What you do about disability depends very much on what you think causes disability. If a wheelchair user can’t get on a bus you might think this is because of their impairment. You might therefore think the answer is to cure or treat the person’s impairment. Or you might think it’s because the bus isn’t designed so wheelchair users can get on it. If so, the answer is to redesign the bus so they can. One response is ‘fix the person’. The other is ‘fix the bus’!
The social model was developed by disabled people and it is supported by organisations led by disabled people. It says disability is caused by barriers that arise because society (including buses!) is not designed to accommodate people who have impairments. It is these barriers that disable people who have impairments. They stop us from being included in society and participating on an equal basis. If these barriers are removed, a person may still have an impairment but would not experience disability.
Image description: Blue background with white writing saying ‘what are the barriers?’ at top.
Illustration of the world with ‘disabling world’ in white writing over the image. Yellow arrows coming out of the world pointing towards 4 text boxes saying:
- Environmental barriers
- Attitudinal barriers
- Communication barriers
- Organisational barriers
None of these barriers are inevitable, so neither is our exclusion.
The Medical Model says disability is caused by impairments that need to be treated, managed or cured.
It is the individual person who has the impairment who needs to be changed, not society. Disabled people become passive recipients of services and medical professionals take control over our lives.
Of course this is not to say people who have impairments never need healthcare services. But unless social model barriers are identified and removed throughout society, we will continue to be disabled. And unless such barriers are removed from the way healthcare is delivered, far from addressing disability, healthcare services will only disable us even more.