In postsocialist Ukraine, with privatization and the scaling back of the social safety net, it is primarily women who have been left as leaders of service-oriented NGOs and mutual aid associations, caring for the marginalized and destitute with little or no support from the Ukrainian state. Sarah D. Phillips follows 11 activists over the course of several years to document the unexpected effects that social activism has produced for women: increasing social inequality and differentiation in the form of new cultural criteria for productive citizenship and new definitions of the rights and needs of various categories of citizens.