As productivity goes up in some areas of the economy, the relative cost of dealing with social problems goes up. Doctors, nurses, social workers, police - these professions are essential but not very scalable.

You would expect that as you grow the economy, you have more resources to deal with homelessness, violence, drug addiction etc, but paradoxically the exact resources needed to address these problems are getting relatively more expensive every year compared to other goods.

I expect these problems should keep "getting worse" in dollar terms as broader productivity increases.