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[Ari]

Despite it's liberal reputation SF has multiple toilet issues specifically because more conservative views have prevailed. Any toilet system open-air enough not to get used to take drugs is considered too immoral to exist, most nice enough to pass moral muster get used to take drugs in and because safe consumption sites are also too immoral to exist so many users on the street are looking for a safe place to hit up. While there are public toilets and BART has been working to open more of their restrooms, one of the reasons for the infamous 'dirty SF streets' is this battle between public health and morality.