Building upon the foundation laid by All Our Families: Disability Lineage and the Future of Kinship, this Review examines the complex issues surrounding care and their relevance to people with disabilities. Part I delves into the contrasting perspectives of the disability rights movement and disability justice. By juxtaposing the emphasis on independence with a focus on interdependence, I unravel the intricate dynamics shaping the care experiences of disabled people. Part II presents a descriptive analysis unveiling the current realities of care. In doing so, I seek to expose the limited availability and access to care, the legal and bureaucratic impediments hindering effective care delivery, and the pervasive inequities faced by both unpaid and paid caregivers. Finally, Part III proposes a normative vision for reimagining care. I suggest strategies for broadening availability and access to care, challenging legal and bureaucratic impediments to care, confronting caregiver inequities, and fostering mutual aid networks within disabled communities. This Review’s analysis of care issues and transformative proposals aims to enrich disability, health, and family law discourse, providing valuable insights and shaping discussions and actions toward more inclusive and equitable legal frameworks and practices.

The Supreme Court has thrust abortion onto ballots nationwide, transforming fundamental rights into political battlegrounds. In the aftermath of Dobbs v. Jackson Women’s Health Organization, people with disabilities face a perfect storm of eroded reproductive freedoms and persistent barriers to democratic participation. This Article exposes the hollow promise of the Court’s purported deference to “the people’s elected representatives,” revealing instead a landscape where those most affected by abortion restrictions struggle to have their voices heard. The Court’s invocation of democracy is arguably disingenuous, serving more as a rhetorical device than a genuine commitment to democratic principles. Nevertheless, engaging with this framing is crucial, as it now shapes the terrain on which reproductive freedom must be defended and advanced. The Dobbs decision not only dismantles reproductive rights but also lays bare the deep inequities in our democratic processes. For disabled people, this opinion amplifies existing challenges, subjecting them to heightened health risks, diminished healthcare access, increased economic insecurity, and further assaults on their bodily autonomy—all while their ability to influence relevant policies remains constrained

This Article contributes to the post-Dobbs discourse by proposing a radical reimagining of reproductive justice and disability rights advocacy within the imposed democratic framework. It introduces a dual strategy that combines tactical engagement with existing democratic systems and bold efforts to transform entrenched injustices. The Article outlines concrete pathways for empowering people with disabilities in the reproductive justice movement, including methods to shape public opinion, leverage lobbying, mobilize voting power, and increase disabled representation in political office. This innovative framework aims to achieve true reproductive freedom—grounded in bodily autonomy, self-determination, and dignity for all. Ultimately, it argues that confronting the democratic deficits facing the disability community is not just crucial for safeguarding reproductive freedom but essential for exposing and dismantling the Court’s flawed reasoning in Dobbs. With abortion rights now subject to the vicissitudes of electoral politics, this Article charts a course toward a more inclusive democracy—one that amplifies marginalized voices and reimagines reproductive justice in the complex post-Dobbs era.

Although sexual and reproductive health is critically important for women with intellectual and developmental disabilities (IDD), there is limited research elucidating the role of family caregivers in assisting women with IDD access sexual and reproductive health services and information. Understanding the family caregivers' attitudes and perspectives is essential to improving access to sexual and reproductive health services and information for women with IDD. A cross-sectional online survey of family caregivers of women with IDD was administered between June and October 2018. Quantitative analysis was conducted for closed-ended responses, and qualitative analysis was conducted for open-ended responses. The analytic sample included 132 family caregivers. Most participants were parents and reported being closely involved in their family member's access to sexual and reproductive health services and information. Although most participants expressed that sexual and reproductive health services and information are essential for women with IDD, qualitative analysis of participants' open-ended responses revealed both supportive and restrictive attitudes and perspectives on sexual and reproductive health services and information for women with IDD. Supportive attitudes and perspectives included (1) "knowledge is power;" (2) supported decision-making; and (3) protection against sexual abuse. Restrictive attitudes and perspectives included (1) dependent on the individual; (2) lack of autonomy; and (3) placing responsibility on disability. Greater attention from policymakers and practitioners to systems-level changes, including universal and accessible sexual education for women with IDD, supported decision-making, and sexual abuse prevention measures, are urgently needed.