While some filth in our ocean and getting stuck with a needle at the beach would be awful, remember that the current administration recently killed the Clean Power Act, as well as scores of other \u003ca href=\"https://www.nytimes.com/interactive/2019/climate/trump-environment-rollbacks.html\" target=\"_blank\" rel=\"noopener\">rules and regulations\u003c/a>.\u003c/p>\n\u003cp>Trump’s own EPA \u003ca href=\"https://www.washingtonpost.com/news/energy-environment/wp/2017/11/01/trumps-epa-says-obamas-climate-rule-could-prevent-up-to-4500-deaths-annually-moves-to-scrap-it/\" target=\"_blank\" rel=\"noopener\">analyzed the Obama-era Clean Power Plan \u003c/a>and determined it would prevent 4,500 premature deaths every year by 2030.\u003c/p>\n\u003cp>The EPA recently replaced the previous climate plan with the new “Affordable Clean Energy” rule, that would\u003cem> cause\u003c/em> *only* \u003ca href=\"https://www.rollcall.com/news/epa-finalizes-clean-power-plan-replacement\" target=\"_blank\" rel=\"noopener\">1,400 premature deaths every year\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President Donald Trump threatened to unleash the Environmental Protection Agency on San Francisco Wednesday after a California visit during which he blamed the homelessness crisis on “liberal” policies.\u003c/p>\n\u003cp>The president alleged that used needles and other waste from San Francisco’s homeless population is flowing through storm drains into the ocean.\u003c/p>\n\u003cp>“They’re in total violation — we’re going to be giving them a notice very soon,” Trump told reporters on Air Force One as he returned to Washington. “They have to clean it up. We can’t have our cities going to hell.”\u003c/p>\n\u003cp>An EPA spokesperson said the agency doesn’t “comment on potential enforcement actions.”\u003c/p>\n\u003cp>In a statement, Mayor London Breed called Trump’s remarks “ridiculous” and said storm drain debris is filtered out at city wastewater treatment plants so that none flows “into the bay or ocean.”\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Karri Ving, S.F. wastewater manager\"]‘We have a system that’s robust and effective in capturing stormwater, conveying it to our treatment plants and removing any type of sediment and trash.’[/pullquote]\u003c/p>\n\u003cp>State and local water regulators agreed, saying there’s no merit to the president’s accusations.\u003c/p>\n\u003cp>“The reality is quite the opposite,” said Karri Ving, who heads the city’s wastewater management program. “We have a system that’s robust and effective in capturing stormwater, conveying it to our treatment plants and removing any type of sediment and trash.”\u003c/p>\n\u003cp>It’s ironic, she added, that Trump is picking on San Francisco, which is one of the few western cities that treats its stormwater.\u003c/p>\n\u003cp>San Francisco has long struggled with problems of human waste and needles on the streets in the Tenderloin district, where many addicts and homeless people congregate. The city set up public toilets and last year announced the formation of a special six-person “poop patrol” team to clean up human waste.\u003c/p>\n\u003cp>The city also announced funding to hire people to pick up used needles.\u003c/p>\n\u003cp>Many of those needles came from the city itself. The health department hands out an estimated 400,000 clean syringes a month under programs designed to reduce the risk of HIV and other infections for drug users who might otherwise share contaminated needles.\u003c/p>\n\u003cp>“As far as I know, needle waste going into the bay has never been an issue,” Rachel Kagan, a spokeswoman for the city’s Department of Public Health, said in an email. She acknowledged that San Francisco, like many other cities, has its fair share of needle litter, but “we have made tremendous progress cleaning up needles [and] there’s no connection to the ocean or bay.”\u003c/p>\n\u003cp>Trump, whose two-day fundraising visit to California ended Wednesday, has been bashing California’s “liberal establishment” for the surge in homelessness.\u003c/p>\n\u003cp>On Tuesday, Trump said his administration “can’t let Los Angeles, San Francisco and numerous other cities destroy themselves by allowing what’s happening,” and vowed to do something about the problem. But at the time, he only mentioned creating a task force.\u003c/p>\n\u003cp>A day earlier, Gov. Gavin Newsom and mayors of the state’s 13 largest cities sent Trump a letter asking his administration to provide more aid to fight homelessness, including the request for an additional 50,000 housing vouchers for the poor.\u003c/p>\n\u003cp>But U.S. Housing and Urban Development Secretary Ben Carson rejected the housing aid request in a letter Wednesday, saying that California’s policies on law enforcement, an over-regulated housing market and sanctuary policies regarding people living in the country illegally have driven up housing costs while increasing demand.\u003c/p>\n\u003cp>“Your letter seeks more federal dollars for California from hardworking American taxpayers but fails to admit that your state and local policies have played a major role in creating the current crisis,” Carson wrote.\u003c/p>\n\u003cp>Carson said nearly 500,000 California households already receive some kind of federal housing assistance and said “federal taxpayers are clearly doing their part to help solve the crisis.”\u003c/p>\n\u003cp>He also said ending homelessness has been a “top priority” of the administration.\u003c/p>\n\u003cp>Carson toured a Potrero Hill public housing project in San Francisco on Tuesday and said he wanted to work with local governments to address homelessness.\u003c/p>\n\u003cp>“I don’t see any reason quite frankly why we have to have homelessness in this country,” Carson said. “Given the resources that we have. Given the intellect. The ability to innovate.”\u003c/p>\n\u003cp>[aside label=\"more homelessness coverage\" tag=\"homelessness\"]In her statement, Breed said the city is fighting homelessness by adding 1,000 beds to shelters, and wants to pass a $600 million bond to build affordable housing and increase services for people with addiction and mental illness.\u003c/p>\n\u003cp>On Wednesday, Carson also toured a Skid Row shelter in Los Angeles and called for cooperation among federal, state and local governments. But he was noncommittal about what he could offer, saying the administration was considering all options, including re-using vacant federal buildings for shelters.\u003c/p>\n\u003cp>Before additional money is allocated, Carson said there needs to be more effective use of available housing vouchers. Many of those, including 35% designated for veterans, are not being used, he said.\u003c/p>\n\u003cp>Carson targeted what he considered some of the main hurdles to providing more housing: myriad regulations and opposition from people who don’t want poor people living nearby. He said his agency might offer grant preferences to cities that try to remove those barriers to affordable housing.\u003c/p>\n\u003cp>With close to 60,000 homeless people in Los Angeles County, tents are clustered on sidewalks throughout the city, in vacant lots and under highway bridges. The state’s other metropolitan areas have similar situations.