Those of us who have lived in families with special needs children, know that compassion really comes into play, in the lifetime of needs that such children may have. As the identical twin of someone with multiple disabilities, my family continues to be impacted by that disability, over 50 years after our birth. Over two years ago, I took up the full time responsibility of caring for, and advocating for my sister. She is eligible for more than one type of government assistance - a fact of life for many disabled adults. But that assistance does not begin to address all of her needs. With profound deafness and unspecified brain injury from birth, she requires my presence at all of her doctor's appointments. Even with the sign language interpretation that Georgetown University Hospital thankfully provides, she has trouble understanding what the doctors and nurses are telling her. She needs help with her business and medical correspondence, and has difficulty relating to other adults. In short, my husband and I are her connection to the world, and her social support system. The lifetime of change that having a special needs family member entails, makes the idea of wearing their existence like an ideological badge of honor, painfully absurd. Those of us who share that experience, also share a concern for the full span of life of our disabled family members, not just their birth. As Harold Pollack