▁de inst itution al ized , ▁due ▁to ▁changes ▁which ▁began ▁during ▁the ▁ 1 9 6 0 s ▁with ▁the ▁en act ment ▁of ▁Medic are ▁and ▁Med ica id . ▁The ▁hom eless ▁population ▁is ▁estimated ▁to ▁be ▁ 1 3 , 5 0 0 ▁with ▁ 6 , 5 0 0 ▁living ▁on ▁the ▁streets . ▁The ▁city ▁is ▁believed ▁to ▁have ▁the ▁highest ▁number ▁of ▁hom eless ▁inhabitants ▁per ▁cap ita ▁of ▁any ▁major ▁U . S . ▁city . ▁R ates ▁of ▁reported ▁violent ▁and ▁property ▁cr imes ▁for ▁ 2 0 0 9 ▁( 7 3 6 ▁and ▁ 4 , 2 6 2 ▁inc idents ▁per ▁ 1 0 0 , 0 0 0 ▁residents , ▁respectively ) ▁are ▁slightly ▁lower ▁than ▁for ▁similarly ▁s ized ▁U . S . ▁cities . ▁ ▁L anguages ▁and ▁ages ▁ ▁As ▁of ▁ 2 0 1 0 , ▁ 5 4 . 5 8 % ▁( 4 1 1 , 7 2 8 ) ▁of ▁San ▁Francisco ▁residents ▁aged ▁five ▁and ▁older ▁spoke ▁only ▁English ▁at ▁home , ▁while ▁ 1 8 . 6 0 % ▁( 1 4 0 , 3 0 2 ) ▁spoke ▁a ▁Chinese ▁language , ▁ 1 1 . 6 8 % ▁( 8 8 , 1 4 7 ) ▁Spanish , ▁ 3 . 4 2 % ▁( 2 5 , 7 6 7 ) ▁Tag alog , ▁ 1 . 8 6 % ▁( 1 4 , 0 1 7 )