As someone who deals with this every day in Seattle, the core issue is that the US doesn't have a cheap and effective healthcare system that can deal with addic

As someone who deals with this every day in Seattle, the core issue is that the US doesn't have a cheap and effective healthcare system that can deal with addiction and mental healthcare issues. So cities are forced to try and patch holes where they can. But the reality is that without coordination at the federal level there's little chance of success. It's a national problem that requires a national solution, but our response is only at local levels.