Twenty years of growing ADA awareness has helped people with disabilities participate more fully in American culture, but there are still glaring deficiencies. One of the biggest disappointments, especially in this year of health care reform, is the medical establishment’s persistent disregard of the need to make medical facilities and equipment fully accessible to people with mobility disabilities.

One reason for this lax attitude has been the Department of Justice’s reluctance to aggressively enforce the ADA. But there are signs that the Obama administration is taking the medical civil rights of people with disabilities seriously. In May 2010, the Department of Justice issued a document entitled “Access to Medical Care For Individuals with Mobility Disabilities,” the kind of publication that should have been widely distributed two decades ago.