Avery Ellfeldt

In 1968, when Janie Bush was 19 and discovered that she was pregnant, she decided to put her baby up for adoption.

But nine months later, when Janie's daughter — whom she named Tracey Jane — was born with spina bifida, a potentially fatal birth defect, the planned adoptive family backed out.

Janie couldn't afford the expensive specialized care that Tracey's condition required. A social worker told Janie that her daughter might die if the child didn't receive appropriate medical care and that a state residence might be her best option.