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Over 235,000 people couch-surf, stay in emergency shelters, or live on the street in Canada every year. But lack of housing security is just one barrier faced by people who are homeless. As A Complex Exile shows, the homelessness sector inadvertently reinforces social exclusion as well. The very policies, practices, and funding models that exist to house the homeless, promote social inclusion, and provide mental health care form a homelessness industrial complex. These practices emphasize personal responsibility and individualized responses that ultimately serve to exclude people in subtle and not-so-subtle ways. Erin Dej demonstrates that the causes of, and responses to, homelessness have become largely medicalized, limiting discussion on structural and systemic drivers such as income inequality, discrimination, and housing affordability. A Complex Exile goes beyond bio-medical and psychological perspectives on homelessness, mental illness, and addiction to call for a transformation in how we respond to homelessness in Canada.