This chapter traces the rocky implementation of Gideon v. Wainwright between 1963 and 1973, continuing the Massachusetts case study begun in chapter 2 and also addressing developments in Philadelphia and other localities. Although states could technically comply with Gideon in a variety of ways (e.g. appointing private counsel case-by-case),many lawyers and reform organizations interpreted Gideon as a broader mandate to establish and expand institutionalized public defender offices. The Ford Foundation and the National Legal Aid and Defender Association (NLADA) embarked upon the National Defender Project, an ambitious nationwide effort. As a result of such efforts, the 1960s witnessed change and growth in public defender offices around the country. In Massachusetts, for example, the organization initially founded as a voluntary defender was converted from a private charity into a statewide public defender agency, hired dozens of new lawyers, and was soon handling tens of thousands of cases each year. Yet, criticisms quickly emerged that public defenders had overwhelming caseloads and resorted too often to plea bargaining, rather than trial advocacy. Reformers diagnosed a new problem, the “indigent defense crisis” that persists today.