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In Short

Disability in the United States at 250

Reflecting on disability history and looking forward to the American dream.

A black-and-white photo depicts children using sign language to sing the U.S. national anthem, 'The Star Spangled Banner', standing before the U.S. flag, at the St Rita School for the Deaf, in Evendale, Ohio, 1935. From left, the students are signing 'Oh, Say', 'Can You', 'See', 'By The', 'Dawn's', 'Early' and 'Light'.
Children using sign language to sing the U.S. national anthem at the St. Rita School for the Deaf in Evendale, Ohio, 1935.

Editorial note: In this piece, the author uses antiquated, outdated language when necessary for legal and historical accuracy.

The American dream is the that if any American works hard enough, they can prosper and succeed. The nation celebrates the origins of the American dream this week as we mark the of the signing of the Declaration of Independence, which declared that 鈥渁ll men are created equal . . . with certain inalienable Rights [including] Life, Liberty and the pursuit of Happiness.鈥 Though concepts of the American dream have , certain pillars of success are constants: economic stability, a well-paying job, a thriving family, a good education, a house, food on the table, reliable transportation, and good health. But the one in four Americans with disabilities have always faced systemic, environmental, attitudinal, and policy barriers to achieving these pillars of success and, in turn, the classic American dream. Life, liberty, and the pursuit of happiness are not fully accessible to disabled Americans not because of their disabilities, but because of systemic and social roadblocks to these rights.

Disability from 1776 to 2026: From Confinement to Community

The history of disability in the United States is a 250-year crawl from confinement to community. For the first century of the nation鈥檚 existence, the prevailing narrative was one of “charity” or 鈥渟omething to be fixed,鈥 where disabled people were often hidden away in state-run institutions or subjected to laws that criminalized their presence in public. The timeline of the American disability movement is not only a list from a gruesome and terrible past; it is a record of a persistent and increasingly organized demand for independence, self-determination, and the opportunity to thrive. Below is a timeline of some (but far from all) of the key moments in U.S. history that signaled shifts in the American conceptualization of disability. From the early establishment of specialized schools to the activism of the twentieth century, this timeline tracks the shift from medical pity and criminalization to protected civil rights.

Civic exclusion, institutionalization, and eugenics marked the first 150 years of our nation, dotted with bright spots of innovation.

  • Post-Revolution: States defined who had a right to full citizenship in the new nation and excluded people from voting based on disability, often intersecting exclusion criteria with race and gender.
  • 1817: The American School for the Deaf in Connecticut was founded as the first disability-specific institution in the United States.
  • 1840: First developed for people who are blind at the Perkins Institution and Massachusetts Asylum for the Blind in Massachusetts (now called ).
  • 1864: Gallaudet University founded in Washington, DC, originally called the National Deaf-Mute College. Renamed in 1986.
  • 1865: Racially “insane asylums” opened across the country.
  • 1867: First 鈥鈥 passed in San Francisco, which allowed police to arrest and jail people for being 鈥渄isfigured鈥 or demonstrating some type of disability.
  • 1883: The term “eugenics” coined by in a book of essays. The pseudoscientific movement was embraced with laws passed to keep disabled people from moving to the U.S., marrying, or having children. Forced sterilization was used on adults and children in institutions.
  • 1903: opened in South Dakota, labeling hundreds of indigenous people “insane” and forcibly institutionalizing them if reservation and boarding school leaders and white Bureau of Indian Affairs agents deemed them disorderly or resistant to assimilation. (Closed in 1933.)
  • 1907: Eugenic sterilization law for people with disabilities enacted for 鈥渃onfirmed idiots, imbeciles, and rapists鈥 in state institutions. In 1927, compulsory sterilization was ruled constitutional by the U.S. Supreme Court in and has never been overturned.
  • 1917: Braille was standardized in the United States, helping to end the .

Wartime highlighted the need for better disability policy.

  • 1918: After World War I, rehabilitation and vocational programs for disabled veterans proliferated.
  • 1935: Social Security Act signed into law, providing permanent assistance to adults with disabilities. Social Security Disability Insurance later added in 1956.
  • 1940: First national cross-disability activist organization formed, the American Federation of the Physically Handicapped, which focused on unemployment and economic insecurity due to discrimination and an inadequate federal-state disability program.
  • 1941: Labor shortage on the home front during World War II led to a in hiring disabled workers for critical jobs, but job access after the war.
  • 1946: signed into law, beginning the long, slow shift to deinstitutionalization.
  • 1950: National Standards for Barrier-Free Buildings developed, largely in response to activism by WWII veterans with mobility-related disabilities.

