This report may list two authors, but it profited from the contributions of many others, for whom we are grateful. The collection, organization, cleaning, coding, analysis and checking of data benefited from the efforts of Jennifer McDonald, Anthony Ward, Zachary Popovich, Rachel Rozenboom, Jason Tiezzi, Allan Hegedus, Harrison Weeks and Hannah So. Drs. Darwyyn Deyo and David Warren helped run the revised analysis. Lisa Bergstrom, Melissa LoPresti, David Losson, Marianne March, Kim Norberg and Nick Wolf assisted us in our search for people’s stories to highlight in the report. Tony Laudadio and Marshall Bellando provided literature and citation support. Lisa Knepper furnished helpful perspectives on the findings. Scott Bullock, Dana Berliner, Lee McGrath, Meagan Forbes, Jessica Poitras, Bob McNamara and Renée Flaherty provided feedback on the manuscript. Ben Field and Evan Lisull assisted with legal citations and proofing. Finally, Mindy Menjou’s direction and editing and Nathalie Walker’s design produced readable and engaging text.