[osdiab]

I do believe city governments play an enormous role in these issues; the most obvious is the ridiculous and convoluted process for housing approvals in SF that has made it impossible for the city to come even close to providing adequate housing supply for the people that wish to live there, driving housing costs through the roof; coupled with the incessant stonewalling of any housing and transportation construction by municipalities across the Bay. Plus the fact that people dedicated to perpetuating this atrocious system keep getting elected to the the SF Board of Supervisors, no thanks to young people who would benefit from competition failing to show up to the elections.

But I also place a lot of blame on state policies too - CA Prop 13 is a cancer on the whole state, incentivizing land owners to fight tooth and nail to prevent progress. I'm glad that Scott Wiener got elected, though, as he's been making solid progress at the state level to rectify these issues.

The roots of these problems are not broadly federal in my opinion and, while they certainly can help, there's a lot of work to do at the city and state level that are achievable with a small number of dedicated people - if only they cared.

Neither would I just blame the sorry state of US cities on inadequate mental health care - while healthcare broadly certainly should be better, I'm in Japan where mental health awareness is relatively speaking in the stone age compared to SF, and that hasn't resulted in the level of human tragedy you experience viscerally by existing for 5 minutes in any of the US's major metropolises. Part of the reason for that is I can get my own apartment without roommates 15 minutes from the center of Tokyo for $600/mo, largely because the local government here actually does things to make it livable (and it's not just here, it's practically everywhere besides US cities).