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Comparing and contrasting the development and current status of disability legislation in the United States and Britain is an effective way to highlight the major issues. It also adds dramatic impact to a scholarly work. Gooding starts with the premise that disability is to a great extent a concept based on social, political, and historical factors. These factors have a greater role in defining the personal and legal status of someone with a physical or mental impairment than the impairment itself. The medicalization of physical and mental impairments and the paternalism of the welfare state the dominant philosophies until
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