Is a Wheelchair is a Medical Failure ?

I was appalled when I first heard that a Wheelchair is a Medical Failure. Apparently in the Medical Model, it is taught that when resorting to long term use of wheelchairs and other mobility devices, that you have given up.

It is not surprising then, that the community perspective is that a person in a wheelchair is lame, an invalid, or handicapped....all negatively describing a person's DISABILITIES. This is also why that Prosthetics are much more acceptable, even when they are not as functional.

It may come at a surprise, but mobility equipment is provided not for mobility or independence but to reduce the medical costs associated with an individual stuck in bed. It is clear that a bed bound individual will cost the Health care system more than what it costs to get them out of bed.  Cushioning and Positioning is not for the comfort of a wheelchair user, but to reduce injury, reduce skin breakdown and to reduce contracture and deformity.  We look at this equipment to increase function, independence and quality of life, but the funding sources (all based on Medicare's policy) does not.

Therapy services for individuals with long term mobility challenging conditions are limited. It seems that the Medical Model if there is not documented gain in function then therapy services are not needed. After spending over 20 years in this industry, the question should be without therapy services how much loss will occur. 

Medicare who creates Medical and Equipment Standards, approves equipment based on use within the home and has little flexibility about looking at equipment for recreation and vocation. 

In my 20+ year career, I have seen huge change.  I am concerned with the changing policies that more equipment users need to voice their challenges and their victories.  Not unlike the Women's Rights Movement, where women didn't have a voice, and where they were stuck in the home; equipment users deserve the same. 

If this article has moved you, I encourage you to look at www.usersfirst.org, or www.ncart.us and get involved, share your story, and be heard.  You can reach Carey Britton, Seating and Mobility Specialist at Active Mobility Center at 954-946-5793 or cbritton@wheelchairguys.com .