“The Hotel Study: Multimorbidity in a Community Sample Living in Marginal Housing” by Vila-Rodriguez and colleagues is published in this issue (1). The study is a survey of 293 men and women who were living alone in substandard hotels in poor Vancouver neighborhoods. Over half these people were psychotic and half had neurological illnesses, often traumatic brain injury. Over 95% abused substances. They are forgotten people, often homeless, who rarely come to medical attention until they die. The article’s senior author is William Honer, chair of the University of Vancouver Department of Psychiatry. His department, the Canadian health funding agencies, and the Portland Hotel Society are to be commended for reaching out to hotel residents. When I was in high school, my family owned such a hotel in St. Louis and I worked there. Indeed, alcoholism, brain injury, psychosis, and social isolation afflicted these tenants. Our mother told us their stories and taught us to treat them with the respect that their previous lives deserved, not with disdain over their afflicted condition. December was difficult. We put up a tree in the lobby, which everyone admired, but as the holiday week came closer, sadness overcame them. Our attorney, one of the most prominent in the city in his day, drank more heavily. His law firm could not stop him from drinking, but in a month they would detoxify him once again because the judge demanded his appearance in a pending litigation. They would drop him at our hotel after the hearing, still dressed in a new three-piece suit, and he would pawn his clothing to resume drinking. One morning we found him singing with several similar men, downcast and drunk, but still using the remnants they remembered of holiday songs to cheer themselves. I could not comprehend then his life or his illness, and after a career in psychiatry I am not sure that I have come any closer. But I understand that there are lessons to be learned from such lives.