Earlier quoted context omitted.
It’s a national issue and SF is a symptom. Instead of pushing for healthcare, housing, more aids, and so on, people are just blaming it on mental health.
It’s not “national issue.” Aid and housing are local issues. San Francisco and California in general have much worse homelessness problems than many other places in the country. (For example, Mississippi has one of the lowest homelessness rates in the country.)
Coordination at the federal level could even out geographical imbalances in services and also prevent all services from having to be delivered in the few places where it’s most expensive to do so. Doing all the free housing in the most expensive market is crazy.