this is not to disregard the fact that various disabilities introduce a degree of dependence in people s lives the idea is to seek within that reality a care relationship in which persons with disabilities have the greatest possible capacity to make decisions on matters that affect them plan and lead their lives with as much freedom and dignity as possible and be seen and heard as they are and in their demands for proper treatment these changes are also making it increasingly unreasonable and highly questionable that the unpaid work performed by women in the household continues to form the backbone of care provision the roles of the state the market and the family and community in care provision urgently need to be rebalanced