Earlier quoted context omitted.
To be clear, it's absolutely not terrible or backward by any stretch. Please visit and see for yourself. Expensive, sure. But there's a reason (another word for price in a decent market is 'value'). And not every city in California is San Francisco in terms of cost of living.
Our most central and highly-trafficked sidewalks and public transit stations are de facto public restrooms and homeless shelters. The plaza around our government and cultural center is densely populated with open drug use and varying degrees of mental health crisis. Begging and tent encampments abound. The cyclist-advocacy and homeless-advocacy groups are at each other's throats over whether the takeover of bike lane…
Hopefully having all this on display in SF will eventually provide enough impetus for the better solutions to emerge. Until then, I hope they don't decide to start being agressive and violent towards what is a largely mentally ill and incredibly vulnerable homeless population.
My admittedly limited understanding is that much of this problem is the result of mental institutions being closed across the state in the face of federal funding vanishing in the 80s. [1]
I've also heard numerous anecdotes about mentally ill patients and the homeless being forcefully bussed to San Francisco from not just other parts of California but other states, precisely because of the city's tolerance. If there's a shred of truth to this, it's a trivial to see why it's such a persistent problem.
[1] http://sfist.com/2016/06/27/san_francisco_homeless_history_1...