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There's a compelling argument [0] that the biggest driver of homelessness is a shortage of housing. Mental illness and addiction can lead to homelessness, but homelessness can also lead to mental illness and addition. There are lots of places suffering severely from the fentanyl crisis, but where homelessness is less of a problem.

The solution may be simple, but it's not easy. (And it's not the entire solution either) Building large quantities of housing is a difficult problem, especially in California.

[0] https://www.theatlantic.com/magazine/archive/2023/01/homeles...




15% of the homeless in SF have a traumatic brain injury. That statistic means almost 1 in 5 right off the top need long term medical care. "Mere housing" won't do jack for those people.

Even more have mental health issues. Some have physical health issues. The number of homeless who are perfectly healthy and just need housing is vanishingly small--those homeless are generally hiding from someone and won't want to be part of a tracked program.

We know what needs to be done: long term healthcare that needs lots of money.

We know what happened in the past: those facilities were horror shows because of underfunding.

We know what the "solutions" were in the past: shut the facility down and throw those people out onto the streets and let the prision system deal with them.

The starting point for solving homelessness is universal healthcare. Nothing less. Without universal healthcare, everything else to "solve" homelessness is just rearranging the deck chairs.


If it was just a matter of house prices, why isn't California's homelessness solved by cheaper homes in Fresno or other parts of the state? I can't help but feel there's more to it than cheaper housing.




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