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Fielder went on to say that the biggest issue with arresting drug users is that the treatment infrastructure is weak. She said the city lacks a coordinated strategy that looks at drug use, mental illness and homelessness “holistically,” arguing the city needs beds, staff, case managers and health care coverage to make a significant change. “We’ve never really swung for the fences on those real solutions,” she said. Fielder pointed to a recent Budget and Legislative Analyst report on the Four Pillars model of Zurich, Switzerland, which she said San Francisco should “seriously consider”