It’s a complicated problem that requires many things to address. There are numerous studies on it. But criminalization is one of the least helpful things you can do. At every stage, criminalization makes it worse. It adds violence to the drug trade. It leads to an unsafe supply. It prevents people from seeking help in an emergency. Drug busts lead to more overdoses in the surrounding areas. It gives people a criminal history which prevents them from gaining employment, which massively reduces their chances of successful recovery. It creates a stigma, which prevents addicts from receiving the support they need to recover. Now this isn’t to say, you shouldn’t prosecute other crimes - robbery, etc., but you have to do more than just decriminalization.

That’s what SF struggles with. You need to provide addicts with a free, safe supply to stabilize the situation and prevent addicts from committing crimes to pay for their habit. Most illicit drugs are dirt cheap to produce. This would cost us a pittance. Then you need to provide support. Detox and maintenance drugs like suboxone. You need mental and physical healthcare. You need environments recovering addicts can live in, and then need to have a future. This means they need to be able to work. This is a big part. When felons can’t find work, things seem hopeless and they are very likely to relapse. We do everything we can in this country to set addicts up for failure. I honestly believe policy makers and law enforcement officials think the only good addict is a dead one. And we need a lot more research. I believe eventually, we can medically solve compulsive behaviors, but the incentives aren’t there right now.

And yes, all this would cost a lot of money. But we already pay and insane amount of money to not solve this problem. Law Enforcement consumes billions and billions. Billions of not trillions of dollars are funneled into the pockets of drug dealers. All the money lost due to adjacent criminal activity. And all the medical costs because we don’t help these people until it so bad that they are in crisis. Not to mention, you shouldn’t just ignore an epidemic because it is hard or expensive.

The problem in America is that we don’t want to address it. We don’t like to help people with “ugly” medical problems. We only like the good patients. Anyone with a disease that causes adverse social behaviors need to “help themselves”. Or at least they shouldn’t be allowed to be visible, even if it means they have to die.