Civil rights and disability rights movements intertwined and accelerated change.

  • 1954: Black students with disabilities played an important role in litigation that for the Brown v. Board of Education U.S. Supreme Court decision and were plaintiffs in the case. The decision for legal arguments for equal participation of students with disabilities in U.S. public schools.
  • 1965: Medicaid assistance for people with disabilities and those with low income established.
  • 1968: First Special Olympics World Summer Games held in Chicago.
  • 1968: 聽signed into law.
  • 1970: Developmental Disabilities Act created (revised in future years).
  • 1972: Center for Independent Living founded by in California.
  • 1973: Rehabilitation Act signed into law, with as a key element.
  • 1974: Last 鈥淯gly Law鈥 repealed.
  • 1975: Education for All Handicapped Children Act (later renamed the ) signed into law.
  • 1977: Landmark lawsuit Halderman v. Pennhurst led to 1987 closure of , one of the largest state-run institutions for people with disabilities.
  • 1977: led the occupation of the San Francisco Department of Health, Education, and Welfare offices to demand enforcement of Section 504 of the 1973 Rehabilitation Act.
  • 1978: National Council on Disability established.
  • 1982: U.S. Supreme Court decision established that a free appropriate public education is satisfied if it provides just above the bare minimum (de minimis) educational benefit.
  • 1988: protest at Gallaudet University.
  • 1990: protesters demanded passage of the Americans with Disabilities Act (ADA).
  • 1990: The signed into law.
  • 1996: Telecommunications Act signed into law, including requiring accessible products and services.

Disability justice and pride drove policy progress.

  • 1999: U.S. Supreme Court decision held that services must be provided in the most integrated setting and reinforced the right of people with disabilities to live in the community.
  • 2005: framework launched by Patty Berne, Mia Mingus, and Stacey Milbern.
  • 1990: Disability Pride Month officially established.
  • 2008: West Virginia became the first state to public schools to teach disability history.
  • 2010: enacted that replaced the term 鈥渕ental retardation鈥 with 鈥渋ntellectual disability鈥 in federal law.
  • 2017: U.S. Supreme Court decision determined that an individualized education program (IEP) must provide more than a minimal (de minimis) educational benefit.

Today, themes of our nation’s first 250 years echo in disability policy.

  • and of disabled Americans persist.
  • Eugenics of disabled people through forced sterilization is still .
  • Civil rights of disabled Americans remain threatened through federal actions affecting , , and other key areas.

Sources: , , ,

250 Years of Progress and Miles to Go

The very definition of who was allowed to be a U.S. citizen was shaped by the exclusion of disabled people from the nation鈥檚 start. Americans with disabilities have refused to stay hidden and have attained increasingly meaningful access to life, liberty, and the pursuit of happiness. The transition from the 1990 signing of the ADA to the emergence of the Disability Justice framework in 2005 marks a profound shift in U.S. disability history. While the late twentieth century focused on access (e.g., ramps, braille, and legal protections), the twenty-first century has broadened the scope to address the intersection of disability with race, gender, economic status, and all identities of a person. We have moved beyond the simple right to enter a building and are now asserting the right to live fully integrated lives, free from the echoes of eugenics and institutionalization.聽

The American dream is still far out of reach for too many Americans with disabilities. In order to achieve the financial milestones of the middle-class American dream, according to one study, a person a college degree and at least five million dollars to spend during their lifetime. This is daunting and unattainable by most, even without the systemic, complex barriers to entry for those with disabilities in housing, transportation, health care, education, workforce and employment, and community living. For example, economic self-sufficiency, a key goal of the ADA, is stifled by and inaccessible educational and employment opportunities.

Recent federal actions, including harmful policy changes in education, health care, and threaten the foundations of the American dream for people with disabilities, and could roll back decades of progress. To move forward, it helps to consider the tremendous progress disabled Americans have made over the past 250 years and to remember Judy Heumann鈥檚 : 鈥淐hange never happens at the pace we think it should. It happens over years of people joining together, strategizing, sharing, and pulling all the levers they possibly can. Gradually, excruciatingly slowly, things start to happen, and then suddenly, seemingly out of the blue, something will tip.鈥

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Carrie Gillispie
E&W-GillispieC
Carrie Gillispie

Project Director, Early Development & Disability

Disability in the United States at 250