Yes, for Seattle a key issue is there is hardly any supporting services available for the mass of people who need it. There are just a lot of people needing services. Seattle also has a huge shortage of mental health treatment professionals. You can't just start working with one of them, you have to wait for months on a waiting list. There's not nearly housing at night.

So you have fentanyl, not much housing, not much treatment, not enough hospital space. People get addicted, at least some move here when addicted and then they are stuck.

It's also not just a seattle problem. Alaska has also been struggling with lots of deaths from drug abuse or overdose. Wasilla - https://alaskapublic.org/2023/04/10/troopers-warn-of-lethal-..., Anchorage - https://www.adn.com/alaska-news/anchorage/2023/07/27/anchora...