Affluent Seattle has one of the highest numbers of unhoused people in the United States. In 2021 an estimated 40,800 people experienced homelessness in Seattle and King County during the year, not counting the significant number of "hidden" homeless people doubled up with friends or living in and out of cheap hotels. In Skid Road Josephine Ensign uncovers the stories of overlooked and long-silenced people who have lived on the margins of society throughout Seattle's history. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health and social needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Through extensive historical research, Ensign pieces together the lives and deaths of those not included in official histories of the city. Drawing on interviews, she also shares a diversity of voices within contemporary health and social care and public policy debates. Ensign explores the tensions between caregiving and oppression, as well as charity and solidarity, that polarize perspectives on homelessness throughout the country.

A compelling look at the historical roots of poverty and homelessness, the "worthy" and "unworthy" poor, and the role of charity health care and public policy in the United States. Home to over 730,000 people, with close to four million people living in the metropolitan area, Seattle has the third-highest homeless population in the United States. In 2018, an estimated 8,600 homeless people lived in the city, a figure that does not include the significant number of "hidden" homeless people doubled up with friends or living in and out of cheap hotels. In Skid Road, Josephine Ensign digs through layers of Seattle history-past its leaders and prominent citizens, respectable or not-to reveal the stories of overlooked and long-silenced people who live on the margins of society. The sometimes fragmentary tales of these people, their lives and deaths, are not included in official histories of a place. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Drawing on interviews and extensive research, Ensign shares a diversity of voices within contemporary health care and public policy debates. Informed by her own lived experience of homelessness, as well as over three decades of work as a family nurse practitioner providing primary health care to homeless people, Ensign is uniquely situated to explore the tensions between caregiving and oppression, as well as charity and solidarity, that polarize perspectives on homelessness throughout the country. A timely story in light of the ongoing health care reform debate, the affordable housing crisis, and the COVID-19 pandemic, the stories from Skid Road illuminate issues surrounding poverty and homelessness throughout America.

At the beginning of the homelessness epidemic in the 1980s, Josephine Ensign was a young, white, Southern, Christian wife, mother, and nurse running a new medical clinic for the homeless in the heart of the South. Through her work and intense relationships with patients and co-workers, her worldview was shattered, and after losing her job, family, and house, she became homeless herself. She reconstructed her life with altered views on homelessness-and on the health care system. In Catching Homelessness, Ensign reflects on how this work has changed her and how her work has changed through the experience of being homeless-providing a piercing look at the homelessness industry, nursing, and our country's health care safety net.