Here is my interview with Nancy Sugg, MD, MPH, former medical director of the Pioneer Square Clinic, a Harborview Medical Center primary care clinic in downtown Seattle. She discusses her experiences working with people experiencing chronic homelessness as well as ‘the working poor’ (my term, not hers, and a historically problematic term–as in the ‘worthy poor’ versus the ‘unworthy poor’). She talks about her desire to practice “internal medicine with a twist,” taking into account not only people’s physical health but also behavioral health and the social inequities. Also, she describes Harborview’s development of a palliative care program for people experiencing homelessness and end-of-life care. The Palliative Homeless Team, the first of its kind in the country, consists of nurses and social workers aiding people in accessing more comprehensive care when they are facing terminal illness, and in having more dignity at the end of their lives.