Based on interviews with almost  a hundred activists, this book provides a detailed history of the struggle for disability rights in the United States. It is a complex story of shifts in consciousness and shifts in policy, of changing focuses on particular disabilities such as blindness, deafness, polio, quadriplegia, psychiatric and developmental disabilities, chronic conditions (for example, cancer and heart disease), and AIDS, and of activism and policymaking across disabilities.

Referring to the Americans with Disabilities Act as "every American's insurance policy," the authors recount the genesis of this civil rights approach to disability, from the almost forgotten disability activism of the 1930s to the independent living movement of the 1970s to the call for disability pride of the 1990s. Like other civil rights struggles, the disability rights movement took place in the streets and in the courts as activists fought for change in the schools, the workplace, and in the legal system. They continue to fight for effective access to the necessities of everyday life -- to telephones, buses, planes, public buildings, restaurants, and toilets.

The history of disability rights mirrors the history of the country. Both World Wars sparked changes in disability policy and  changes in medical technology as veterans without without limbs and with other disabilities return home. The empowerment of people with disabilities has become another chapter in the struggles over identity politics that began in the 1960s. Today, with the expanding ability of people with disabilities to enter the workforce, and a growing elderly population increasingly significant at a time when HMOs are trying to contain healthcare expenditures.