I just had a week long experience there and I found it to be surreal. I went in thinking "surely conservative media is exaggerating" and sure enough, I took a stroll from my conference at SVN down Market Street to a bar called Local Edition, and well, it was unfortunately as advertised. Rampant homelessness everywhere. Needles and feces on every other block, quite literally. I took pictures like a dumb tourist that I am and texted my spouse, "well what do you know it really is like this here, it's crazy, how can people put up with this?"