Silicon Valley's economic inequality is stark: the bottom 50% hold less than 1% of wealth, while the top 10% control 75%. San Jose is among the most expensive U.S. cities, requiring over $460,000 annual income to afford a home. Hispanic workers earn 33 cents per dollar compared to white workers, with rent consuming nearly all of their income. The region faces severe housing shortages, needing 8,000 new units yearly versus a peak of 1,700. The Pain Index informs local policies addressing these disparities.