\u003c/p>\n\u003cp>Courts have limited what cities can do to clean up encampments.\u003c/p>\n\u003cp>On Tuesday, the Los Angeles County Board of Supervisors voted to join an effort to get the U.S. Supreme Court to review a decision that restricts efforts to bar homeless people from sleeping on sidewalks in Western states.\u003c/p>\n\u003cp>The board voted 3-2 to file a motion supporting Boise, Idaho, in its efforts to overturn a ruling by the 9th U.S. Circuit Court of Appeals that said it was unconstitutional to arrest or otherwise sanction homeless people who sleep on sidewalks when there aren’t enough shelter beds.\u003c/p>\n\u003cp>Supervisor Mark Ridley-Thomas voted in favor, saying he was fed up.\u003c/p>\n\u003cp>“The status quo is untenable,” he said. “We need to call this what it is — a state of emergency,” Ridley-Thomas said in a statement.\u003c/p>\n\u003cp>\u003cem>KQED’s Peter Jon Shuler contributed reporting.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State and local water regulators agreed, saying there’s no merit to the president’s accusations.\u003c/p>\n\u003cp>“The reality is quite the opposite,” said Karri Ving, who heads the city’s wastewater management program. “We have a system that’s robust and effective in capturing stormwater, conveying it to our treatment plants and removing any type of sediment and trash.”\u003c/p>\n\u003cp>It’s ironic, she added, that Trump is picking on San Francisco, which is one of the few western cities that treats its stormwater.\u003c/p>\n\u003cp>San Francisco has long struggled with problems of human waste and needles on the streets in the Tenderloin district, where many addicts and homeless people congregate. The city set up public toilets and last year announced the formation of a special six-person “poop patrol” team to clean up human waste.\u003c/p>\n\u003cp>The city also announced funding to hire people to pick up used needles.\u003c/p>\n\u003cp>Many of those needles came from the city itself. The health department hands out an estimated 400,000 clean syringes a month under programs designed to reduce the risk of HIV and other infections for drug users who might otherwise share contaminated needles.\u003c/p>\n\u003cp>“As far as I know, needle waste going into the bay has never been an issue,” Rachel Kagan, a spokeswoman for the city’s Department of Public Health, said in an email. She acknowledged that San Francisco, like many other cities, has its fair share of needle litter, but “we have made tremendous progress cleaning up needles [and] there’s no connection to the ocean or bay.”\u003c/p>\n\u003cp>Trump, whose two-day fundraising visit to California ended Wednesday, has been bashing California’s “liberal establishment” for the surge in homelessness.\u003c/p>\n\u003cp>On Tuesday, Trump said his administration “can’t let Los Angeles, San Francisco and numerous other cities destroy themselves by allowing what’s happening,” and vowed to do something about the problem. But at the time, he only mentioned creating a task force.\u003c/p>\n\u003cp>A day earlier, Gov. Gavin Newsom and mayors of the state’s 13 largest cities sent Trump a letter asking his administration to provide more aid to fight homelessness, including the request for an additional 50,000 housing vouchers for the poor.\u003c/p>\n\u003cp>But U.S. Housing and Urban Development Secretary Ben Carson rejected the housing aid request in a letter Wednesday, saying that California’s policies on law enforcement, an over-regulated housing market and sanctuary policies regarding people living in the country illegally have driven up housing costs while increasing demand.\u003c/p>\n\u003cp>“Your letter seeks more federal dollars for California from hardworking American taxpayers but fails to admit that your state and local policies have played a major role in creating the current crisis,” Carson wrote.\u003c/p>\n\u003cp>Carson said nearly 500,000 California households already receive some kind of federal housing assistance and said “federal taxpayers are clearly doing their part to help solve the crisis.”\u003c/p>\n\u003cp>He also said ending homelessness has been a “top priority” of the administration.\u003c/p>\n\u003cp>Carson toured a Potrero Hill public housing project in San Francisco on Tuesday and said he wanted to work with local governments to address homelessness.\u003c/p>\n\u003cp>“I don’t see any reason quite frankly why we have to have homelessness in this country,” Carson said. “Given the resources that we have. Given the intellect. The ability to innovate.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In her statement, Breed said the city is fighting homelessness by adding 1,000 beds to shelters, and wants to pass a $600 million bond to build affordable housing and increase services for people with addiction and mental illness.\u003c/p>\n\u003cp>On Wednesday, Carson also toured a Skid Row shelter in Los Angeles and called for cooperation among federal, state and local governments. But he was noncommittal about what he could offer, saying the administration was considering all options, including re-using vacant federal buildings for shelters.\u003c/p>\n\u003cp>Before additional money is allocated, Carson said there needs to be more effective use of available housing vouchers. Many of those, including 35% designated for veterans, are not being used, he said.\u003c/p>\n\u003cp>Carson targeted what he considered some of the main hurdles to providing more housing: myriad regulations and opposition from people who don’t want poor people living nearby. He said his agency might offer grant preferences to cities that try to remove those barriers to affordable housing.\u003c/p>\n\u003cp>With close to 60,000 homeless people in Los Angeles County, tents are clustered on sidewalks throughout the city, in vacant lots and under highway bridges. The state’s other metropolitan areas have similar situations.\u003c/p>\n\u003cp>Courts have limited what cities can do to clean up encampments.\u003c/p>\n\u003cp>On Tuesday, the Los Angeles County Board of Supervisors voted to join an effort to get the U.S. Supreme Court to review a decision that restricts efforts to bar homeless people from sleeping on sidewalks in Western states.\u003c/p>\n\u003cp>The board voted 3-2 to file a motion supporting Boise, Idaho, in its efforts to overturn a ruling by the 9th U.S. Circuit Court of Appeals that said it was unconstitutional to arrest or otherwise sanction homeless people who sleep on sidewalks when there aren’t enough shelter beds.\u003c/p>\n\u003cp>Supervisor Mark Ridley-Thomas voted in favor, saying he was fed up.\u003c/p>\n\u003cp>“The status quo is untenable,” he said. “We need to call this what it is — a state of emergency,” Ridley-Thomas said in a statement.\u003c/p>\n\u003cp>\u003cem>KQED’s Peter Jon Shuler contributed reporting.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>U.S. Housing and Urban Development Secretary Ben Carson toured a San Francisco public housing project on Tuesday, saying there's \u003ca href=\"http://bit.ly/fiorecarsonhud\" target=\"_blank\" rel=\"noopener\">no reason to have homelessness\u003c/a>.