Public Policy Decisions Related to Disability and Rehabilitation: Is it Time for a New Paradigm?

Nurses are frequently called on to advocate for specific vulnerable populations. People with disabilities form a large cohort of those in need of rehabilitation or other health and social services. Availability of these services is greatly influenced by politics, price, and principles that culminate in public policy. Currently, it is difficult to discern a rationale that underpins some public policy decisions regarding disability and rehabilitation. The allocation of government resources appears to be inconsistent. When nurses advocate for specific groups, such as those with disabilities, it is important for them to understand the political context of their actions. This article identifies the major factors that influence the present system and suggests a new paradigm to use in making decisions about allocation of certain health care resources.