Don't you forget about our obesity epidemic which for the first time in the history of mankind is related to poverty, our issues with drug addiction, culture of date rape, credit card debt, alcoholism in college, folks who hoard stuff at home out of loneliness, in-cell lifestyle, etc.
Hitler referred to us as a nation of pleasure seekers unable to rage war, he was proven wrong!
Do we lack the individual responsibility to do the right thing nowadays? As a gay man I'm proud we stood to the challenge and saved the world from Monkeypox when most of us abstained from hiring or free sex in the crucial months of June, July and August 2022. Now we have a pill to prevent HIV, for decades most of gay men behaved responsibly while others sadly took chances to get a bit more of pleasure.
As you point even a poor crowded country like the Philippines can teach as an example of how to deal with the issue of those who get in trouble, I'm sure there's some tough love involved in how the family helps those who need help.
San Francisco certainly is an extreme case, a case of "two cities" and must be addressed.
"If you think it can't be done (solved) step aside", Ronal Reagan