No, I Can’t Always Give You 24 Hours’ Notice

Indoors. A group of people of different ages and races in a waiting room. Some are patients, seated, while the rest are healthcare workers standing around and a receptionist behind a desk.

“I’m sorry, but I’m not going to be able to make it to my appointment today. I’m in too much pain. I can’t sit long, let alone drive.”

“Since you’re calling with less than 24 hours’ notice, there will be a $25 charge.”

I remain silent while holding the phone against my ear, quietly counting to ten while my body screams in agony. “Dr. Westwood* is my pain doctor. I’m sure he would understand a sudden onset of enhanced pain.”

“I’m sorry, Ma’am, but it’s office policy.”

And so the merry-go-round continues. I need to see my doctor to get help for the pain wracking my body. But I can’t function on the day of my appointment because I’m in too much pain. So I’ll have to reschedule, and I’ll need to pay a $25 cancellation fee before I can reschedule. It’s office policy.

Doctors who deal with chronically ill or disabled people should be the most understanding when it comes to last minute cancellations by their struggling patients. Of all people, they should know that we wouldn’t cancel an appointment unless absolutely necessary—because we need their help. Without it, our pain or illness would be worse.

That kind of reasoning doesn’t resonate with offices that have adopted a policy of charging everyone who cancels. We’re all grouped together. You cancel; you pay. But the chronically ill are not the patients backing out of an appointment because we just don’t want to go or something better has come up.

We are physically and/or mentally unable to leave our homes—sometimes even our beds. And we’re penalized because we can’t make it to a visit that we scheduled two weeks ago, when our bodies weren’t rebelling against us quite as much. We scheduled it with the belief (or hope) that we’d actually be able to be there.

Knowing that we have to pay a fee before we can reschedule often forces us to endure pain longer until more money comes in. Many of us, even those on Medicare, still have co-pays and deductibles we must meet each year. Add in the cost of cancellation fees, and we’re left struggling to decide whether we can see our doctor that month or if we have to hold out until the following month.

Personally, I’ve had to cancel three doctors’ appointments in one week, one of which was a requirement for a medication refill—incurring cancellation fines from each office. No accommodation was offered that would enable me to get that needed medicine. Could the visit have been handled via video? Yes. How about a phone consultation with my doctor? That would have worked as well. But office policy precluded them from making such arrangements.

However, nothing stops them from taking the extra money I’m forced to pay because I canceled.

Most of the chronically ill/disabled community requires a well-established routine, certain modifications, or medically-necessary items before we leave home. We have to plan ahead, then adjust our plan when our bodies tell us, for example, that we’re not going to be able to drive twenty miles to an appointment. Many days, we cancel so much more than doctors’ appointments. While we understand a doctor’s time is valuable, we need them to understand our varying needs. 

Sometimes doctors, tired of our constant need to reschedule, end the doctor/patient relationship. We call to schedule an appointment only to be told we can’t be seen any longer by the one doctor we need the most. This can be devastating as it requires us to start all over with another doctor, one we hope we can find within our insurance plan. And for those who are located in rural communities, that pain doctor that now refuses to treat us, might be the only one located within a fifty-mile or more radius. 

Being told we can no longer see the doctor who has been treating us for years often creates a firestorm inside of us that not only intensifies our pain but affects our mental health. We depend upon our doctors to keep us going, and sometimes we need flexibility. While a canceled appointment might be inconvenient for a doctor, it’s often a painful and regrettable decision for us.

We aren’t asking doctors for special privileges, just compassion and accommodations that will allow us to get the medical assistance we need without further compromising our health. Offering video visits, telephone visits, or other alternatives on days when we can’t make appointments allows us to avoid fees we can’t pay and not live in fear of losing our healthcare providers. We’re all trying to survive, to live the best lives we can. When our bodies are under attack, we don’t want to pay $25 for the chance to fight another day. 

*Name(s) changed for privacy

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Rooted in Rights exists to amplify the perspectives of the disability community. Blog posts and storyteller videos that we publish and content we re-share on social media do not necessarily reflect the opinions or values of Rooted in Rights nor indicate an endorsement of a program or service by Rooted in Rights. We respect and aim to reflect the diversity of opinions and experiences of the disability community. Rooted in Rights seeks to highlight discussions, not direct them. Learn more about Rooted In Rights

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Is the Disability Community Really In It Together?

Photo of people of different skin colors standing in a circle, all holding their hands together

Who gets to decide when a person is disabled? Shouldn’t a doctor’s assessment be enough to convince the rest of the population? That doesn’t seem to be the case according to the comments on an article I wrote for Rooted in Rights earlier this year that referenced my invisible disability and the use of a disabled parking permit. The post set off a chain reaction that ignited the disability community and essentially pitted those of us who don’t always use assistive devices against individuals who use wheelchairs or other mobility assistance.

Some of the responses accused those of us with disabilities that can’t be seen of being lazy because we simply didn’t want to walk. I had to read those words more than once to believe they’d actually been written. How can anyone know the extent of someone’s disability without access to medical records? And, if we have been declared disabled by our physician(s), should we not take their word over the declarations of random strangers?

Merriam Webster defines a disability as “a physical, mental, cognitive, or developmental condition that impairs, interferes with, or limits a person’s ability to engage in certain tasks or actions or participate in typical daily activities and interactions.” And under the Americans with Disabilities Act, if you have “a physical or mental impairment that substantially limits one or more major life activity,” you are considered a person with a disability.

