When Rachel realizes that Beth gets to embrace her individuality, this is another hint that Beth’s lifestyle might actually hold important truths about what it means to live well and find happiness. Beth’s care meeting gives the reader a clear window into this lifestyle. Ultimately, her life has much in common with non-disabled people: she has to budget her money, make health decisions, and worry about her safety. Notably, Beth’s aides aren’t supposed to make decisions
for her, but rather just to provide her with the support that she needs in order to live autonomously. As Rachel will explain later in the book, this is a result of the social service system’s focus on self-determination. This principle also becomes the foundation for Rachel’s
own attitude toward Beth: she realizes that if she truly loves Beth, she has to respect Beth’s decisions—no matter how incomprehensible she may find them.