\u003c/p>\n\u003cp>The Trump administration proposed \u003ca href=\"https://www.npr.org/2019/04/03/709529287/bipartisan-disapproval-over-trump-administrations-housing-program-cuts\" target=\"_blank\" rel=\"noopener\">dramatic budget cuts\u003c/a> for public housing in 2020, including cuts in programs and operating funds specifically targeted to public housing.\u003c/p>\n\u003cp>Oh, and lets not forget the administration's \u003ca href=\"https://www.npr.org/2019/05/10/722173775/proposed-rule-could-evict-55-000-children-from-subsidized-housing\" rel=\"noopener\" target=\"_blank\">plan to boot undocumented immigrants\u003c/a> from subsidized housing.\u003c/p>\n\u003cp>I guess \"self-sufficiency\" (particularly the kind that cuts billions from housing assistance while affording the secretary a \u003ca href=\"https://www.politico.com/story/2019/09/12/ben-carson-misconduct-furniture-1729914\" target=\"_blank\" rel=\"noopener\">$31,000 dining set\u003c/a>) is more Ben Carson's thing.\u003c/p>\n\u003cp>https://twitter.com/SecretaryCarson/status/963102758617395202?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E963102758617395202&ref_url=https%3A%2F%2Fwww.npr.org%2F2018%2F02%2F13%2F585255697%2Fwhite-house-budget-calls-for-deep-cuts-to-hud\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>After touring a San Francisco public housing development renovated with local funding, U.S. Housing and Urban Development (HUD) Secretary Dr. Ben Carson said he wanted to work with local governments to address homelessness.\u003c/p>\n\u003cp>\"I don't see any reason quite frankly why we have to have homelessness in this country,\" Carson said. \"Given the resources that we have. Given the intellect. The ability to innovate.\"\u003c/p>\n\u003cp>[aside postID=news_11774816,news_11774547 label='Related Coverage']\u003c/p>\n\u003cp>As a model, Carson cited Tokyo, which he said had no visible homeless. \"And obviously, if they can do it we can do it, too.\"\u003c/p>\n\u003cp>Before Carson arrived Tuesday morning, dozens of protesters from the San Francisco Coalition on Homelessness, chanting \"housing not handcuffs,\" carried signs outside the housing development on Potrero Hill.\u003c/p>\n\u003cp>The group is critical of Trump administration policies, including a proposal in his 2020 budget to eliminate Community Development Block Grants and other HUD programs aimed at helping keep people in housing they can afford.\u003c/p>\n\u003cp>\"It's disingenuous to tout public housing as such a great thing, when this very administration has been cutting the funding,\" said Sara Shortt with the Coalition on Homelessness.\u003c/p>\n\u003cp>Shortt also criticized the Trump administration for, in her words, wanting to \"deregulate housing,\" saying things like rent control and tenant protections from unwarranted evictions were critical to keeping people in their homes.\u003c/p>\n\u003cp>\"Without those things people become homeless.\"\u003c/p>\n\u003cfigure id=\"attachment_11775011\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11775011 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-800x600.jpg\" alt='Sara Shortt with the San Francisco Coalition on Homelessness (right) leads protesters in chants including \"housing not handcuffs\" during a visit by HUD Secretary Ben Carson on Tuesday.' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sara Shortt, right, with the San Francisco Coalition on Homelessness, leads protesters in chants, including \"housing not handcuffs,\" during a visit by HUD Secretary Ben Carson on Tuesday. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Asked about a request by Gov. Gavin Newsom to increase the number of federal housing vouchers by 50,000, Carson said there are already vouchers available that aren't being used efficiently, although he did not elaborate.\u003c/p>\n\u003cp>\"You know, there is really not a whole lot of point in throwing more money at things, at something where you're not even utilizing the ones that are there,\" Carson said. \"So let's figure out how we can use them efficiently and effectively.\"\u003c/p>\n\u003cp>The secretary also called out specific California policies he said contribute to the lack of affordable housing.\u003c/p>\n\u003cp>\"I believe in data. And evidence shows us quite clearly that the places that have the most regulation also have the highest prices. And the most homelessness,\" Carson said.\u003c/p>\n\u003cp>He mentioned local opposition, or \"NIMBYism,\" as another reason housing projects get derailed.\u003c/p>\n\u003cp>Carson said he'd like to work with local officials to address homelessness, although the office of Mayor London Breed said she had not been invited to the event, and that an offer to meet with Carson while he was in town went unanswered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Carson is shadowing the itinerary of President Trump, who landed in the Bay Area for a high-priced fundraiser before flying south for a fundraiser in Beverly Hills and an appearance in San Diego.\u003c/p>\n\u003cp>Carson, too, is heading for Los Angeles and San Diego, although it wasn't exactly clear why he's following the president.\u003c/p>\n\u003cp>Trump has been extremely critical of California in general, recently calling out homelessness as an example of what results from liberal Democratic policies.\u003c/p>\n\u003cp>Trump's attorney, Rudy Giuliani, suggested last week that the administration was looking at using federal resources to get homeless people off the streets, although no specific plan has been announced.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As a model, Carson cited Tokyo, which he said had no visible homeless. \"And obviously, if they can do it we can do it, too.\"\u003c/p>\n\u003cp>Before Carson arrived Tuesday morning, dozens of protesters from the San Francisco Coalition on Homelessness, chanting \"housing not handcuffs,\" carried signs outside the housing development on Potrero Hill.\u003c/p>\n\u003cp>The group is critical of Trump administration policies, including a proposal in his 2020 budget to eliminate Community Development Block Grants and other HUD programs aimed at helping keep people in housing they can afford.\u003c/p>\n\u003cp>\"It's disingenuous to tout public housing as such a great thing, when this very administration has been cutting the funding,\" said Sara Shortt with the Coalition on Homelessness.\u003c/p>\n\u003cp>Shortt also criticized the Trump administration for, in her words, wanting to \"deregulate housing,\" saying things like rent control and tenant protections from unwarranted evictions were critical to keeping people in their homes.\u003c/p>\n\u003cp>\"Without those things people become homeless.\"\u003c/p>\n\u003cfigure id=\"attachment_11775011\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11775011 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-800x600.jpg\" alt='Sara Shortt with the San Francisco Coalition on Homelessness (right) leads protesters in chants including \"housing not handcuffs\" during a visit by HUD Secretary Ben Carson on Tuesday.' