The idea of arresting San Francisco drug users to "force them into treatment" only makes sense if you willfully ignore the fact that there's a waiting list for people that voluntarily want to go into treatment.🤡

We have 💰 to pay cops overtime to arrest, but not Drs to treat, addiction.

About 2 people overdose in San Francisco a day. The wait list for treatment is too long. People die on that wait-list. They are begging us for help.

But instead of helping, we promise rich people that step past them on the way to our luxury lives, that the city will arrest them.

I promise you, I hate seeing homeless people, and drug addiction, and feces on the street, and prostitution, and desperate Narcan attempts that don't always work, as much as you do

But I focus my hate on the systemic problem, not the people suffering under these awful conditions.

Again, for my Wharton, GSB, HBS, Sloan friends, empowered with your MBAs...

There is no credible model you can build that shows that it's more cost effective to arrest drug addiction than treat it. 🤷🏿‍♂️

Even if we have zero empathy, treating addiction makes more fiscal sense.

Increasing the brutality handed out to unhoused people is performance art to satisfy our blood lust.

We're sad that the city is losing revenue because offices are still empty. But that truth is awkward.

So we scapegoat people suffering from addiction. Someone must be punished.

*looks at graph of BART ridership down 30%*

*Looks at graph of retail foot traffic down 40%*

*Panics*

*Looks left, looks right, sees homeless person minding their business*

Shouts "You did this! Officer! Arrest this man! He ruined San Francisco!"

@mekkaokereke Cities across the us have seen homeless populations explode in the last 10 years. I'm convinced that the skyrocketing cost of housing is a root cause. Yes, drug use is prevalent among the homeless, but people with substance issues are going to be among the first to lose the battle with escalating housing costs, not to mention that people in misery turn to drugs as an escape. Our leaders have allowed the housing market to be turned into a casino and that needs to stop.

@gneilyo @mekkaokereke
Drugs is not a cause, drugs is a symptom. When you are poor ass f... and you have no where to sleep or to participate? Then feeling good for a few moments can be an escape you find hard to fight.

Not talking about recreational or party drugs here, very different substances.

That and we probably have a HUGE influx from the opioid crisis thanks to the Säcklers.

@mekkaokereke Similar with "send them all to jail!" - I mean, sure, but just doing the bed and food bit with someone to make sure they're doing ok, maybe some educational/training facilities, is a lot cheaper than full jail.
@mekkaokereke Well, now you've got me wondering how much tech return-to-office policy is driven by people who don't want to walk alone past a homeless person to get into an office.
@mekkaokereke The number of ways the city, state, and general population aggressively miss the point and avoid actual solutions is deeply depressing sometimes.
@mekkaokereke I've been to SF just the once (a short lived, misguided attempt to work for a US firm). I saw a policeman pull a gun on a homeless man for the crime of walking toward a parade (no house? No performative joy for you!).
The first thing I heard after stepping off the plane was two tech bros on the BART talking about their favourite places to go and laugh a homeless people
A beautiful city overrun with awful people.

@tmcfarlane @mekkaokereke
Lived in Oakland for a while. Seriously give me Oakland over SF everyday of the year. Good community, in general nicer people and while yes.. poorer, far more welcoming and kind.

SF was just.... a huge tourist trap with so much money that they didn't know what to do with it. Of course the people living there also were afraid of EVERYTHING.

Where as in Oakland, people were just trying to get by. Between a corrupt police force and gang related crimes.

@mekkaokereke one thing that always baffles me alcohol and tobacco can get health support and treatment ... makes no sense to not do this for other addictive substances

@mekkaokereke If we were to start taking care of people, "if you don't work, you starve" would stop being true, and then wage slavery stops working.

Fairly shortly after that, the rich aren't rich. (Certainly not in the "I don't pay taxes" sense; hopefully not at all.)

As you probably know, this is why the economic argument doesn't work; the point is not to maximize the return on public spending, the point is to guarantee obedience.

@graydon @mekkaokereke
The personally significant sense in which the rich would *instantly* stop being socially The Rich, even without losing their disparity of purchasing power, is there would be no The Poor who had to take them seriously and kiss their butt or else.

@mekkaokereke
In Oregon, we passed a law to decriminalize drugs. However, they didn't set up a system to take care of them. So now, people are screaming about how the mostly homeless addicted folk are roaming the streets and the police are not doing/cannot do anything about it.

I supported / still support the decriminalization,. I have also noticed many more homeless people, trash and graffiti. The race is on for setting up support for these individuals and the repeal of the law.

@mekkaokereke
The way conservatives and neolibs talk about these issues, you'd think they were all lifestyle choices that people willingly made and not that society has utterly failed so many people.

