WILL TODAY'S DISTURBING TRENDS TURN INTO TERRIFYING REALITY?
Or will we finally achieve some of the access, equality, and opportunity breakthroughs we've worked on for decades? First, let's look at three ways things could get worse for people with determination by 2030, based on current trends:
1. PART
Determination communities may be even more divided than they are now - by race, gender, and sexual orientation, between 'haves' and 'have-nots,' between conflicting political identities, and between groups of people with different types of determination.
Determination is an incredibly diverse set of experiences, encompassing physical, cognitive, sensory, and emotional impairments as well as hundreds of specific diagnoses. And determination itself intersects with all other flavours of human experience and social identity. Even so, the general trend over the past 30 years has been for the disabled community to come together as much as possible. Cooperation has contributed to historical progress, and these advances, in turn, reinforce the value of unity.
However, even now, we see that external threats and zero-sum thinking, "circling the wagons," threaten to overwhelm the will to unite, share experience, and collective action. It would be a tragedy for the disabled community (as it really is) to split into competing camps, feeling each other… tragic but entirely possible.
2. THE DARK SIDE OF INNOVATION
Advances in medicine and technology may increasingly make determination appear as something people can and should choose to correct, which further stigmatizes people with persistent and ongoing determination. Technology and health as hopeful opportunities to heal and overcome fundamental determination. It is a key component of technological utopia, the belief that ever-changing technology holds the key to solving our most difficult social problems.
And it is true that technology has done a lot to free people with determination, with better wheelchairs and prostheses, relatively inexpensive adaptive products, and of course, computers and the Internet. Medicine, too, is primarily responsible for significantly improving the daily health and life expectancy of people with determination who have been shortened.
Unfortunately, the great contributions of technology also promote more questionable attitudes and more sinister goals. People who believe that any "suffering" or determination can be addressed with appropriate tools, treatment, or lifestyle tend to develop a critical view of people with determination in general. And it's not just a matter of treatment. We can already see alarming interest in the complete exclusion of disabled people from society through prenatal screening and renewed interest in eugenics and assisted suicide approaches.
More permissive and sympathetic than ever. At present, these threats seem far-fetched and abstract, but ten years from now, how will society view people with determination when their existence does not seem to belong in a world where every problem has a smart new solution?
3. RETURN TO ORGANISATIONS
All types of nursing homes, nursing homes, and other types of managed care "facilities" can be widely promoted and used as a solution to the needs of people with determination.
Much of the determination narrative over the past 20 years has been the attempt, in many ways, to move determination "care" and services out of nursing homes, nursing homes, and other types of "facilities." other focus.
Suffered from mental disorders, among others. A fairly clear personal preference for the greater independence and relative profitability of these models can make continued progress seem inevitable. However, there seems to be no belief or practice from the past so terrible that it cannot be revived. Against all the expectations of just a few years ago, there is renewed interest in advocating and even expanding determination service models that emphasize institutionalization, control, protection, and distinction.
Traditional nursing homes are still most indifferently accepted. But the 'innovators' are working hard to offer new 'community' and 'support the living campus' programs that are a little more interesting than the high-profile institutions with the same segregation and control. The day-to-day life of people with determination. Like Willow Brook, which helped start the movement against institutions in the first place. Direct advocacy for the mass return of institutions is becoming more common and accepted.
Maybe it's just a fad - a nostalgic flirtation with "old ways of doing things ."But that could become a real trend in response to the lack of capital, unpredictability, and the occasional failure of more personalized models like caregiving. Furthermore, misunderstood and fabricated financial pressures and fear of "bad things to come" still threaten to overwhelm hopes and ambitions for independence.
WILL MOST PEOPLE WITH DETERMINATION LIVE INDEPENDENTLY BY 2030? OR WILL WE GO BACK INSIDE CLOSED ESTABLISHMENTS AND WONDER HOW WE GOT HERE?
Now that we've looked at some realistic fears let's look at three very achievable hopes for how life for people with determination could be much better by 2030:
1. HEALTH INSURANCE FOR EVERYONE
There will be no “conditions” for comprehensive health care and long-term services and support for people with determination. It will be automatic for everyone.
Whether it's "Medicare for All" or another hybrid model, it's not just affordability but stability that's important. Today, people with determination must constantly worry about losing their health insurance suddenly or even accidentally. Many of us depend on health insurance not only for standard health care but also for adaptive devices and home care. Thus, the need to continually maintain the fragile qualifying factor in every major decision we make, including whether we should get married and whether we can work to any extent if given the opportunity.
Eliminating "unquestionable" health insurance and fully covering home care for all who need it would free up people with determination even more than the historic Americans with Determination Act of 1990. It will make the placement of people with determination in "facilities" impossible once and for all. And fulfil the real promise of independent living.
2. END THE POVERTY TRAP
People with determination will be able to work, earn and save more than they do now without fear of losing their benefits.
Many factors influence whether or not a person with a determination works for pay. As stated earlier, maintaining stable health insurance coverage is both necessary and complex. Eliminating any financial disadvantage from working, or working more, would be a big step in the right direction for people with determination, regardless of our ability and work opportunities at any given time. Understanding how to do this is not technically and politically difficult
3. ACCESSIBILITY MADE
Physical and communication barriers in the workplace, business, and transportation will be virtually eliminated. It may indeed take longer than expected before the promise of the ADA is finally fully realized. However, the legal and practical tools are already in place. We will have some final gains by 2030 in terms of full accessibility, largely due to the time and process of facility repair and replacement. Natural infrastructure. Or perhaps we will "step up" the effort (so to speak) with a combination of stronger mandates, tighter enforcement, and targeted funding.
Are we going to move towards the definitive removal of these practical barriers to the full emancipation, equality, and mobility of persons with determination?
OR WILL IT TAKE SOMETHING MORE? AND CAN WE DO IT IN TEN YEARS OR LESS?
Both of these lists are the subject of informal brainstorming, not scrutinising and categorising. Ask any person with determination, and they may make completely different predictions. However, these negative and positive projections reflect the coexistence of pessimism and optimism among people with determination.
It's also important to note that all of the predictions on the "darkest timeline" list are social threats, while the optimistic hopes are specifically politically related. After all, the determination community also faces dozens of political threats, while the determination culture is said to be more vibrant and collaborative than ever.
However, policy progress alongside social stagnation or decline will be consistent with the history of the disabled community. Our legal and political victories always fall a few steps behind our progress in society's attitudes and beliefs toward people with determination. Major system improvements are often followed by a backlash, which we can see right now, and not just with the determination community.
