This policy report examines the scope of poverty and inequality in Buffalo-Niagara, the causes of poverty, and its impacts across health, homelessness, education, and more. It features the insights of testifiers and commissioners from the Buffalo Truth Commission on Poverty, convened on January 25, 2018 by the Coalition for Economic Justice, the WNY Poor People's Campaign, and the New York State Truth Commission on Poverty. The report concludes with solutions from the local to the federal level.