I felt that the biomedical and psychosocial approaches were insufficient to explain the disabilities of my patients and how those impacted their lives. The physical environment was really an etiological factor. If you have a person with a particular type of disability, you can approach it from the standpoint of reducing the impairment using pharmaceutical management or even a surgical procedure. But there's a point at which medicine and surgery don't work anymore.
- Margaret G. Stineman
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