Fantastic episode. Great to see Bruce Horak back.

I was a little thrown by the interactions between Sam and Kirk, and Una and Pelia. Their early scenes kind of felt pissy in a way you don't usually see in star trek.

I agree. It could also be read as an allegory for undocumented people - her family's fear of going to a hospital, for me, echoed the fear that many undocumented people feel around seeking help from any organization that might be affiliated with the government