Earlier quoted context omitted.
It's an american disease, maybe even californian. Go to many other cities in the rest of the world and they have denser, better cities with none of the literal shit. IMO I would barely call most of the bay a city, just a semi-dense suburb for the most part beyond a few pockets.
There are very specific criminal justice reform and soft-on-crime policies that lead to this. If you go to Tokyo, you'll be put in jail for doing drugs. Most likely extremely tough prison sentence of a decade or more. It prevents people from doing drugs and getting trapped in the spiraling destruction of self. Here in America, we have NYC and SF opening clinics to comfortably allow people to shoot heroine in the comf…
This strongly suggests that incarceral policies are not the most effective solution to reducing crime.