My immediate impression on arriving in Port-au-Prince, Haiti in June 2011 was that conditions remain desperate 18 months after the January 2010 earthquake. Bare subsistence living is the plight of nearly everyone; the great majority of people in Port-au-Prince lost loved ones during the collapse of buildings that occurred immediately after the quake began – this sadness lingers, along with the tent cities, barely-passable roads, and rubble.