There are reforms that would fix the problems. But they are politically impossible to enact.
Moving to a city that already has a functioning society is something one person can do without permission. So people do.
Moving to a city that already has a functioning society is something one person can do without permission. So people do.
They all have something wrong with them, but only SF has it's unique set of problems.
So everyone has to figure out what tradeoff works for them.
To me the biggest flaw in SF is the institutionalized Nimby-ocracy and the resulting housing and homelessness crisis, which I think poisons most areas of society.
Texas seems like it has that side of society figured out. It has other serious problems, I know.