Williams illuminates, through memoir, interviews, and mixed media illustrations the extreme failures of the US healthcare system to address chronic pain. These failures are especially common for patients of color, patients who struggle with addictions, patients who are queer or survivors of assault and trauma. If you had any illusions that the systems of medical care are working in this country, shed them now. This book is half cathartic, half infuriating to read. I really appreciated the honesty and vulnerability of the interviewees and the trans and nonbinary inclusiveness of the language surrounding pain tied to the reproductive system.