Monday, July 14, 2014

Fundraising Announcement

Photo of a hand held palm up, with a cartoon green dollar sign above it
After much thought, I have decided to join the Amazon Affiliate program, in order to help me support and expand Disability Thinking. If you buy any products from Amazon.com, using links from this blog, I will get a small percentage of the proceeds. To kick things off, I have added a menu of “Recommended” items to the right-hand sidebar … including ten of my favorite books and DVDs related to disability. From time to time, I will also post product reviews that I hope will be interesting to read, and will also include links to purchase through Disability Thinking.

Blogging isn’t expensive, but it has a cost, and some day soon I hope to add some features that definitely carry a higher price tag. I would greatly appreciate any purchases you make through Disability Thinking!

"Shared Abilities" Blog Post

Shared Abilities logo
I have a new blog post up at Shared Abilities"Could You Design a Better System?” Do check it out, and leave your ideas!

"Freakshow" Trailer


I'm looking forward to the next American Horror Story … Freakshow, because I am anxious to find out whether Ryan Murphy and his excellent troupe of actors manage to mix some humanity in with what I am sure will be plenty of gaping at freaks. I’m not optimistic, but you never know ...

Sunday, July 13, 2014

Photo Of The Day

Vintage black and white photo of a young man in a dark business suit sitting posed in a old-fashioned wheelchair

The Thing About Social Security Disability ...

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Take another look at those charts I posted about yesterday.

I wrote about this last fall when both 60 Minutes and NPR did stories about how Social Security’s Disability rolls are, supposedly, out of control, stuffed with hard-luck cases turning to Disability for want of anything else to do. Aside from the fact that there are a dozen complex reasons why more people are on Disability than there were a few years ago … still only a fraction of Americans who have disabilities … these stories and the more recent “concerns” assume things about employment and Social Security Disability that don’t stand up to deeper thought:

- The idea that there is a job out there for everyone, and that if you don’t have a job, it’s because you aren’t trying hard enough.

- That if we could somehow drastically narrow the entry gate for Social Security Disability so that only the “really" disabled could get it, all the people cut out would just get jobs or, somehow, find other benefits.

- The notion that there is some common sense, obvious difference between “truly” disabled people … who are sympathetic, honest, and deserving of help, and the sad-sack, inadequate, possibly lazy, and not really disabled losers who use Disability, cynically, because the system allows them to.

There are other issues involved, some of them legitimate and worth careful, thoughtful study. For instance, there are still disincentives to working for people with disabilities on benefits who want to work and have the potential, and not enough people know about the work incentives that are already available.

I’m afraid that instead we will get hysteria and shaming, plus a noxious dose of “divide and conquer”, as “real” disabled people are encouraged to resent the “fake” disabled … people with chronic pain and fatigue, learning disabilities, psychiatric conditions, workplace injuries that won’t heal but aren’t immediately visible, and of course older people with any number of chronic conditions who also happen to have lost their jobs and can’t find new ones.

Meanwhile, only a very few brave advocates and politicians are willing to propose the novel idea that maybe the rise in need means we should be spending more on Disability. Maybe … just a thought.

Weekly Wrap-Up

Saturday, July 12, 2014

Music For A Saturday Evening

A Revealing Chart

10,996,447 Americans on Disability Benefits, 57,000,000 Americans with Disabilities, 316,128,839 All Americans
I’ll have more to say about this chart tomorrow, but for now, let’s just ponder for a moment how many Americans have a disability of some kind, and how many actually collect Social Security Disability benefits.

The Thing About Sheltered Workshops ...

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I’d love to see sheltered workshops banned, phased out, or just plain abandoned. I think they might have been a good idea once, but at this point their weaknesses are plain to see, and they are based on ideas about disability that are no longer valid, if they ever were.

It looks like a renewed version of the federal laws shaping vocational services for people with disabilities is going to be signed soon, and it will include some steps to curb and discourage use of sheltered workshops. It doesn’t ban them, nor does it end the practice of paying below minimum wage. My simple, only moderately informed take is pretty much in line with that of the National Council on Independent Living … that it’s better than nothing.

I also have another thought on sheltered workshop that doesn’t seem to be talked about much. What bothers me most about sheltered workshops is that they are dishonest; they systematically lie to the people they are intended to serve. The tell and / or imply to the people with disabilities who “work” in them that they are “workers” doing a “job”, when in reality, they would be better described as students, clients, or even patients receiving services, or in the worst cases, warehoused and monitored. So, if Congress isn’t ready to ban sheltered workshops yet, I have another idea:

Stop calling what disabled people do in sheltered workshops “jobs”. Call them day programs. Call it work readiness training. Just don’t lie to disabled people and tell them they have a job when it really isn’t one.

