This supplementary statement was prepared by ten members of the Institute of Medicine’s Committee on Health Care for Homeless People, not in opposition to the committee’s report, Homelessness, Health and Human Needs, but from concern that the report is too limited in its discussion of the broader aspects of the issues it addresses. We endorse the report and its recommendations. We especially feel that the fact-finding efforts it embodies were thorough and thoughtful. But the report fails to capture our sense of shame and anger about homelessness, and it incompletely addresses the context in which all discussions regarding the health of homeless persons should be placed.