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foglight's avatar

I've worked as primary care clinician in a "homeless clinic" in San Francisco for close to 30 years; a friend has worked in a similar clinic in Boston for the same length of time. Our jobs are not so different. I find it puzzling that people write essays & books trying to understand American homelessness without simultaneously analyzing American "billionaire-ness." It's all part of the same problem. Talking about the poor without simultaneously touching on the mega-rich & the hollowing of the middle class is like the blind man talking about the elephant's tail while ignoring its ears & tusks. Nick, you have lots of experience with side-by-side extreme wealth & extreme poverty in developing countries. I'd be more interested in your reflections on what you've seen there compared to what you're noticing here in the US, than in your commentary on the superficial differences in homelessness on east & west coasts.

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susan hubbard's avatar

It isn’t so difficult as it has been made out to be. When the cities on the West Coast decided to offer ever more services and to stop policing petty crime and drug crimes, the homeless population ballooned overwhelming those efforts. Yes, the climate is more moderate, but that isn’t the reason. The reason is well intentioned but ineffective solutions have backfired at the same time that cities like Seattle and Portland have seen their longtime leaders bow out and replaced by ideologues with few, if any practical solutions. Allowing park camping, wanton vandalism, petty theft and the drug trade to go on unabated is killing these cities.

It’s tragic because Portland and Seattle’s once had livability that was envied by tourists and cherished by locals. No more. Still possessed of much natural beauty, the once vibrant downtown in each place is very different today. Failure to favor the interests and concerns of the majority in misplaced notions of so called “compassion” only increased the numbers of, and misery and suffering of, the homeless, mentally ill, and addicted. Businesses have been done in by the burden of protecting themselves from crime, and cleaning up after the street denizens, and have thrown in the towel.

Effective leaders are scarce, and those who try are quickly labeled by every distasteful name in the extreme lexicon, jeered at, and pretty much run out of office. No wonder few put themselves forward.

Without better, more effective leaders, and more civic engagement by the citizens, nothing will change. It’s easier to blame “the rich”, or “the system” or “end stage capitalism” than it is to get involved in solutions and leadership.

That’s heartbreaking, because without the involvement of the people who complain about the conditions in the parks, or the petty crime in the neighborhoods, or the drug use and vandalism but do nothing else, nothing will change. But those people need a defined call to action, and something to coalesce around to be effective….and that takes leaders. Leaders with guts, determination, and the ability to communicate a clear set of desired actions.

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