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ABSTRACT
The article attempts a radical critique of the recent report published by the Royal College of Physicians, which established that there are serious shortcomings in the services provided for people with disabilities. The author disputes that the development of more medical services in medical environments would be in the interests of disabled people. He proposes instead a partnership between the medical profession and autonomous structures democratically created by people with disabilities. This would lead to the development of responsive and non-intrusive services that enable people to live independently in the community.