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/09/Protesters-Ben-Carson-Potrero-1-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sara Shortt, right, with the San Francisco Coalition on Homelessness, leads protesters in chants, including \"housing not handcuffs,\" during a visit by HUD Secretary Ben Carson on Tuesday. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Asked about a request by Gov. Gavin Newsom to increase the number of federal housing vouchers by 50,000, Carson said there are already vouchers available that aren't being used efficiently, although he did not elaborate.\u003c/p>\n\u003cp>\"You know, there is really not a whole lot of point in throwing more money at things, at something where you're not even utilizing the ones that are there,\" Carson said. \"So let's figure out how we can use them efficiently and effectively.\"\u003c/p>\n\u003cp>The secretary also called out specific California policies he said contribute to the lack of affordable housing.\u003c/p>\n\u003cp>\"I believe in data. And evidence shows us quite clearly that the places that have the most regulation also have the highest prices. And the most homelessness,\" Carson said.\u003c/p>\n\u003cp>He mentioned local opposition, or \"NIMBYism,\" as another reason housing projects get derailed.\u003c/p>\n\u003cp>Carson said he'd like to work with local officials to address homelessness, although the office of Mayor London Breed said she had not been invited to the event, and that an offer to meet with Carson while he was in town went unanswered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Carson is shadowing the itinerary of President Trump, who landed in the Bay Area for a high-priced fundraiser before flying south for a fundraiser in Beverly Hills and an appearance in San Diego.\u003c/p>\n\u003cp>Carson, too, is heading for Los Angeles and San Diego, although it wasn't exactly clear why he's following the president.\u003c/p>\n\u003cp>Trump has been extremely critical of California in general, recently calling out homelessness as an example of what results from liberal Democratic policies.\u003c/p>\n\u003cp>Trump's attorney, Rudy Giuliani, suggested last week that the administration was looking at using federal resources to get homeless people off the streets, although no specific plan has been announced.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>There are now 60 additional beds available at a multiservice homeless shelter in the city's Mission District, an expansion that inspired a visit Monday from San Francisco Mayor London Breed.\u003c/p>\n\u003cp>Breed toured the Division Circle Navigation Center, which opened just over a year ago and now offers 186 beds for homeless residents. The center also recently opened a new clinic and community space, as well as expanded bathroom facilities.\u003c/p>\n\u003cp>The mayor was noticeably excited about the center's expanded capacity. It brings the number of shelter beds created under her watch to nearly 350, inching her one step closer to the 1,000 new shelter beds she has promised to add by the end of 2020.\u003c/p>\n\u003cp>\"If we’re going to address the issue, we have to make sure that there are places like this to make sure that people can get settled and get their lives back on the right path,\" Breed said. \"This could happen to any of us at any given time. None of us are immune.\"\u003c/p>\n\u003cp>Unlike traditional homeless shelters, navigation centers offer a range of substance abuse and mental health services, and aim to connect residents to employment and housing opportunities. They are also open around the clock, allowing residents to stay during the day and bring their pets and belongings.\u003c/p>\n\u003cp>San Francisco opened its first homeless navigation center in 2015 and currently operates six throughout the city.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Breed was joined by Vallejo Mayor Bob Sampayan, who is interested in opening a similar multiservice homeless shelter in his city. There are more than 500 homeless people in Vallejo and only one small church-run homeless shelter, a discrepancy that prompted the city last year to declare a homeless shelter emergency, Sampayan said.\u003c/p>\n\u003cp>[aside label=\"related stories\" tag=\"navigation-center\"]\u003c/p>\n\u003cp>\"If there is a way to lend direction, as opposed to handing them a piece of paper, it makes it so much easier for an unsheltered person to get the services that they need,\" said Sampayan, who plans to announce potential sites for a proposed 125-bed navigation center in his city later this week.\u003c/p>\n\u003cp>San Francisco is currently moving forward with building its seventh navigation center on an Embarcadero lot near the Bay Bridge. The proposed center has been \u003ca href=\"https://www.kqed.org/news/11741972/s-f-port-commission-approves-lease-for-controversial-embarcadero-navigation-center\" target=\"_blank\" rel=\"noopener\">fiercely contested\u003c/a> by a group of local residents who say it will bring crime and vagrancy to the neighborhood, and who recently sued the city in an effort to halt construction. A state judge last week denied the group's request for a restraining order.\u003c/p>\n\u003cp>Breed, who proposed the new navigation center, said she doesn't buy the argument that these kinds of shelters increase crime.\u003c/p>\n\u003cp>\"Yes, we want to keep all of our residents safe,\" Breed said. \"But to attribute homelessness with challenges with safety is something that I don’t accept.\"\u003c/p>\n\u003cp>Breed added that before the Division Circle center — located on South Van Ness Avenue near 16th Street — opened its doors, tents lined Division Street in what was considered one of the biggest homeless encampments in the city. Since then, the center has served upward of 1,200 people, according to the mayor's office. It also reported that more than 40% of homeless people who have solicited at least one of the city's six navigation centers have subsequently transitioned into other shelter programs or permanent housing.\u003c/p>\n\u003cp>\"Everyone deserves a safe place to sleep at night and access to behavioral health care if they need it,\" she said. \"We must continue adding more shelters and housing throughout San Francisco, and connecting people to the services that can help get them off the streets and out of homelessness.\"\u003c/p>\n\u003cp>\u003cem>Correction: This article previously stated that the Division Circle Navigation Center was located on Mission Street. It is actually on South Van Ness Avenue.\u003c/em> \u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>There are now 60 additional beds available at a multiservice homeless shelter in the city's Mission District, an expansion that inspired a visit Monday from San Francisco Mayor London Breed.\u003c/p>\n\u003cp>Breed toured the Division Circle Navigation Center, which opened just over a year ago and now offers 186 beds for homeless residents. The center also recently opened a new clinic and community space, as well as expanded bathroom facilities.