There are more than 6,200 people without homes in San Francisco, according to a January 2005 volunteer headcount, and Mayor Gavin Newsom has said that San Francisco ranks as the US city with the most homeless people per capita. One of the mayor's political priorities is to end homelessness in the city by 2014 through his Care Not Cash initiative, which attempts to redistribute funds used in helping the homeless to make a greater impact by providing them with housing instead of money.

The Coalition on Homelessness helps publish the Street Sheet, a newspaper written mostly by homeless and previously homeless people to give its readers a perspective that is unique to the authors' demographic. Readers can buy a copy for $1, and the vendor keeps 100% of the profits and "a dignified alternative to panhandling," according to the COH.

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