Life in the US was a daily collision of all the accumulated injuries that had brought them there. Medical appointments were pointless if the patients never showed, and it took concerted effort to convince Salvadorans who were frantic to find work that their debilitating migraines or insomnia were physical manifestations of deeper emotional pain. In El Salvador, they might have been hunted by death squads and federal troops, but in San Francisco they lived under the threat of arrest and deportation. Juan recruited a team of Spanish-speaking