\u003c/p>\n\u003cp>The mayor was noticeably excited about the center's expanded capacity. It brings the number of shelter beds created under her watch to nearly 350, inching her one step closer to the 1,000 new shelter beds she has promised to add by the end of 2020.\u003c/p>\n\u003cp>\"If we’re going to address the issue, we have to make sure that there are places like this to make sure that people can get settled and get their lives back on the right path,\" Breed said. \"This could happen to any of us at any given time. None of us are immune.\"\u003c/p>\n\u003cp>Unlike traditional homeless shelters, navigation centers offer a range of substance abuse and mental health services, and aim to connect residents to employment and housing opportunities. They are also open around the clock, allowing residents to stay during the day and bring their pets and belongings.\u003c/p>\n\u003cp>San Francisco opened its first homeless navigation center in 2015 and currently operates six throughout the city.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"If there is a way to lend direction, as opposed to handing them a piece of paper, it makes it so much easier for an unsheltered person to get the services that they need,\" said Sampayan, who plans to announce potential sites for a proposed 125-bed navigation center in his city later this week.\u003c/p>\n\u003cp>San Francisco is currently moving forward with building its seventh navigation center on an Embarcadero lot near the Bay Bridge. The proposed center has been \u003ca href=\"https://www.kqed.org/news/11741972/s-f-port-commission-approves-lease-for-controversial-embarcadero-navigation-center\" target=\"_blank\" rel=\"noopener\">fiercely contested\u003c/a> by a group of local residents who say it will bring crime and vagrancy to the neighborhood, and who recently sued the city in an effort to halt construction. A state judge last week denied the group's request for a restraining order.\u003c/p>\n\u003cp>Breed, who proposed the new navigation center, said she doesn't buy the argument that these kinds of shelters increase crime.\u003c/p>\n\u003cp>\"Yes, we want to keep all of our residents safe,\" Breed said. \"But to attribute homelessness with challenges with safety is something that I don’t accept.\"\u003c/p>\n\u003cp>Breed added that before the Division Circle center — located on South Van Ness Avenue near 16th Street — opened its doors, tents lined Division Street in what was considered one of the biggest homeless encampments in the city. Since then, the center has served upward of 1,200 people, according to the mayor's office. It also reported that more than 40% of homeless people who have solicited at least one of the city's six navigation centers have subsequently transitioned into other shelter programs or permanent housing.\u003c/p>\n\u003cp>\"Everyone deserves a safe place to sleep at night and access to behavioral health care if they need it,\" she said. \"We must continue adding more shelters and housing throughout San Francisco, and connecting people to the services that can help get them off the streets and out of homelessness.\"\u003c/p>\n\u003cp>\u003cem>Correction: This article previously stated that the Division Circle Navigation Center was located on Mission Street. It is actually on South Van Ness Avenue.\u003c/em> \u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Trump Goes 'Behind Enemy Lines' by Visiting Bay Area – And He'll Be Raking in the Cash",
"title": "Trump Goes 'Behind Enemy Lines' by Visiting Bay Area – And He'll Be Raking in the Cash",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>When Air Force One touches down at Moffett Field in Mountain View Tuesday morning, Donald Trump will be heading \"behind enemy lines,\" as one supporter called the president's first trip to the Bay Area since being elected.\u003c/p>\n\u003cp>Even so, Trump's re-election campaign and Republican Party coffers will be stuffed with cash when he leaves the state on Wednesday.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Harmeet Dhillon, GOP National Committeewoman\"]'The event is sold out, and I could have sold 100 more seats if I had them.'[/pullquote]\u003c/p>\n\u003cp>While Trump is treated as a kind of devil incarnate by Democratic officials and many of the state's voters, he's not without support, even in deep-blue California.\u003c/p>\n\u003cp>\"He's very popular here,\" said Republican National Committeewoman Harmeet Dhillon from San Francisco.\u003c/p>\n\u003cp>It was Dhillon who described California as the \"enemy\" in a \u003ca href=\"https://www.nytimes.com/2019/09/14/us/california-trump-newsom.html\" target=\"_blank\" rel=\"noopener\">recent New York Times article\u003c/a>, but as one of the organizers of Tuesday's lunchtime fundraiser, she's found plenty of friends of the president here.\u003c/p>\n\u003cp>\"The event is sold out, and I could have sold 100 more seats if I had them,\" Dhillon said.\u003c/p>\n\u003cp>She wouldn't disclose the exact location of the event for security reasons, but it's somewhere on the Peninsula and will attract \"a few hundred\" people, some paying $100,000 or more for a chance to see Trump in person.\u003c/p>\n\u003cp>She noted that donors will be attending from as far away as Reno, Nevada, as well as from Yuba, Kings and Sacramento counties. Trump will head to a similar fundraiser in Beverly Hills Tuesday afternoon.\u003c/p>\n\u003cp>Asked what California donors like about Trump, Dhillon listed his taking the fight to Democrats, \"unlike these RINOs (Republican In Name Only)\" in Washington, D.C., and also his \"America First\" rhetoric and tax cuts, although she acknowledged many wealthy Californians are unhappy about the GOP tax bill, which places limits on allowable federal deductions for state and local taxes.\u003c/p>\n\u003cp>Dhillon, who was born in India, added that \"some immigrants like me really like his positions on illegal immigration.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Although the administration isn't saying much, President Trump is sure to use his California visit to continue bashing the state's liberal policies, which he says have contributed to the number of homeless people on the streets.\u003c/p>\n\u003cp>Last week, Trump officials \u003ca href=\"https://www.latimes.com/california/story/2019-09-10/trump-officials-los-angeles-homeless-crisis\" target=\"_blank\" rel=\"noopener\">visited Los Angeles\u003c/a> to check out the city's infamous skid row to see what programs are working. There were reports the officials also toured federal facilities that could potentially be used to house the homeless.\u003c/p>\n\u003cp>[aside postID=news_11774547,news_11773790,news_11773929 label='Trump and California Homelessness']\u003c/p>\n\u003cp>While that might sound good coming from, say, President Barack Obama, anything this president does is viewed with grave suspicion by Democrats.\u003c/p>\n\u003cp>Gov. Gavin Newsom on Monday released a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2019/09/9.16.19-Letter-to-President-Trump.pdf\" target=\"_blank\" rel=\"noopener\">pointed letter\u003c/a> to the president, suggesting that if he really wanted to address homelessness, he would help Californians get out of poverty and invest in things like mental health and affordable housing.