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May 14, 2024 7 mins
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(00:00):
We take great pride in getting alot of winners, and we're doing well,
I mean relative to the expectations.You know, we're close to a
handful of winners here in a nationwidecontest. I mean within a four hour
window of the day. It's prettyimpressive what we do here. But man,
I want it to be a littlebit more consistent. Well, and
if Emory sounds frustrated, just topull back the curtain a little bit.
They don't actually let us leave untilwe get winners and then we get to

(00:22):
go home for the night. AndI'll be honest, I have not reapplied
yoder it. And what has itbeen like two weeks now, I've had
to watch you wear jorts like sixdifferent times. You didn't pack well enough
for this endeavor. That's actually beenthe one I would say silver lining is
that I just happened to wear jortson the day that we got locked in
here. It's just been NonStop jortsweather in the studio. But other than

(00:45):
that, there's really it's been aslog. You're a slog, you know
that. Anyway. You can goto kfab dot com, put the word
fun in and you'll have a chanceto win. A thousand dollars in our
nationwide contest. It is election day, it is primary day. Go and
vote the six Omaha charters. Ifyou're in Omaha, pay attention to those
two. A few of them makeno sense and I'm not like they matter,

(01:07):
that's why they're there. But it'slike, what would happen if all
of the city council and the mayorall died in a single natural disaster.
It basically like puts language into likea point who that next person in line
would be to be the mayor.That's the sort of thing that we're talking
about. But just read them andyou know, let your voice be heard.
I wanted to talk to you aboutthe managed alcohol program in San Francisco.
Here homeless people getting basically fed alcohol. And what does it mean?

(01:32):
Because on the surface, I mean, what are we doing here? You're
hand in vodka shots to alcoholics.They spend two million dollars a year on
their managed alcohol program in San Francisco. That's a lot of alcohol, man,
So what is it? Well,this is what it is, the
Managed Alcohol program where MAP it provideshousing, three meals a day, and
nurse administered alcohol, usually in theform of bureau or vodka dosed to keep

(01:56):
clients at a safe level of intoxicationalong with the enrichment activity. It started
in twenty twenty as a public healthsituation officials as they were responding to the
pandemic. But the goal isn't toreduce patient's alcohol use, it's to increase
their safety and overall quality of life. Allegedly, the Department of Public Health
in San Francisco had an internal analysisof MAP and they found four fold reduction

(02:19):
in the usage of emergency department servicesby their clients in six months. It
also reported clients called emergency medical systemsand visited the hospital. Half is often,
so what have we learned here?These people are living in a closed
campus environment under the supervision of staff. It's a twenty bed facility. So
Matt, you get you get first, you get first. Crack at your
opinion on this. What do wethink? Well, I wonder if the

(02:42):
enrichment activities involved karaoke likely Also,I can see multiple arguments here. You
know, if they say the purposeisn't to try to wean these people off
of alcohol. Yeah, And likeCaler Adams said earlier this hour, if
you have an addiction to alcohol tothe extent that your body develops the addiction
of it so that it literally thinksit needs it to survive. Your body

(03:06):
does that if you do just kindof cut alcohol cold turkey, you can
die from the detox. And soI suppose I would just wonder, I
would want to know a lot moreabout this treatment program, because where's the
part where you know, I'm surethat this is a rehabilitation program, because
first off, you're getting someone offthe street, which is a first really
good step. But you can't justput him in a program, you know,

(03:28):
if he's addicted to alcohol and nothave treatment there for him. And
maybe you don't have the medical wherewithalto do the full detox process, which
is something that needs to happen ata hospital. From what I understand,
Well, this is the thing.When do these people leave? It doesn't
say. In fact, the MAPhas served a total of fifty five people
in the entire four years. Ithas been a thing. Now again of

(03:52):
those fifty five people, small samplesize, but they call emergency services less
and create less problems. But whatdo we like, like, what exactly
are we attempting to accomplish with thetwenty bed system? That we have here,
because at fifty five people total,that's not even three total new groups
of people across the entirety of theprogram, which is two million dollars a

(04:12):
year on taxpayer dime. My guessthis is just a wild guess, but
I would think thinking of San Francisco, large city, also thinking of San
Francisco, a known large homeless population, yeah, among other things, in
a different world than we live in. Right, we're talking twenty beds,
I would guess that this is probablyjust a prototype, so to speak.
This is just let's see how itgoes kind of situation. And you think

(04:35):
that if we have more success here, they might decide to implement more MAP
locations facilities. Sure if it willhave to staff them too. You have
to staff them too. Yeah,And I think that ultimately, well,
I would just want to know moreabout this program and what is these steps
here to help get these get thesepeople off the street into stable housing and

(05:00):
help them through their addictions. Becauseagain, I mean, just like caler
Adams said, I'm right there withhim. He said, Hey, you
know a lot of people want tosay, like, oh, homeless,
I'll just go get a job.It's it's more complicated than that, you
know. I think the great comedianGreg Giraldo ri ip his his stance on
it was always like a lot ofpeople want to yell at the homeless guy
to go get a job, butit's hard to get a job, you

(05:20):
know, when you're walking down thestreet covered in bed bugs and you have,
you know, mental health issues thatI mean, right, employers are
not You're not hirable. It's alot of a lot of hible. It's
a lot easier for us to saystuff like that than it is for somebody
who's actually dealing with it to doit. I mean, there's there's a
correlation to our life that you couldprobably point to, like, well why

(05:41):
don't you do this thing? Andit's like, well, it might be
physically possible for me, but Ihave challenge a B C and D in
order to achieve that. And eventhough it seems like, well I could
just walk into McDonald's get a jobapplication right now, sure, but they
their situation and their problems, theyhave a B C and D that prevent
them from being able to do somethinglike that in that regard. Now,

(06:02):
as far as MAP is concerned,and an analysis done by the Department of
Public Health in twenty twenty two estimatedthat in six months that it was tracking
map's impact, the program saved approximatelyone point seven million dollars in emergency departments,
ambulances, and emergency personnel having tobe deployed on these specific individuals.

(06:24):
Now, again, this is asmall amount of people. I have no
idea what they think they're doing tospend that much money, just like getting
them in trouble or trying to protectthem or give them health services or whatever.
Also, MAP costing over five milliondollars annually total, but the department
says it is in the process offinding the funding through the medical reimbursement,
So that's how they're able to,like the two million dollars a year that

(06:46):
is coming from taxpayer money, andhow that goes to this situation. Again,
if I was living in San Francisco, if you're living in San Francisco,
are you like down with the ideathat two million dollars of tax money
yearly is going to thing that hasonly helped fifty five total people in four
years basically just have alcohol and havemore fun and be in less trouble.
But you'd really want to see thecost breakdown because it does seem like it's

(07:10):
making a difference. It's putting avulnerable population that may end up being in
more trouble on the street, puttingthem in a situation where they're not,
and so you want to see acost breakdown on that. I would assume
that this is being brought up ina sense that the cost breakdown is not
in favor of the program. ButI don't know. It's an interesting conversation
because here's the thing. I don'tknow what it's like to live in San
Francisco, but that problem is obviouslynot going away, no, and they

(07:34):
have a lot of problems. Youknow, when there's a problem, there
needs to be a solution. Soyeah, well, anyway, something to
keep in mind. Five forty eighthsa time and just a very strange thing
that popped up on a headline.I was like, wow, that's crazy,
and it's something that's happening in SanFrancisco right now, but of course
where else would it be happening.
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