> I'm sorry that most places you don't need to worry about stepping over needles and human excrement in the streets.

SF isn't the Bay Area. Traditionally SF wasn't considered part of Silicon Valley at all (these days depends who you talk to and when and where they got immersed here).

> I've lived in a number of different places in the country and the Bay Area is hands down the worst

I somewhat don't actually like the Bay Area TBH. Every few years I look into leaving. I go through all possible options and their pros and cons and, depressingly, every time I find that Silicon Valley is still the best place in the US.

It's not any one thing, but I have not found any place that is either ok or reasonably good about everything without having any terrible deal-breakers.