I hear you.l. But the cit of SF gives out enormous numbers of needles ... hundreds of thousands per year. LA doesn’t give them out.
Actually, they do:
https://www.1degree.org/opp/get-clean-needles-for-free-homeless-health-care-los-angeles
https://www.cdph.ca.gov/Programs/CID/DOA/Pages/OA_prev_needle_exchange_syringe.aspx
https://www.cdph.ca.gov/Programs/CID/DOA/Pages/OA_prev_sepdirectory.aspx
https://laist.com/2018/08/03/oc_supes_vote_to_fight_needle_exchange.php
“Needle exchanges operate in neighboring Los Angeles and San Diego counties.”
So, yes, they do.