The dead have been pulled out of the rubble of the garment factory in Bangladesh. And while many of the retailers in the U.S. are trying to avoid any new regulations, the survivors are coping with a very brutal future.

The future is ugly:

Nearly a month after one of the world’s worst industrial accidents—which claimed the lives of more than 1,100 people, most of them female garment workers—survivors with debilitating injuries are facing an uncertain future.

More than 1,800 people were hospitalized after the accident, with scores requiring intensive care. At Enam Medical College and Hospital, near the disaster site, doctors performed more than 300 major surgeries on the wounded, hospital officials said.

Compensation plans remain unclear. Most have received free treatment in hospitals. But rehabilitation can be lengthy and expensive—posing a major burden in Bangladesh, where the social safety net is weak and individuals must pay most medical costs.

For the more than 30 people who officials said lost limbs, the road back to health and economic security is likely to be especially daunting. The disabled face discrimination and dimmed marriage prospects. They also face difficulty in finding work—especially in garment making, the one industry with a lot of jobs to offer in Bangladesh, despite its history of danger.

And they will be forgotten is my hunch