The problem, and why we will never get these programs, is that no one actually wants to put up the resources to help drug addicts. If you've actually talked to the gen-x population that has control over these cities, you'll find someone that likes to pretend they're an enlightened progressive hippie, that scoffs at southern and middle american conservatives, but is just as selfish and careless. They harbour deep resentment at having to pay so much in taxes, and sabotage any policy that could move resources away from them. This kind of hands-off policy is exactly the kind that the gen-x Hillary loving house wives can trick themselves into feeling good about, while not costing them anything substantial.