The quads with severe disabilities who need attendant services and cannot drive a car find it difficult to live with their family, not to mention of independent living. They sometimes have to stay in hospital long after they get well or have to enter nursing home. It is also hard for them to live in their own home. They have to depend on their family, public attendant services being far from sufficient. Few opportunities for significant and gainful jobs are available to them as compared with the non-handicapped.
Public offices employ the disabled on the condition that they can commute and work for themselves.
Problems for the severely disabled in finding a job have not yet been resolved. However, there have emerged, some, not many, severely disabled who really work. They have no intellectual disability. They improve their quality of working life by thinking, contriving and communicating, within their abilities and assets. Mr. Fukasi Tsutsumi came back to his former position as a stuff of the Bureau of Sewage of Fukuoka City.