\u003c/p>\n\u003cp>\"In contrast,\" Newsom wrote, \"your administration has proposed significant cuts to public housing and programs like the Community Development Block Grant.\"\u003c/p>\n\u003cp>The letter, signed by Sacramento Mayor Darrell Steinberg on behalf of big-city mayors, suggests three specific steps to help prevent homelessness, including providing \"50,000 more vouchers to provide rental subsidies for the poor, and an increase in the value of the vouchers to reflect the high cost of housing in California.\"\u003c/p>\n\u003cp>At a press conference in Sacramento Monday, Newsom said the letter was sent \"not with a clenched fist but an open hand.\"\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/6414808-91619LettertoPresidentTrump.html\" responsive=true height=800]\u003c/p>\n\u003cp>While Trump is not expected to go to San Francisco, Dr. Ben Carson, his secretary of Housing and Urban Development, will visit the city Tuesday.\u003c/p>\n\u003cp>San Francisco's coordinator of homeless programs, Jeff Kositsky, told KQED he believes Carson will visit a \"Hope SF\" public housing development in Potrero Hill, where local bond money and federal funds have been used to rebuild dilapidated housing for low-income San Franciscans.\u003c/p>\n\u003cp>Kositsky, who has met with Carson previously, said he welcomes more federal attention to the homeless problem, which has festered and frustrated city officials and residents for decades.\u003c/p>\n\u003cp>\"We really need to refocus our energy on the root cause of this problem, which is a lack of affordable housing,\" Kositsky said on Monday afternoon.\u003c/p>\n\u003cp>\"In terms of practical things that the government could be doing right here right now, investing more in affordable housing is what's really needed if we're ever going to get a handle on this nationally.\"\u003c/p>\n\u003cp>That sentiment was echoed by San Francisco Mayor London Breed, who has tried, with mixed results, to lower barriers to construction of affordable housing in a city where citizen objections can slow, shrink or even kill affordable housing projects.\u003c/p>\n\u003cp>\"I’m open to anything that’s going to help get people permanently housed,\" Breed said. \"What that entails, from my perspective, is getting more housing built and providing subsidies to get housing built. It takes money to get them built.\"\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Air Force One touches down at Moffett Field in Mountain View Tuesday morning, Donald Trump will be heading \"behind enemy lines,\" as one supporter called the president's first trip to the Bay Area since being elected.\u003c/p>\n\u003cp>Even so, Trump's re-election campaign and Republican Party coffers will be stuffed with cash when he leaves the state on Wednesday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While Trump is treated as a kind of devil incarnate by Democratic officials and many of the state's voters, he's not without support, even in deep-blue California.\u003c/p>\n\u003cp>\"He's very popular here,\" said Republican National Committeewoman Harmeet Dhillon from San Francisco.\u003c/p>\n\u003cp>It was Dhillon who described California as the \"enemy\" in a \u003ca href=\"https://www.nytimes.com/2019/09/14/us/california-trump-newsom.html\" target=\"_blank\" rel=\"noopener\">recent New York Times article\u003c/a>, but as one of the organizers of Tuesday's lunchtime fundraiser, she's found plenty of friends of the president here.\u003c/p>\n\u003cp>\"The event is sold out, and I could have sold 100 more seats if I had them,\" Dhillon said.\u003c/p>\n\u003cp>She wouldn't disclose the exact location of the event for security reasons, but it's somewhere on the Peninsula and will attract \"a few hundred\" people, some paying $100,000 or more for a chance to see Trump in person.\u003c/p>\n\u003cp>She noted that donors will be attending from as far away as Reno, Nevada, as well as from Yuba, Kings and Sacramento counties. Trump will head to a similar fundraiser in Beverly Hills Tuesday afternoon.\u003c/p>\n\u003cp>Asked what California donors like about Trump, Dhillon listed his taking the fight to Democrats, \"unlike these RINOs (Republican In Name Only)\" in Washington, D.C., and also his \"America First\" rhetoric and tax cuts, although she acknowledged many wealthy Californians are unhappy about the GOP tax bill, which places limits on allowable federal deductions for state and local taxes.\u003c/p>\n\u003cp>Dhillon, who was born in India, added that \"some immigrants like me really like his positions on illegal immigration.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Although the administration isn't saying much, President Trump is sure to use his California visit to continue bashing the state's liberal policies, which he says have contributed to the number of homeless people on the streets.\u003c/p>\n\u003cp>Last week, Trump officials \u003ca href=\"https://www.latimes.com/california/story/2019-09-10/trump-officials-los-angeles-homeless-crisis\" target=\"_blank\" rel=\"noopener\">visited Los Angeles\u003c/a> to check out the city's infamous skid row to see what programs are working. There were reports the officials also toured federal facilities that could potentially be used to house the homeless.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While that might sound good coming from, say, President Barack Obama, anything this president does is viewed with grave suspicion by Democrats.\u003c/p>\n\u003cp>Gov. Gavin Newsom on Monday released a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2019/09/9.16.19-Letter-to-President-Trump.pdf\" target=\"_blank\" rel=\"noopener\">pointed letter\u003c/a> to the president, suggesting that if he really wanted to address homelessness, he would help Californians get out of poverty and invest in things like mental health and affordable housing.\u003c/p>\n\u003cp>\"In contrast,\" Newsom wrote, \"your administration has proposed significant cuts to public housing and programs like the Community Development Block Grant.\"\u003c/p>\n\u003cp>The letter, signed by Sacramento Mayor Darrell Steinberg on behalf of big-city mayors, suggests three specific steps to help prevent homelessness, including providing \"50,000 more vouchers to provide rental subsidies for the poor, and an increase in the value of the vouchers to reflect the high cost of housing in California.\"\u003c/p>\n\u003cp>At a press conference in Sacramento Monday, Newsom said the letter was sent \"not with a clenched fist but an open hand.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While Trump is not expected to go to San Francisco, Dr. Ben Carson, his secretary of Housing and Urban Development, will visit the city Tuesday.\u003c/p>\n\u003cp>San Francisco's coordinator of homeless programs, Jeff Kositsky, told KQED he believes Carson will visit a \"Hope SF\" public housing development in Potrero Hill, where local bond money and federal funds have been used to rebuild dilapidated housing for low-income San Franciscans.