It's something I noticed myself in Vancouver at the end of my Alaskan cruse in 2019- junkies, homeless, traffic, and a general dinginess.
We took a city tour from the cruise ship to our airport hotel, and it's the first time I've ever seen people shooting up in public during the day.
I was shocked, and remember I've spent decades in a third world country and work with homeless people when in the USA.
Heck, I'll take the bad, narrow roads and half drunk, half exhausted PNG traffic, or even the aged, nearly blind Yankees of Central Florida over what you have.