Helsinki is vastly different from San Francisco in many ways, which makes the comparison difficult. One obvious difference is the provision of universal healthcare in a coordinated and multidisciplinary approach, in order to care for the varying and often complex needs many homeless people require. Housing First is the merely the first step from which all other care follows. Unless San Francisco and society is prepared to provide something closer to what is delivered in Helsinki as a whole, then they may as well be pissing in the wind.