Survivors of trafficking: A safe place to live, care that heals, and a way forward.
About 28 million people were in forced labor worldwide in 2021. In the US, the national hotline identified 21,457 victims in 2025, far fewer than the people still unseen.
Ryan K. Hertel · heyitskenton
The problem
What we're up against.
Millions, in every kind of work.
An estimated 50 million people were living in modern slavery in 2021: 28 million in forced labor and 22 million in forced marriage. Migrant workers are more than three times as likely to be in forced labor.
A profitable crime.
Forced labor in the private economy makes $236 billion a year in illegal profits.
Most are never identified.
One estimate puts about 1.1 million people in modern slavery in the US, while the national hotline identified 15,085 cases in 2025.
Deep wounds to heal.
Around one in two survivors of sexual exploitation meet the criteria for PTSD, depression or anxiety.
What works
Proven, and ready to grow.
Housing built around survivors.
A federal report to Congress found the programs that serve survivors best are trauma-informed and centered on what survivors choose.
Services that show progress.
A review of 15 studies of services for survivors found moderate improvement on most measures after care, though every study measured people only before and after, with no comparison group.
Legal status, and a future.
The government granted T visas, which let survivors stay and rebuild, to 3,786 victims in a year.
Help that reaches thousands.
Justice Department grantees served 17,561 people in a year, with about $66.2 million in awards for victim services.
What a family could fund
Where the money goes furthest.
A year of safe housing and support.
A recovery program in Miami budgets $1,092,560 a year for about 30 survivors, with a crisis stay, then up to a year of rent help, case management and counseling.
Case managers.
Federal case management for survivors born in the US cost more than $4.4 million for 782 people.
Fill the gaps the caps leave.
Federal programs for survivors from other countries cap direct help at $6,000 a person. The government's own review calls services and safe housing inadequate.
Honest limits
What money can't promise.
The evidence is thin.
An earlier review found only six studies that qualified, most poorly designed, and substance use care, a common need, has barely been studied.
Raids can do harm.
In Mumbai, police raids pushed exploitation underground, leaving people more hidden and more vulnerable. Even in the US, some victims were still arrested for acts they were forced into.
The numbers are rough.
Hotline figures don't measure how common trafficking is, and federal agencies can't tell when they've counted the same person more than once.
Money can't speed the paperwork.
T visa applications took a median of 14.9 months to process.
Hard questions
Asked and answered.
You might ask
Aren't the numbers exaggerated?
Ryan
The large figures are estimates from surveys, not counts, and identified cases are far fewer. A chapter like this says both.
You might ask
If the evidence is thin, why fund services?
Ryan
Because the needs are concrete: housing far short of demand, and studies that, though weak, mostly show people improving. Funding can pay for real evaluation too.
You might ask
Could this money do harm?
Ryan
It could, if it went to raids or forced rescue. Voluntary, survivor-centered housing and care are the safer path.
In the slider
See what your fortune could do here.
Survivors of trafficking
The slider prices this cause with these numbers:
- About $36,419 gives one survivor a year of housing, case management and counseling: a Miami program's $1,092,560 budget for about 30 people.
- The whole need is the 21,457 victims the national hotline identified in 2025.
- One program's own budget, and not every survivor needs a year of housing. Far more people are never identified.
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Rainforests: Keep the world's rainforests standing, with the people who live in them.
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Famine and malnutrition
Famine and malnutrition: Bring severely malnourished children back to health.
A voice for everyone
A voice for everyone: A voice for everyone who can't rely on their own.
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Kids growing up online
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Nurse visits for new parents
Nurse visits for new parents: A nurse at the door in a baby's first weeks.
Reading and math for every child
Reading and math for every child: Every child reading, and doing math, by age ten.
Sickle cell disease
Sickle cell disease: A long life with sickle cell disease, wherever a child is born.
A home for everyone
A home for everyone: A key, and the help to keep the door open.
Young people leaving foster care
Young people leaving foster care: A real start, when foster care ends.
Trees that last
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Childhood cancer
Childhood cancer: Every child's chance, wherever they're born.
Mental health
Mental health: Someone to talk to, wherever you live.
Diabetes prevention
Diabetes prevention: Stop diabetes before it starts.
Safer steps for seniors
Safer steps for seniors: Strong legs, steady steps, more good years.
Solar for schools
Solar for schools: Turn the school roof into a power plant.
Local news
Local news: A reporter in every town that lost one.
Children's educational TV
Children's educational TV: Preschool through a screen, where there's no preschool at all.
Protecting elders from scams
Protecting elders from scams: Scams are run by professionals. Protection can be too.
Time with a new baby
Time with a new baby: Paid time at home, and a job to come back to.
Wheelchairs and hearing aids
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ALS
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Sports and play for every kid
Sports and play for every kid: A team, a coach and a place to play, whatever a family can afford.
Growing food
Growing food: Small farms, home gardens and school gardens that feed families.
Libraries and museums
Libraries and museums: Open doors, full shelves and a book in every child's hands.
Pavement into parks
Pavement into parks: A park within a short walk of every home.
Free community classes
Free community classes: Reading, English, cooking and moving together, free for every adult.
Safe houses of worship
Safe houses of worship: Security for every faith, in the form each congregation chooses.
Rhinos
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Cutting carbon
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Sources
Every number in this chapter, and where it came from.
Source 1: 50 million people worldwide in modern slavery (opens in a new tab)
International Labour Organization, 12 September 2022. Checked 16 October 2026.
Estimates from surveys, made with Walk Free and the International Organization for Migration.
Source 2: National statistics (opens in a new tab)
National Human Trafficking Hotline. Checked 16 October 2026.
Cases identified through the hotline, which Polaris runs. They are not a count of everyone affected.
Source 3: Annual profits from forced labour amount to US$ 236 billion, ILO report finds (opens in a new tab)
International Labour Organization, 19 March 2024. Checked 16 October 2026.
Source 4: Modern slavery in United States (opens in a new tab)
Walk Free. Checked 16 October 2026.
A modeled estimate for 2021, from the Global Slavery Index. It includes forced marriage.
Archives of Women's Mental Health, 17 September 2026. Checked 16 October 2026.
US Department of Housing and Urban Development, 21 March 2024. Checked 16 October 2026.
Trauma, Violence and Abuse, 28 October 2023. Checked 16 October 2026.
Source 8: 2025 Trafficking in Persons Report: United States (opens in a new tab)
US Department of State, 30 September 2025. Checked 16 October 2026.
The government's own account of the federal year that ended in September 2024.
The Florida Senate, 3 November 2025. Checked 16 October 2026.
The program's own budget, in a request for state funding, in Miami.
Source 10: TVAP and Aspire Evaluation (opens in a new tab)
U.S. Committee for Refugees and Immigrants, September 2025. Checked 16 October 2026.
An evaluation by the organization that runs the federal programs.
Trauma, Violence and Abuse, 8 February 2017. Checked 16 October 2026.
Journal of Evidence-Based Social Work, 31 May 2026. Checked 16 October 2026.
BMC Public Health, 28 January 2016. Checked 16 October 2026.