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In Canada we give money directly to the poor. A woeful pittance - $340 for a single adult in Ontario - but no conditions attached to it. Other than that one is supposed to look for a job, but they don't press on that point hard these days. I'm sure some do go spend it directly on drugs. There's a known spike in overdoses after the social assistance deposits at the end of the month. I've seen it suggested payments should be weekly or even daily to prevent that.
I'd imagine this is more common than one would think, unfortunately. Has SF tried to determine how much "fresh food" is purchased through this program? What qualifies as "success" here?
EBT could go a lot further there, but the regulations weren't really written to work with dozens of short-term vendors, instead of a corporate contact.