San Francisco is currently in the midst of considering a new drug policy that prioritizes abstinence from illicit drugs. Supervisor Matt Dorsey has put forth a proposal for a “recovery first” approach, which has ignited a heated debate within the city. While some express concerns that this approach may alienate individuals who are not yet ready to quit using drugs, others argue that the city’s current permissive stance on drug use is unsustainable. Mayor Daniel Lurie has made it clear that his primary goal is to address the alarming fentanyl crisis that is gripping the city. The proposed policy shift has brought to the forefront the complex and challenging issues surrounding drug use and addiction in San Francisco. It remains to be seen how this debate will unfold and what decisions will ultimately be made to combat the drug crisis in the city.