San Francisco is currently deliberating a new drug policy that emphasizes abstinence from illicit substances. Supervisor Matt Dorsey has introduced the “recovery first” approach, which has ignited a contentious discussion within the city. Critics are concerned that this policy may isolate individuals who are not prepared to cease drug use, while some argue that San Francisco’s current leniency has exacerbated the fentanyl epidemic. Mayor Daniel Lurie is determined to address the escalating crisis. The proposed drug policy is a response to the pressing need for a comprehensive strategy to combat drug abuse and its associated challenges in the city. It reflects a shift towards prioritizing recovery and rehabilitation as key components of addressing substance abuse issues. The debate surrounding this policy highlights the complexities and differing perspectives on how best to tackle drug addiction and related problems in San Francisco. The outcome of these deliberations will have significant implications for the city’s approach to drug policy and public health initiatives.