So you have fentanyl, not much housing, not much treatment, not enough hospital space. People get addicted, at least some move here when addicted and then they are stuck.
It's also not just a seattle problem. Alaska has also been struggling with lots of deaths from drug abuse or overdose. Wasilla - https://alaskapublic.org/2023/04/10/troopers-warn-of-lethal-..., Anchorage - https://www.adn.com/alaska-news/anchorage/2023/07/27/anchora...
How many productive members of society does it take to support each drug addict? Should there be any calculation, or should we say "whatever it takes"?
More realistically smaller total staff than 20 dealt with 3,800 addicts in an 18 month trial a decade and a half ago with benefits to the community (reduced expenses from deaths, overdoses, central record keeping, etc) that were considered worthwhile to keep such centres going until the present day.
https://news.ycombinator.com/item?id=38608095
FINAL REPORT OF THE EVALUATION OF THE SYDNEY MEDICALLY SUPERVISED INJECTING CENTRE
https://www.drugsandalcohol.ie/5706/1/MSIC_final_evaluation_...
might be of interest to some.
“Give me your tired, your poor,
Your huddled masses yearning to breathe free,
The wretched refuse of your teeming shore.
Send these, the homeless, tempest-tost to me,
I lift my lamp beside the golden door!”
Rather I think the problem is that half assed decriminalization efforts simply aren’t enough and that drug overdose has become a much more severe issue because of the opioid epidemic and the proliferation of fentanyl. What needs to happen for decriminalization to work is much better social support for addicts, including safe use sites staffed with nurses, free health care for addicts including detox hospitalization and substance abuse treatments, social housing including housing specifically for recovering addicts and active addicts. In addition full legalization and regulated drug markets (preferably via pharmacies with a strict non-profit motive) wouldn’t hurt either.
What Seattle has done is basically just decriminalization without any of the support needed to go with it. Yes we support addicts and spend a lot of money on their care, however these are all suffering from austerity and are often just post-hoc measures (which often cost more in the long run).