The author lays most of this at the feet of capitalism, and I agree that the system has excesses that have contributed to the atomization of society, which can cause people to slip through the cracks, but...has any other system been obviously _better_ at supporting those with disabilities? Did feudalism or communism do this better?
(I think about the "worst system, except for all the other systems" quote often)
(I think about the "worst system, except for all the other systems" quote often)