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We go up to SF every 3-4 weeks and find it pretty unnerving each time.

The homelessness (mentally ill), open drug use, and theft/vandalism are pretty draining.

I lived for a long time in Cambridge/Boston and very, very rarely had any similar experience.

I mean, homeless people freeze to death if they stay in places like MA - is it really hard to think that CA with a far more temperate climate would see more homeless people?

In SF it can be quite cold too for outside. But drug addicts get ~800$ a month and easy access to drugs for being there.

10c is survivable with a good blanket for a long stretch (average Jan temperature)

-2c in MA is not (and it's often far colder than that)

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