Rachel seriously worries about her sister’s safety, just as she has throughout her life. Beth is remarkably “streetwise,” but she also seems to be putting herself in unnecessary danger that she doesn’t fully understand. Rachel struggles to reconcile her worry for Beth with her sincere belief that Beth has a right to make her own decisions. In fact, this points to the underlying tension between well-being and self-determination that is central to this book’s analysis of disability and inclusion. Whereas society generally accepts that non-disabled people have the right to make their own choices—including self-destructive ones—it’s less clear that the same principle should apply to people with developmental disabilities like Beth’s, because they may struggle to understand the consequences of their decisions.