Another thing: part of why certain digital access needs get ignored like this has to do with the way we as a society don't consider pain or discomfort or energetic expenditure as legitimate access concerns.
"Access barrier" gets defined as "can literally, absolutely not do the thing without accommodation"

If you can *technically* do the thing but it causes you so much pain or fatigue you can't do anything else for the rest of the day, that gets deemed illegitimate, and ignored.
And there are a lot of other factors too, of course. The way certain categories of disabled experience have a much longer history of coherent community and therefore of organized self-advocacy.
The way the clinical gaze positions some experiences of disability as functional deficits, and some as moral deficits.
And anyway, ALL these factors (and many others) have profoundly shaped how design understand and approaches disability. What gets to count as an access need, who is considered deserving of "adaptation."
And this interface update is an example of the very real material consequences for the disabled folks who get invisibilized by the clinical gaze, by society at large, and by nominally "inclusive" design processes.
And this is far from the first time Twitter has deemed the specific needs of chronically ill people as irrelevant from an #a11y perspective.
Fleets and Spaces were and/are temporally inaccessible which renders them unavailable to many chronically ill folks.

When I brought this to their attention, they ignored it and ended the conversation.
Social media platforms were a watershed moment for the development of chronically ill community, culture and advocacy.
And many of us are now contending with the fact that one of the principal spaces where we work and socialize and advocate can no longer be used safely because our access needs are routinely considered irrelevant.
(Worth keeping in mind too that the new WCAG working group on cognitive accessibility did not include chronically ill people in their recruitment demographics 🙃)

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More from @alexhaagaard

12 Aug
And to be clear I brought this to their attention in the context of a conversation where they asked @elizejackson and I to beta-test Spaces for accessibility purposes.

We pointed out that the concept is temporally inaccessible at its core and that this would need to be addressed
@elizejackson When we said we could not agree to help them to "improve" the accessibility of a feature that we would never actually use because it is fundamentally inaccessible to us unless there was a commitment to addressing that form of inaccessibility...
@elizejackson ...they opted to seek other users who would be more inclined to use the feature 🙃
Read 4 tweets
10 Aug
These flash cards were created by an org that calls itself Patient Revolution to help patients and clinicians reflect on "communication barriers" they experience.

Anyone else notice a...fairly substantial thematic difference between the patient and clinician cards? 🤔 Set of eight rectangular ca...Set of eight flash cards th...
This is the crux of my problem with doctor-led "patient-led" healthcare initiatives.

They will produce something that lays bare how the the problem they need to solve is about systemic power imbalance...and chalk it up to communication and personal reflection.
And then they'll call their incrementalism revolutionary for good measure.
Read 4 tweets
9 Aug
It's really cool how ODSP claims that disabled people being in work is desirable and also has no framework to account for the unique expenses disabled people incur in order to access work
Me: I literally spend hundreds of dollars a month on OTC meds and non-prescription assistive devices without which I would literally not be able to work

ODSP: lol bummer
And like, I feel like it looks weird to complain about bc there are so many other disabled folks who *can't* spend that much on their OTC meds and non-prescription assistive devices. But the tradeoff for being able to do that is that I am constantly working at my absolute limit.
Read 5 tweets
14 Jul
There are a ton of issues with this concept but the majority of the criticisms it's receiving iseen to be ignoring those in favour of a #PeeledOrangePhenomenon framing 🤨
[Video shows what is essentially an automated Murphy bed in operation - a bed descends from the ceiling along a motorized track, merging with the sofa and covering the coffee table in a studio apartment living space]
A primary issue is that, like so many accessible "innovations" this device and its maintenance will be financially inaccessible to those who would most benefit from having it.
Read 6 tweets
12 Jul
Was kind of surprised this morning by how relatable people seemed to find this and literally just realized most of them probably aren't interpreting it as doubting yourself *because* your colleagues are congratulating you 😬
Quote tweet image: a meme showing Ed Milliband and Greta Thunberg standing side-by-side. Milliband is clapping while looking solemnly and directly at Thunberg who is wearing a look of Autistic uncertainty/discomfort. Text over Milliband says "My colleagues congratulating me...
...on my research" while text over Thunberg says "Me, doubting every single thing I've ever done" /description
Read 4 tweets
12 Jul
One of my favourite examples of this was when my former allergist told me to stop taking the Benadryl that was newly regulating my sleep architecture.
Now, this man is an unmitigated jackass who smirked when I asked if my narcolepsy could be linked to my MCAS and laughed when I described symptoms of exercise-induced anaphylaxis (despite having authored one of the most-cited papers on EIA)
His reasoning was: "Benadryl will make you fall asleep but it won't give you good quality sleep and studies have found that long-term use leads to cognitive decline"
Read 19 tweets

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