The series opens with a 1981 courtroom scene and the question behind it: how much of American homelessness is a health problem and how much a housing problem. The episode defines the vocabulary and scale, from the record 771,480 counted in 2024 to the first national decline in 2025, and sets up the puzzle that housing cost sets the scale while illness shapes who falls.
Terms like homeless and unhoused are disputed even among people with lived experience, and the Point-in-Time count almost certainly undercounts. Whether the 2025 dip is a turnaround or a blip is open, as is how far housing versus health should drive policy.