Abstract: a p r o d u c t of so many people and so much labor beyond myself.I cannot begin to thank them for all the support they have given me.Here is an insufficient attempt.First and foremost, the book would not have been possible without the people whose story it tells.This is your story, and I hope I did some justice to it.I wanted to depict the pain that you, as well as countless others, go through daily as a result of a broken system that promises so much but offers little to so many.I only hope that writing this book can put the spotlight on it.I want to thank Sharad Chari, Murray Low, and Claire Mercer for setting me on the path toward a research