San Francisco is currently deliberating on a new drug policy that emphasizes abstinence from illicit drugs, a proposal put forth by Supervisor Matt Dorsey as part of the “recovery first” approach. This initiative has ignited a heated debate among stakeholders, with concerns raised about potentially alienating individuals who may not be prepared to quit drug use, while others argue that the city’s current permissive stance on drug issues needs to be addressed. Mayor Daniel Lurie is focusing on addressing the fentanyl crisis as a key priority. The proposed policy shift in San Francisco reflects a broader national conversation on drug addiction and treatment strategies.