Well, you can either have human rights (non-authoritarian states who won't use the police to crack down on this behaviour) or clean public toilets. Of course Singapore for instance has the cleanest public toilets, but you can also pay a 2k fine for chewing gum.
See, while India is building public toilets and becoming more civilised, we, with this attitude, are moving in the opposite direction.
If we can manage to maintain a toilet in Russia and India, 1st world countries somehow cannot - that’s just a statement of social distinction.
> use them for shelters, or drug ingestion stations
I mean yes, dealing with that is the basic responsibility of running a toilet