You are 100% seeing only cherry-picked images. Fox News loves to screech that coastal cities are dangerous and a disaster zone, and it's pure propaganda. The truth is that lots of cities in the US have a homeless problem, the ones that don't are because they get too cold in the winter, because of medical debt mainly.
I've traveled around the US a ton, and often the problem areas are a few blocks of a city, not entire cities like Fox loves to say. The US could solve the problem by investing in harm reduction and housing.
Fentanyl is a huge problem, obviously, but as you said, it was caused by Purdue breaking laws and now we all have to deal with it. The lack of consequence is honestly heart-breaking for the harm they've caused.