I lived there for several years and got out, and it’s really nice to be living somewhere I know I won’t spend half the year with a little voice in the back of my head suggesting suicide as the solution to every other problem because I am tragically low on sunlight and vitamin D even with a 2’ square sun lamp and lots of pills, and I see the symptoms of the same shit in the friend I’m talking about who ended up there after SF’s insane rents pushed him out.
Sure we admire their ingenuity and hard-work ethic and how they recovered the land from the sea but that same energy probably could have been applied with more productive results somewhere else. Look what the Mormons have done with Utah. Maybe the Dutch could have done something similar with Montana (or even Minnesota). I'm certain they would have done a better job with San Francisco than we've done.
But on a brighter note, trust me, there’s a lot of great places in the US! Many people from around the world immigrate to America to make it and I think those who are lucky enough to be able to stay in America due to citizenships (just cause you happened to be born on American soil) or via the Visa lottery should be grateful for the opportunities that they have.
It's not an issue of building out, or even necessarily of building up, but just allowing and/or encouraging more building and allowing some building to replace existing low-density housing.
I've lived an hour North of SF my entire life. I've seen how housing policies affects SF as well as where I live (which is also very expensive, but not quite to the same level). People don't like to allow too much change into a neighborhood because it changes the nature of the community. News flash, so does allowing housing prices to double or triple over a couple decades. The only difference is that the existing land owners get to capitalize on that, so it's not just about change, it's also about people controlling the flow of benefits of an area to maximize their own benefits.