The harms described in this book are born of structurally instituted bias, neoliberal disinvestment in social support, and the building of an enormous carceral system. When individuals like Stephen Lloyd recommend that a person seeking treatment commit a misdemeanor to get access to drug court; when Cindy Jones reports her own child to the police in order to get him access to what little drug treatment exists in her own community; and when Nikki Brown is grateful for the drug court that gave her access to the support she needed, they are all three making choices within a set of systems defined by structural subordination. They are choosing in a context in which, all too often, care is more easily accessible proximate to or inside punishment systems, with all the risks and harms associated with that criminalization of care. Moreover, these structural realities are, as this book has argued, deeply intertwined with intersectional forms of bias.