The 21st CENTURY ISN’T WORKING OUT AS I HAD HOPED: An Addiction Crisis Disguised as a Housing Crisis — Opioids are fueling homelessness on the West Coast.

The consequences of such denial have proved disastrous: no city on the West Coast has a solution for homeless opioid addicts. Los Angeles, which spent $619 million on homelessness last year, has adopted a strategy of palliative care—keeping addicts alive through distribution of the overdose drug naloxone—but fails to provide access to on-demand detox, rehabilitation, and recovery programs that might help people overcome their addictions. The city has been cursed, in this sense, with temperate weather, compounded by permissive policies toward public camping and drug consumption that have attracted 20,687 homeless individuals from outside Los Angeles County.

No matter how much local governments pour into affordable-housing projects, homeless opioid addicts—nearly all unemployed—will never be able to afford the rent in expensive West Coast cities. The first step in solving these intractable issues is to address the real problem: addiction is the common denominator for most of the homeless and must be confronted honestly if we have any hope of solving it.

What, and risk scaling back an ever-growing bureaucracy?