San Francisco Homeless Insider Tells All
Why progressives defend and finance open drug scenes
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In my new book, San Fransicko, I describe why progressives create and defend what European researchers call “open drug scenes,” which are places in cities where drug dealers and buyers meet, and many addicts live in tents. Progressives call these scenes “homeless encampments,” and not only defend them but have encouraged their growth, which is why the homeless population in California grew 31 percent since 2000. This was mostly a West Coast phenomenon until recently. But now, the newly elected progressive mayor of Boston, Michelle Wu, has decided to keep open a drug scene at Mass and Cass avenues, even though it has resulted in several deaths from drug overdoses and homicides.
Progressives defend their approach as compassionate. Not everybody who is homeless is an addict, they say. Many are just down on their luck. Others turn to drugs after living on the street. What they need is our help. We should not ask people living in homeless encampments to go somewhere else. Homeless shelters are often more dangerous than living on the street. We should provide the people living in tents with money, food, clean needles, and whatever else they need to stay alive and comfortable. And we should provide everyone with their own apartment unit if that’s what they want.
But this “harm reduction” approach is obviously failing. Cities already do a good job taking care of temporarily homeless people not addicted to drugs. Drug dealers stab and sometimes murder addicts who don’t pay. Women forced into prostitution to support their addictions are raped. Addicts are dying from overdose and poisoning. The addicts living in the open drug scenes commit many crimes including open drug use, sleeping on sidewalks, and defecating in public. Many steal to maintain their habits. The hands-off approach has meant that addicts do not spend any amount of time in jail or hospital where they can be off of drugs, and seek recovery.
Now, even a growing number of people who have worked or still work within the homeless services sector are speaking out. A longtime San Francisco homeless service provider who read San Fransicko, and said they mostly agreed with it, reached out to me to share their views. At first this person said they wanted to speak on the record. But as the interview went on, and the person criticized their colleagues, they asked to remain anonymous, fearing retribution.
Why “Housing First” Failed
The main progressive approach for addressing homelessness, not just in San Francisco but in progressive cities around the nation, is “Housing First,” which is the notion that taxpayers should give, no questions asked, apartment units to anyone who says they are homeless, and asks for one. What actually works to reduce the addiction that forces many people onto the streets is making housing contingent on abstinence. But Housing First advocates oppose “contingency management,” as it’s called, because, they say, “Housing is a right,” and it should not be conditioned upon behavior change.
But such a policy is absurdly unrealistic, said the San Francisco homeless expert. “To pretend that this city could build enough permanent supportive housing for every homeless person who needs it is ludicrous,” the person said. “I wish it weren’t. I wish I lived in a land where there was plenty of housing. But now people are dying on our streets and it feels like we’re not doing very much about it.”
The underlying problem with Housing First is that it enables addiction. “The National Academies of Sciences review [which showed that giving people apartments did not improve health or other life outcomes] you cited shows that. San Francisco has more permanent supportive housing units per capita than any other city, and we doubled spending on homelessness, but the homeless population rose 13%, even as it went down in the US. And so we doubled our spending and the problem got worse. But if you say that, you get attacked.”
How did progressives, who claim to be evidence-based, ever get so committed to Housing First? “Malcolm Gladwell’s [2006 New Yorker article] “Million Dollar Murray,” really helped popularize this idea,” the person said. “But it was based on an anecdote of one person. It works for who it works for but is not scalable. [Governor] Gavin [Newsom] made a mistake [as San Francisco’s Mayor 2004-2011] which was that we stopped investing in shelter. But that’s because all the best minds were saying, ‘This is what’s going to work.’”
One of the claims made defenders of the open drug scenes is that people who live in them are mostly locals who were priced out of their homes and apartments and decided to pitch a tent on the street. In San Fransicko, I cite a significant body of evidence to show that this is false, and that many people come to San Francisco from around the U.S. for the city’s unusually high cash welfare benefits, free housing, and tolerance of open drug scenes.
The insider agreed. “People come here because they think they can. It’s bullshit that ‘Only 30 percent [of homeless] are from out of town.’ At least 20,000 homeless people come through town every year. Talk to the people on the street. There’s no way 70 percent of the homeless are from here. I would guess it’s fewer than 50 percent. Ask them the name of their high school and they guess, ‘Washington? The one around the corner?’ But you can’t even talk about that without being called a fascist.”
The people living on the street suffer from serious addiction, this person said. “During the first point in time count [census of homeless population] in 2007, one-third had a disability, mental illness, or addiction, while last time, it was over two-thirds. The population fundamentally changed, whether from the drugs, or the time on the street. It doesn’t matter because a lot of the problems on the street are drugs-related. Neither San Francisco nor any other municipality can solve the housing policy without changing federal policy.”
Life in the open drug scenes is brutal, this person confirmed. “Most homeless encampments are not communities but have paper-thin relationships based on their disease. It’s hard to have healthy relationships when you’re just trying to keep your head above water because you’re so dope dependent.”
What San Francisco and other progressive cities are doing isn’t working. “People in those encampments have food brought to them, port-a-potties brought to them, and all they need to do is put drugs in their arm all day. They get really really sick and they die. Portugal didn’t make it so you can do whatever you want. The consequences of your action are treatment driven, but there are consequences. Here there are no consequences. And so we make it worse.”