San Francisco is currently deliberating on a potential shift in its drug policy, with a focus on abstinence from illicit substances. The proposed “recovery first” approach put forth by Supervisor Matt Dorsey has ignited a contentious debate within the city. While some express concerns that the policy may ostracize individuals who are not prepared to cease drug use, others argue that San Francisco’s current leniency towards drug use is unsustainable. Mayor Daniel Lurie has voiced his determination to address the escalating fentanyl crisis. This proposed policy shift comes at a critical juncture as the city grapples with the challenges posed by drug abuse and seeks effective strategies to combat the crisis.