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The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
Costs and effectiveness of plans for transit modifications, dial-a-ride vans, low-cost taxi service and grants for purchase of automobiles with controls for the handicapped.
The development of U.S. urban transportation policy over the past half-century illustrates the changing relationships among federal, state, and local governments. This comprehensive text examines the evolution of urban transportation planning from early developments in highway planning in the 1930s to today’s concerns over sustainable development, security, and pollution control. Highlighting major national events, the book examines the influence of legislation, regulations, conferences, federal programs, and advances in planning procedures and technology. The volume provides in-depth coverage of the most significant event in transportation planning, the Federal-Aid Highway Act of 1962, which created a federal mandate for a comprehensive urban transportation planning process, carried out cooperatively by states and local governments with federal funding. Claiming that urban transportation planning is more sophisticated, costly, and complex than its highway and transit planning predecessors, the book demonstrates how urban transportation planning evolved in response to changes in such factors as the environment, energy, development patterns, intergovernmental coordination, and federal transit programs. This updated, revised, and expanded edition features two new chapters on global climate change and managing under conditions of constrained resources, and covers the impact of the most recent legislation, 50 years after the Highway Act of 1962, emphasizing such timely issues as security, oil dependence, performance measurement, and public-private sector collaboration.
Originally published in 1982 and contributed to by a range of international authors and experts in the field of transport accessibility, this volume discusses the position of urban and rural transport problems of the elderly and disabled in the UK, USA, Belgium, Canada, France, Germany, The Netherlands and Sweden. Based on research, policy analysis and documental field experience the volume also discusses advances made in relevant technology, major changes in public policy and innovative proposals for system development or change.