Lande R G
South Med J. 1998 Jun;91(6):518-21. doi: 10.1097/00007611-199806000-00002.
Medically disabled persons have traditionally encountered obstacles when seeking and maintaining employment. Integration of the medically disabled worker is the goal of recent legislation that directs removal of physical barriers and protects disabled workers from discrimination. The major force driving this social policy is the Americans With Disabilities Act (ADA).
Current disability laws and related judicial opinions are reviewed. Primary attention is focused on the ADA.
Legislation addressing employment discrimination has serious deficiencies. Medical support of this important social policy is hampered by vague statutory definitions and seemingly capricious judicial opinions.
Disability laws require precise language identifying specific, qualifying medical conditions. The laws should require comprehensive medical assessment that objectively establishes a connection between a medical disorder and severe, sustained impairment. Some currently included conditions, such as personality disorders, should be considered for exclusion.
传统上，身体有残疾的人在求职和维持就业方面会遇到障碍。让身体有残疾的工人融入社会是近期立法的目标，该立法旨在消除物质障碍，并保护残疾工人免受歧视。推动这项社会政策的主要力量是《美国残疾人法案》（ADA）。
对现行的残疾法律和相关司法意见进行了审查。主要关注点是《美国残疾人法案》。
解决就业歧视问题的立法存在严重缺陷。模糊的法定定义和看似任性的司法意见阻碍了对这一重要社会政策的医疗支持。
残疾法律需要精确的语言来明确具体的合格医疗状况。法律应要求进行全面的医学评估，以客观地确定疾病与严重、持续损伤之间的联系。目前包括的一些状况，如人格障碍，应考虑予以排除。
