I don't particularly care about the deteriorating conditions in San Francisco, Los Angeles, or Seattle any more.
Don't care at all.
The only logical conclusion that can be drawn is that the majority of voters in those districts are satisfied with such conditions. If they were not, why do they keep voting for a party (and political ideology) that not only does nothing to alleviate the problems, but actively promotes policies that exacerbate them?
They are getting "what they voted for".
And I believe that more of them then you might think are "happy with it all."