Nearly 145,000 low-income Californians could fall into a new kind of safety net providing housing and other services for the homeless or those at risk of being homeless.
“My position was to block for the quarterback, and back in the day, you were allowed to hit people in the head,” McEwen said, recalling regular concussions on the field that he’d snap himself out of by sniffing ammonia packets. He helped lead the Washington team to a Super Bowl victory in 1987, but in the decades since, his health has deteriorated.
“We don’t call it fear. Us ballplayers, we call it excitement,” McEwen said on a rainy morning in early March, his eyes swelling with tears. “I’m excited. I know what’s at stake. My life is at stake.” Despite early glimmers of hope, the rollout has been chaotic. Providers on the ground scramble to find any available housing for enrollees. Groups implementing the initiative say inadequate funding and dire health workforce shortages have severely constrained their ability to serve all those in need. And enrollment by health insurers is uneven, with some quickly approving new benefits for their members while others are denied.
“It helps me to come out here before work, to get an idea of what the needs are,” Nash said as she approached a nearby homeless woman slumped over on a sidewalk who had nothing with her but a brand-new walker and hospital discharge paperwork tucked in a plastic bag. Christine Gallegos, who is homeless and experiencing liver failure, was discharged from the emergency room at Scripps Mercy Hospital in Chula Vista, California, in late February with nowhere to go. She says she crawled into a nearby doorway for shelter.
“We see this all the time. It’s getting really bad,” Nash said, texting her contacts to find a bed for Gallegos. “She’s definitely eligible. It’s just finding somewhere for her to go that is going to be hard.” One man, David Lloyd, pulled from his pocket a phone number for an outreach worker from the homeless services provider PATH, who told him that he was on a waiting list for housing but that he could be waiting in the queue for years.
“We just don’t have the housing supply that we need,” Santana-Chin said, “to be confident that all of these folks who need support and services are going to get permanently placed.” Veronica Ortiz is a lead care manager for Serene Health in San Diego County, a role in which she works with homeless people and people at risk of becoming homeless, helping them with health care needs and housing. She is working on a new Medi-Cal initiative in California called CalAIM, which is infusing social services into the state’s Medicaid program.
Newsom has ratcheted up the practice of clearing encampments, arguing that people dealing with homelessness should not be allowed to live outdoors, despite a dearth of alternatives. He’s allocating state funding to cities and counties to remove tents from streets and sidewalks and move people into any shelter or housing available. San Diego Mayor Todd Gloria, also a Democrat, is unapologetic about adopting the approach.
And the disruptions ultimately cause people without housing to get sicker and visit the ER more often, she and other outreach workers said. Meanwhile, Newsom is asking the Biden administration for permission to add another housing benefit that wouldVeronica Ortiz is a lead care manager for Serene Health in San Diego County, a role in which she works with homeless people and people at risk of becoming homeless, helping them with health care needs and housing. She is working on a new Medi-Cal initiative in California called CalAIM, which is infusing social services into the state’s Medicaid program.
But help didn’t come fast enough for Donna Fontenot, a San Diego County resident who is being evicted from her apartment this month. Her landlord told her she had to leave following repeated ER trips, hospitalizations, and skilled nursing home stays stemming from an initial fall in 2022 that left her in a wheelchair.
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