This is exactly it. It's almost totally a non-issue. I see orange needle caps and the occasional needle, but these junkies aren't attacking everyone, in fact you can just ignore them. I walk around in a dress downtown and on cap hill with zero issues. Never been attacked, assaulted, nothing. They lay in parks on cardboard and trash, but...so? Are they doing anything illegal?

Comfortable salaried people love to make a big issue about it because Seattle isn't scrubbed clean to perfection and they see a mess every once in awhile, but really the city isn't bad at all and isn't full of rampant crime.