If, on the other hand, these organizations want to contend that they are real workplaces … that the disabled people are employees doing jobs, then they should pay them minimum wage or above. The workers should be subject to the same responsibilities and rights that workers have in other non-sheltered jobs. They should be treated like employees, not students, clients, or patients. And if you’re going to do that, why not just ditch the whole “sheltered” part and provide the extra coaching and closer supervision they need individually, in real workplaces. Oh, wait, that’s already being done. It’s called Job Coaching or Supported Employment, and lots of organizations that used to run sheltered workshops gave that up and shifted to Supported Employment. So it can be done.

But again, if we’re not prepared to make that shift, let’s at least be honest about what they are really doing, which, at best, is providing training and structured day activities.

I might have different priorities if I actually worked in a sheltered workshop, but as a disabled person who has met and spoken to a fair number of sheltered workshop “workers”, what bothers me most is implication that sheltered workshop workers are too “simple” to know the difference, or mind. News flash, most of them know what they’re doing isn’t normal, and they do mind.

Friday, July 11, 2014

Health Care Survey

Illustration of a multiple choice survey
If you have a disability, or are connected in some personal way to the disability experience, I urge you to click the link above and complete the online survey from the University of New Hampshire, about your experiences with health care. I’ve done it, and it seems really well-designed, and best of all, brief.

It’s good to see some attention focused on the gaps and differences in how disabled people experience health care.

Quote

“You listen to me grasshopper. There is going to be a million Buddy Garritys out there, who will try to tell you aren't worth anything. And you just gotta look 'em right in the eye and flip him the bird … ‘Cause the Buddy Garritys of this world, they’re a cancer to you and me.” — Herc talking to Jason, Friday Night Lights.

A Little Moxie Summer Blog Hop - "Talking Raw, Talking Real: Challenges Related to Disability"

Summer blog hop series: challenge!
Most of the time, the challenges related to disability aren’t about disability alone. In my experience, and observing the experience of others, 75% of the time, it's actually about disability and something else:

Social stigma … Everything from mild awkwardness and ignorant comments, to open ridicule and bullying. They invade our space when we least expect it, an it hurts in a very personal way. In some ways, it’s the least significant problem we face, but in other ways, it’s the most painful.

Discrimination … Prejudice put into action, where it concretely affects our mobility, inclusion, and opportunities. People can think what they like about disabled people, but prejudice causes real, lasting harm when we lose a job opportunity because of it.

Poverty … Money can’t buy happiness, but it can buy off a lot of the hardships of many kinds of disabilities. Money can buy ramps, lift vans, decent wheelchairs, tutors and therapists, and pay other people to help us do the things we can’t do for ourselves. The flip side is that when we don’t have money, everything about our disabilities becomes exponentially harder.

Segregation … Being cordoned off into “special” programs of any kind may seem to have superficial advantages, but the harm is deeper and longer term. Separate is not only unequal, it is artificial, inauthentic, and it provides cover for neglect and abuse. Plus, segregated programs are almost always maintained for the convenience and comfort of people other than the actual disabled people they’re supposed to serve.

Lack of agency … In little ways and big, we are often treated as something less than complete human beings. Most people don’t realize they are doing it, and very few believe we are literally inferior. Yet, we are treated like a bundle of symptoms and behaviors. Adults are treated like children or tweens. People speak to the person with us instead of directly to us. Even our families sometimes seem to forget that we are people ... not symbols or tests of their moral character.  In many ways, the biggest challenge of disability is simply to assert and maintain our basic personhood.

Disabilities impose themselves every day, and occasionally they can be very sharp and punishing. But disabilities are different and distinct from the hardships associated with them that are imposed from the outside. The good news is that most of them are easier to fix, both personally and systemically, than most disabilities. It doesn’t always seem that way, and lots of disabled people would disagree, I think, but I believe it is true.

Disabilities are largely beyond our control. Human behavior is not. The real challenges of disability are the “… and other things” that go along with it.

Thursday, July 10, 2014

Lexicon: "Normal People Sick"

An informal way of differentiating between acute illness, and chronic illness or disability. As in, “This isn't the usual fatigue, I'm normal people sick!” Short-term illness that anyone can experience, not illness that is chronic or a side effect of a long-term condition or disability. The term also helps to underscore the idea that disability is not the same thing as illness or sickness. One can be disabled and healthy, or disabled and temporarily sick. A paraplegic (disabled) can, for a short period of time, have the flu (normal people sick). It can be especially helpful and clarifying for people with chronic pain or chronic illness, by identifying symptoms that can be readily cured or relieved, (like appendicitis or a cold), as opposed to symptoms that are chronic, incurable, or that can at best be managed, (like asthma, or joint pain from arthritis) ... a.k.a. “Regular People Sick”.

Comments? Clarifications? Corrections? Click below and have at it!