Of course, that's to be expected when they have absolutely no desire to address the underlying problem. They have to act like these are personal failures, that it's not something that could happen to each and every one of us through no fault of our own.

@jargoggles @mekkaokereke They are absolutely willing to think of drug addicts as victims of a system if those drug addicts are white people living in rural areas and hooked on pain killers.

That attitude has very little to do with drug addiction and much more to do with racism, xenophobia, etc.

@mekkaokereke YES. Anything else is cruel. If you don't like seeing unhoused people then the right (only) answer is to find houses for them!

@mekkaokereke Exactly, and if these (almost always rich/petty bougie) people just hated seeing homeless/poor people suffering, they'd support universal basic income, more money for medical treatment including harm reduction with legal safe supply for addicts, and housing for all + housing first.

They just hate *poor people as people*, though and are chomping at the bit for another group to be eliminationist toward, because their fascist death-hunger won't stop. Ever.

@mekkaokereke there's a "joke" that used to go around fundamentalist Christians about two of them on a high ledge and each one keeps passing various social and doctrinal "checks," until at the point of "I'm thrice-reformed born again third-split Southern Baptist," the other screams "I'M POST-BAPTIST" and shoves him off the roof.

In a way, that was a deep insight into what Christofascism (and fascism in general, and by extension all the other bigotries) is, and *why* it's a constant roulette wheel of grievance and moral panic and hatred.

That people with privilege (white especially, but also cis male, also straight, also at least "middle management class," born here, etc etc) are trained to hate, to fear, to eliminate *everyone and everything but themselves* and immediately invent a reason for it.

And the uptick in classism is that and the next thing the professional hater class will pick once they're done with those of us who are trans

@mekkaokereke

damn, what do you want?
gotta fight the war on drugs

/sarc

it is a public health crisis and fighting it as a war is stupid beyond belief

take the billions wasted every year on an unwinnable war and pour it into health care

@griff @mekkaokereke I maintain it’s not a drug crisis so much as a poorly managed pain (physical and emotional) crisis.

So a public health crisis, but one we can’t solve so long as we’re facing the wrong direction.

One of the moments that sticks with me was turning a corner in Lucerne, Switzerland ~30 years ago and seeing a needle exchange with a few people using. Clean, calm, and utterly unlike US cities.

@deirdresm @griff @mekkaokereke yeah forget trying to get people off drugs, do what Portugal (I think?) pioneered and Switzerland adopted as one of the first, simply because it's cheaper

free prescriptions for addicts. then put competent social workers at the same place addicts get their daily shot, to help them fix their lives: housing, job, life stability in general. convert your addicts into tax payers!

treat the addiction like any other medical condition that requires life-long medication

@deirdresm @griff @mekkaokereke for the really hard drugs most never mange to get off them. some try, when they're in a really good spot in their life overall, but it stops being the primary goal

which also means your backlog wait list for treatment facilities becomes a lot less of an emergency issue. since you fixed the OD issue already by giving addicts high-quality long acting substances that they consume with emergency help right there

oh also crime disappears

@sima @deirdresm @griff @mekkaokereke

If people get help when they need it, how are Americans going to live in fear of their workplace?

You lose your job, you lose your entire life.

Without that feeling of desperation how are you going to get up for work in the morning?

If you're not scrabbling away at your jobs then you might have time to reflect.

As soon as THAT happened in lockdown there were _literal riots_. Nothing happened to Floyd or Taylor that was new. :(
It's straight up grim.

@sima @griff @mekkaokereke I’m reminded of the guitarist who said his band mate was a stable, long-time heroin user, and that said band mate spent less on smack than he spent on guitar pedals.
@sima @mekkaokereke @griff @deirdresm crime that only existed because self-medication was criminalized and thus had the price driven up.
@normakrautmeyer @sima @mekkaokereke @griff @unixmercenary calls that the “Drugs without major corporate sponsorship” problem.
@sima @mekkaokereke @griff @unixmercenary @deirdresm even with corporate sponsorship many people have no practical access to pain care.

@normakrautmeyer @sima @mekkaokereke @griff @unixmercenary Oh, I know. We have a friend who’s a pharmacist who thinks Adderall and opioids should be banned. ADHD is too little dopamine, like Parkinson’s is, but no one’s asking that group not to have meds.

(See also my previous rants about opioid refills. Sigh.)

@sima @deirdresm @griff @mekkaokereke

Yep. You want to wipe out all drug dealers, illegal funds and related burglaries and crime. Make illegal drugs free to users without criminal consequences. Kills the market.

Somehow ‘immoral’ so it doesn’t happen. It also goes against the US slave trade of getting black people into prisons and having them making clothes.

@griff @mekkaokereke the War on Drugs is over.

Drugs won, and it wasn't even close.