"Skid Road: On the Frontier of Health and Homelessness in an American City" by Josephine Ensign is a narrative history, set in Seattle, which explores the intersection of safety net health care and homelessness. "Skid Road" deepens our understanding of the historical roots of poverty and homelessness, trauma and resilience, and the role of charity and safety net health care and public policy in King County. Informed by her own lived experience of homelessness, and many years providing primary health care to homeless people, Ensign will discuss this complicated issue.