\u003c/p>\n\u003cp>Kositsky, who has met with Carson previously, said he welcomes more federal attention to the homeless problem, which has festered and frustrated city officials and residents for decades.\u003c/p>\n\u003cp>\"We really need to refocus our energy on the root cause of this problem, which is a lack of affordable housing,\" Kositsky said on Monday afternoon.\u003c/p>\n\u003cp>\"In terms of practical things that the government could be doing right here right now, investing more in affordable housing is what's really needed if we're ever going to get a handle on this nationally.\"\u003c/p>\n\u003cp>That sentiment was echoed by San Francisco Mayor London Breed, who has tried, with mixed results, to lower barriers to construction of affordable housing in a city where citizen objections can slow, shrink or even kill affordable housing projects.\u003c/p>\n\u003cp>\"I’m open to anything that’s going to help get people permanently housed,\" Breed said. \"What that entails, from my perspective, is getting more housing built and providing subsidies to get housing built. It takes money to get them built.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>This story will be updated\u003c/em>\u003c/p>\n\u003cp>Gov. Gavin Newsom on Monday asked President Trump to approve more housing vouchers, as the Trump administration weighs in on the state’s massive homelessness problem.\u003c/p>\n\u003cp>Members of the administration \u003ca href=\"https://www.kqed.org/news/11773790/trump-officials-dispatched-to-survey-los-angeles-homeless-crisis\" target=\"_blank\" rel=\"noopener\">visited Los Angeles\u003c/a> last week to view the city’s sprawling homeless encampments after Trump told his staff to develop policy options to address the national crisis of people living on the streets.\u003c/p>\n\u003cp>Trump is also planning to attend a fundraising event in the Bay Area on Tuesday, his first presidential visit to the area, in which he will \u003ca href=\"https://www.cnn.com/2019/09/14/politics/ben-carson-visit-california-homelessness/index.html.\" target=\"_blank\" rel=\"noopener\">reportedly\u003c/a> discuss the issue of homelessness, joined by Housing and Urban Development Secretary Ben Carson.\u003c/p>\n\u003cp>The Democratic governor and officials representing California cities and counties sent the Republican president a letter asserting that “shelter solves sleep, but only housing solves homelessness.”\u003c/p>\n\u003cp>Their letter asks Trump to provide 50,000 more housing vouchers through two existing programs and to increase the value of the vouchers to account for high rents. That would help “a significant proportion of our unsheltered population,” including thousands of military veterans, they wrote.\u003c/p>\n\u003cp>Newsom’s office could not immediately say how much more the voucher proposal would cost.\u003c/p>\n\u003cp>[aside label=\"related stories\" tag=\"homelessness\"]\u003c/p>\n\u003cp>State officials also asked Trump to work with Congress to increase funding for 300,000 new housing vouchers nationwide and create a program to encourage landlords to work better with voucher holders.\u003c/p>\n\u003cp>Los Angeles Mayor Eric Garcetti, a Democrat, invited Trump in July to tour the city’s streets. Garcetti estimated that 36,000 people in the city are homeless on any given night, while thousands more sleep on streets in other California cities.\u003c/p>\n\u003cp>“Pairing more vouchers with an increase in the fair market rent value of the vouchers, you have the ability to make a meaningful difference in the lives of so many who suffer on our streets,” the officials wrote.\u003c/p>\n\u003cp>They defended California’s attempts to deal with poverty while contrasting the administration’s “significant cuts” to public housing and community grant programs.\u003c/p>\n\u003cp>The delegation that Trump dispatched last week to survey Los Angeles’ homeless came about two months after the Republican president called the homelessness crisis in Los Angeles, San Francisco and other big cities disgraceful and faulted the “liberal establishment” for the problem.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to reporting by \u003ca href=\"https://beta.washingtonpost.com/business/2019/09/10/trump-pushing-major-crackdown-homeless-camps-california-with-aides-discussing-moving-residents-government-backed-facilities/\" target=\"_blank\" rel=\"noopener\">The Washington Post\u003c/a>, administration officials have floated the idea of taking homeless people off the streets of Los Angeles and other cities, razing their encampments and placing them in new federally operated facilities. But it remains unclear how they would accomplish that goal and what legal authority they would have to do so, particularly in light of imminent opposition from local and state leaders.\u003c/p>\n\u003cp>The effort, the Post notes, is part of Trump’s broader push in recent months to highlight major problems in California and a number of other liberal states and major cities, blaming years of failed Democratic leadership that have resulted in entrenched poverty and crime.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story will be updated\u003c/em>\u003c/p>\n\u003cp>Gov. Gavin Newsom on Monday asked President Trump to approve more housing vouchers, as the Trump administration weighs in on the state’s massive homelessness problem.\u003c/p>\n\u003cp>Members of the administration \u003ca href=\"https://www.kqed.org/news/11773790/trump-officials-dispatched-to-survey-los-angeles-homeless-crisis\" target=\"_blank\" rel=\"noopener\">visited Los Angeles\u003c/a> last week to view the city’s sprawling homeless encampments after Trump told his staff to develop policy options to address the national crisis of people living on the streets.\u003c/p>\n\u003cp>Trump is also planning to attend a fundraising event in the Bay Area on Tuesday, his first presidential visit to the area, in which he will \u003ca href=\"https://www.cnn.com/2019/09/14/politics/ben-carson-visit-california-homelessness/index.html.\" target=\"_blank\" rel=\"noopener\">reportedly\u003c/a> discuss the issue of homelessness, joined by Housing and Urban Development Secretary Ben Carson.\u003c/p>\n\u003cp>The Democratic governor and officials representing California cities and counties sent the Republican president a letter asserting that “shelter solves sleep, but only housing solves homelessness.”\u003c/p>\n\u003cp>Their letter asks Trump to provide 50,000 more housing vouchers through two existing programs and to increase the value of the vouchers to account for high rents. That would help “a significant proportion of our unsheltered population,” including thousands of military veterans, they wrote.\u003c/p>\n\u003cp>Newsom’s office could not immediately say how much more the voucher proposal would cost.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials also asked Trump to work with Congress to increase funding for 300,000 new housing vouchers nationwide and create a program to encourage landlords to work better with voucher holders.