Documents the nature and scope of forced labor in the United States from 1998 to December 2003. Examines numbers, demographic characteristics, and origins of victims and perpetrators of forced labor in the United States, and adequacy of the U.S. response to this growing problem since 2000, including legal response and implementation and enforcement of U.S. laws. The report is based on data obtained from a telephone survey of 49 service providers that have worked with or are expert in forced labor cases, a press survey of 131 incidents of forced labor, and eight cases studies of forced labor in different regions of the United States. There are also sections on health and medical consequeces of forced labor, and social and legal services and recommendations.