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Lots of this in big cites, from pills to meth to bath salts and everything else. Its true many users are not in alleyways but leading what appears to be a normal life. People know its bad and illegal and do it anyway and have been for a long time. Usually avoiding that crowd and lifestyle is enough to avoid problems.
I'm very concerned about the supply of drugs circulating through the city. I saw a man shooting up heroin in an ally way in china town the other night. I don't know who is brining drugs into the city but it's awful and definitely leads to QOL issues that escalate to violence.
The mentally ill homeless people on the subway bother me more than drug addicts.
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