\u003c/p>\n\u003cp>Los Angeles Mayor Eric Garcetti, a Democrat, invited Trump in July to tour the city’s streets. Garcetti estimated that 36,000 people in the city are homeless on any given night, while thousands more sleep on streets in other California cities.\u003c/p>\n\u003cp>“Pairing more vouchers with an increase in the fair market rent value of the vouchers, you have the ability to make a meaningful difference in the lives of so many who suffer on our streets,” the officials wrote.\u003c/p>\n\u003cp>They defended California’s attempts to deal with poverty while contrasting the administration’s “significant cuts” to public housing and community grant programs.\u003c/p>\n\u003cp>The delegation that Trump dispatched last week to survey Los Angeles’ homeless came about two months after the Republican president called the homelessness crisis in Los Angeles, San Francisco and other big cities disgraceful and faulted the “liberal establishment” for the problem.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Train Kills Two Homeless Men Crossing Tracks in West Berkeley",
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"content": "\u003cp>\u003cstrong>Update Sept. 13: \u003c/strong>The two men who were struck and killed by an Amtrak train in West Berkeley Thursday night had been living in nearby homeless encampments and had been evicted from their tents this week, according to Andrea Henson, an advocate who has been working with them.\u003c/p>\n\u003cp>One of the men, with a nickname of Jupiter, had been living by the Seabreeze Market and Deli at 598 University Ave., she said. Caltrans cleared out an encampment there on Thursday.\u003c/p>\n\u003cp>The other man, known as Fixie, had been living at the “Downstairs” encampment by the University Avenue overpass, she said. Caltrans had cleared that encampment Wednesday.\u003c/p>\n\u003cp>Barbara Brust, another longtime advocate for those without permanent shelter, said that it had been very hot on Thursday and the people evicted from their tents this week had no shelter and no access to water. They were also under tremendous stress, which may have contributed to their decision to cross the train tracks when they did, she said.\u003c/p>\n\u003cp>“I can’t imagine you would have two people crossing the tracks in their best of minds making that mistake,” said Brust. “They were not at their peak performance.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Alameda County coroner’s office is not releasing the men’s names yet. The office has identified one victim but still needs to notify next of kin. The other man had not been officially identified as of 9 a.m., according to a spokeswoman.\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong> Two people were struck and killed by a train Thursday night, according to Berkeley police Lt. Dave Lindenau.\u003c/p>\n\u003cp>Officials from Amtrak, which runs trains through the East Bay, called police at 8:15 p.m. to report that two people had been hit, said Lindenau. The incident happened near the Amtrak station at University Avenue between Fourth Street and Second Street, he said.\u003c/p>\n\u003cp>Lindenau did not have more information about the people killed as railroad investigators are handling the matter, he said.\u003c/p>\n\u003cp>The Berkeley Fire Department also responded to the call, according to Brian Harryman, the on-duty battalion chief for BFD. Fire officials talked to the train driver, who had brought the train to a stop on the tracks near Bancroft Way and Fourth Street. The engineer knew he had struck the people and said it took him a quarter-mile to stop the train.\u003c/p>\n\u003cp>“We don’t know where they came from,” said Harryman. “We don’t even know the direction they were walking on the tracks when they were struck.”\u003c/p>\n\u003cp>The Capitol Corridor Twitter account put out this message:\u003c/p>\n\u003cp>https://twitter.com/CapitolCorridor/status/1172371606582087680\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor’s note: This article originally stated that Berkeleyside was reaching out to Union Pacific RR for information.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update Sept. 13: \u003c/strong>The two men who were struck and killed by an Amtrak train in West Berkeley Thursday night had been living in nearby homeless encampments and had been evicted from their tents this week, according to Andrea Henson, an advocate who has been working with them.\u003c/p>\n\u003cp>One of the men, with a nickname of Jupiter, had been living by the Seabreeze Market and Deli at 598 University Ave., she said. Caltrans cleared out an encampment there on Thursday.\u003c/p>\n\u003cp>The other man, known as Fixie, had been living at the “Downstairs” encampment by the University Avenue overpass, she said. Caltrans had cleared that encampment Wednesday.\u003c/p>\n\u003cp>Barbara Brust, another longtime advocate for those without permanent shelter, said that it had been very hot on Thursday and the people evicted from their tents this week had no shelter and no access to water. They were also under tremendous stress, which may have contributed to their decision to cross the train tracks when they did, she said.\u003c/p>\n\u003cp>“I can’t imagine you would have two people crossing the tracks in their best of minds making that mistake,” said Brust. “They were not at their peak performance.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Alameda County coroner’s office is not releasing the men’s names yet. The office has identified one victim but still needs to notify next of kin. The other man had not been officially identified as of 9 a.m., according to a spokeswoman.\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong> Two people were struck and killed by a train Thursday night, according to Berkeley police Lt. Dave Lindenau.\u003c/p>\n\u003cp>Officials from Amtrak, which runs trains through the East Bay, called police at 8:15 p.m. to report that two people had been hit, said Lindenau. The incident happened near the Amtrak station at University Avenue between Fourth Street and Second Street, he said.\u003c/p>\n\u003cp>Lindenau did not have more information about the people killed as railroad investigators are handling the matter, he said.\u003c/p>\n\u003cp>The Berkeley Fire Department also responded to the call, according to Brian Harryman, the on-duty battalion chief for BFD. Fire officials talked to the train driver, who had brought the train to a stop on the tracks near Bancroft Way and Fourth Street. The engineer knew he had struck the people and said it took him a quarter-mile to stop the train.\u003c/p>\n\u003cp>“We don’t know where they came from,” said Harryman. “We don’t even know the direction they were walking on the tracks when they were struck.”\u003c/p>\n\u003cp>The Capitol Corridor Twitter account put out this message:\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor’s note: This article originally stated that Berkeleyside was reaching out to Union Pacific RR for information.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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