Earlier quoted context omitted.
I didn't create this "false dichotomy", nor did I say that those were the only two options. I'm just observing the fact that the current system that the major cities in the US seem to be employing is to treat homeless as a valid choice, even if much/most of it is a result of addiction and mental illness. The end result of that treating it that way is the death and suffering of people who actually need lots of help an…
I don't believe it's a deliberate decision by (most) policymakers. I think it's a structural failure across several axes, including failure to make enough housing for it to be affordable, and attacks on every front by people who treat all social programs and public assistance as evil. Most places have one or the other problem, if not both.
Also most "affordable" housing initiatives attack it by mandating "affordable" for new construction instead of just letting developers build what they can make the most money building. No developer wants to build "affordable" homes if they can build and sell high-end homes. So by imposing "affordability" mandates, they just encourage developers to go elsewhere.
New high-end homes make the older homes more affordable. New "affordable" homes simply don't get built, at least not in anywhere near the numbers that are needed.