Self-determination is the central principle in Rachel’s analysis of disability and accommodation. In reality, self-determination just amounts to saying that people with disabilities should have the same kind of autonomy over their lives as people who don’t have disabilities. Thus, self-determination doesn’t want to give people with disabilities a special status—instead, it gives them special
support in order to help them reach the same status as everyone else. The self-determination principle explains why Beth’s team lets her make decisions that her family considers wrong for her, like refusing to work: the team prizes Beth’s autonomy over other people’s ideas about what is best for her. It’s also important to note that this model is dramatically different from the system that governed disability care in the U.S. for many generations, under which families and the government made all key decisions for people like Beth.