Maia Calloway welcomes me into her home in Taos, New Mexico. It’s a warm and calming space surrounded by high desert. Calloway was first diagnosed with multiple sclerosis (MS) at age thirty-three. In the nine years since then, she has experienced a steep decline, suffering from paralysis throughout parts of her body, debilitating episodes of pain, and cognitive and physical impairment. She needs full-time care.