Neither of these definitions specify the exact nature of the disability. Persons with a lung disease, multiple sclerosis, paraplegia, and rheumatoid arthritis could all be considered disabled even though they don’t require the same assistance when they travel or to accomplish life’s daily activities. The cause of a disability can differ from person to person, but as disabled people, our experiences are quite often similar.

But by any of the above definitions, I am disabled. I certainly don’t advertise my disability, but there are days when it’s more prominent than others. That doesn’t mean I’m more disabled when I have to use a cane or a walker and less when my pain levels are tolerable and I don’t require assistive devices. I am disabled whether I’m standing, siting, or lying down. Just like the rest of us in this group.

We deal with pain, bodies that don’t always function as well as we’d like, and the inability to complete tasks that non-disabled people find quite ordinary. But we’re here, and while some of our medical issues may be resolved one day, for the most part, this is where we’re going to stay.

So when we argue among ourselves in an effort to claim our disability is greater than anyone else’s, we give the world something else to scoff at. Nondisabled people often question our rights to use certain restroom stalls or parking spaces. Aren’t their questions enough to solidify our need to be a connected group instead of questioning each other?

Disability rights have come so far in the past few decades, but they still have a long way to go. We need better accommodations and overall improved accessibility that will enable all of us to interact with the rest of the world without feeling that we have to prove we have a right to live. We need fewer people standing in the way of our lives. While we focus on advocacy, let’s also remember that we are all in this together. Separate and apart from one another we can achieve something, but together, we can do so much more.


Rooted in Rights exists to amplify the perspectives of the disability community. Blog posts and storyteller videos that we publish and content we re-share on social media do not necessarily reflect the opinions or values of Rooted in Rights nor indicate an endorsement of a program or service by Rooted in Rights. We respect and aim to reflect the diversity of opinions and experiences of the disability community. Rooted in Rights seeks to highlight discussions, not direct them. Learn more about Rooted In Rights

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Stop Assuming I’m Not Disabled Just Because I Don’t “Look Disabled”

Photo of an accessible parking space

I park my car in a parking space reserved for those with disabilities. My door is barely open before I’m confronted by a woman who demands to see my handicap parking placard. Her mother is disabled, and she needs the space. I point her toward my tag with its blue drawing of a wheelchair then start walking to the doors of the pharmacy. She calls after me, telling me I could have borrowed the car I’m driving, that it’s probably not mine. Because I don’t look disabled.

Unfortunately, so much of our society is focused on appearance. You have to look the part, and if you don’t, then you can’t possibly be what you claim to be. If you’re overweight, there’s no way you can be a dancer. If you are heavily tattooed, you can’t be a lawyer. If you have disfiguring scars, you can’t be a model. While all of these myths have been debunked, there is one that hangs on with tenacity. If you don’t look disabled, you’re obviously not disabled.

Thousands upon thousands of us with invisible disabilities wish we didn’t have to park in handicapped spots. We wish we didn’t have to jump to the head of the line to board the plane first because we can’t be jostled. Our disabilities are not prizes we’ve earned that give us the right to better parking or more attention. We didn’t go to our doctors and beg for our disability status. Life, fate, whatever you want to call it made that decision, and, for the most part, we have accepted our challenges. But so much of this world doesn’t accept them because they’re not visible.

When you see a person walking without assistance, you may automatically assume that person is able-bodied. They’re not using a wheelchair, a scooter, or even a cane so what could possibly be wrong with them? Far too many people don’t realize there are thousands of illnesses and injuries that can limit a person’s ability to perform everyday functions that you might find simple.

Because of an injury, it’s difficult for me to bend to pick up something off the floor. I can’t stand for long periods of time nor can I climb stairs frequently. I don’t lift anything heavier than my purse, I don’t walk long distances, and I don’t sit in the same spot very long, either. But you can’t see my injury when you look at me nor can you see the pain that accompanies me everywhere I go. And because of that, I can’t possibly be disabled.

Perhaps most of us with invisible disabilities could perform them. We could wince every time we move, cry out in pain as we walk through a store, or huff and puff loudly so people will notice and appreciate that we are, in fact, disabled. But most of us just want to live our lives the best we can without having to prove anything. We don’t want to have to worry about whether or not some stranger thinks we’re gaming the system. We didn’t ask for “special treatment” that the law provides us, but sometimes, we have to take it, especially if it enables us to be a part of the world.

I don’t know of any disabled people who prefer front row parking to a life without pain. I know I would gladly trade in my handicapped tag if it meant I could have the life I had before my injury. But that’s not a choice I get to make. So I, along with hundreds of thousands of other individuals with illness and injuries you can’t see, will continue to park where we need to park, move to the front of the line, and accept assistance even if it means an able-bodied person has to wait. Not because we love taking advantage of accommodations, but because what you can’t see makes them necessary.


Rooted in Rights exists to amplify the perspectives of the disability community. Blog posts and storyteller videos that we publish and content we re-share on social media do not necessarily reflect the opinions or values of Rooted in Rights nor indicate an endorsement of a program or service by Rooted in Rights. We respect and aim to reflect the diversity of opinions and experiences of the disability community. Rooted in Rights seeks to highlight discussions, not direct them. Learn more about Rooted In Rights

Click here to pitch a blog post to Rooted in Rights.