Roxana is originally from Mexico, but was forced into slavery in the US performing sex work from the age of 14. In the US, the Trafficking Victims Protection Act of 2000 (TVPA), as amended, prohibits all forms of human trafficking, but there are still an estimated 57,700 people living in slavery within its borders. According to the Global Slavery Index, “The U.S. attracts undocumented workers, migrants, and refugees, who can be at particular risk of vulnerability to human trafficking upon their arrival and during their stay in the U.S. Research undertaken on vulnerable migrant labourer populations in San Diego, California, and in North Carolina suggests that these populations often include undocumented seasonal labourers who experience significant language barriers, cultural non-assimilation, and fear of deportation.” Here Roxana discusses how medical services she accessed while in slavery failed to seize opportunities to understand her situation and act appropriately to remove her from those who enslaved her. The US Department of Justice estimates that of the 14,500 and 17,500 foreign-born individuals trafficked into the US annually, some 80 percent are female, and 70 percent of these women end up as sex slaves. Feeder countries include Albania, the Philippines, Thailand, Mexico (many from the central region of Tlaxcala, a haven for modern-day slave traders), Nigeria, and Ukraine. Often the women are forced to work to pay off the debts imposed by their smugglers—debts ranging from $40,000 to $60,000 per person. They might perform 4000 acts of sexual intercourse each year to meet their quota, at $10 to $25 per act.

There are an estimated 403,000 people living in conditions of modern slavery in the United States (GSI 2018). The US attracts migrants and refugees who are particularly at risk of vulnerability to human trafficking. Trafficking victims often responding to fraudulent offers of employment in the US migrate willingly and are subsequently subjected to conditions of involuntary servitude in industries such as forced labour and commercial sexual exploitation. Santiago travelled from Mexico to the United States and was trafficked into forced labour in California when he was 21 years old. Without papers, Santiago was vulnerable. When he asked his employer for his salary, she called immigration and had him deported, then arranged for him to cross back and then kept him in debt bondage for the expenses of his journey.