The 4 years I spent living in SF in medical school were some of the most miserable of my life, and it wasn't because of UCSF Med School. I fell in love with SF for some of the same reasons as the author of this article (vibrant diversity, beautiful weather and scenery, exciting shit to do), but the reality of the place was much the way he describes it. Diversity without connection, an underlying meanness everywhere, horrible public transport...oh, and the COST. I now live closer to Silicon Valley in suburbs and there's much more sense of community and friendliness. Hopefully San Francisco can fix its shit because it is truly one of the most beautiful places on earth and it's really tragic to witness its decline. https://noahpinion.substack.com/p/nobody-says-hi-in-san-francisco