Earlier quoted context omitted.
The Tenderloin in SF was a worst in class skid row area pre-pandemic; post-pandemic it is a full blown open air drug market zone, ala Hamsterdam from The Wire.
Hamsterdam in the Wire seemed kinda organized and civil
Also, for anyone reading this who has not seen the show - watch it. I know it's fiction but it does such a good job of showing how complex all these problems and their solutions are.