July marks the anniversary of the Americans with Disabilities Act (ADA), a landmark civil rights law passed in 1990. The ADA protects people with disabilities from discrimination and guarantees equal access to public spaces, including healthcare settings. This anniversary offers a chance to reflect on how we can create accessible and welcoming environments where all patients feel valued and respected.
The ADA defines disability broadly. A person is protected if they have a physical or mental impairment that substantially limits major life activities, have a history of such an impairment, or are perceived as having one. Protection under the ADA is automatic with no application process. Healthcare providers are responsible for ensuring physical accessibility, providing effective communication, and making reasonable modifications to policies and procedures to remove barriers to care.
Reasonable Accommodations might include:
- Providing a sign language interpreter
- Allowing service animals in exam rooms
- Scheduling extra time for appointments
- Offering early visits for patients who may feel overwhelmed in busy environments
Accessibility also applies to digital tools like telehealth platforms and electronic health records, which must be usable by people with disabilities.
Language and Care Paired Together
Language plays a vital role in providing comprehensive care. Using person-first language emphasizes the individual rather than the condition. It is important to avoid language that can cause harm or make people feel less valued. For example say:
- “A person with diabetes” instead of “a diabetic
- “People experiencing homelessness” instead of “the homeless.”
- “Died by suicide” instead of “committed suicide.”
- “People living with HIV” instead of “HIV-infected people.”
This kind of language helps reduce stigma and shows respect for each person and their experience. Some communities, such as Deaf and Autistic individuals, may prefer identity-first language because they see it as an important part of who they are. When possible, healthcare providers should ask how people prefer to be identified and use the language that feels most respectful to them.
Moving Forward with ADA
For additional guidance, healthcare professionals can explore the Disability Competency resources from the World Institute on Disability or review best practices for making healthcare accessible. These tools can support respectful, person-centered care.
The words we choose carry power. They can build trust, dignity, and connection or unintentionally reinforce stigma and exclusion. Honoring the ADA goes beyond legal compliance; it means bringing respect and inclusion into every interaction. As July marks the ADA anniversary, it is an important time for healthcare professionals to reflect on the care they provide and consider ways to make it even more accessible and supportive for everyone.
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