Rebecca was born only a few years after the Reagan administration created Medicaid home- and community-based providers applications to assist disabled folks thrive exterior establishments. She grew to become paralyzed a few years after the Individuals with Disabilities Act grew to become regulation, extending civil rights protections to hundreds of thousands. And as she entered highschool, the Supreme Courtroom’s 1999 Olmstead determination affirmed that disabled folks had a proper to dwell of their communities fairly than being locked away in services.
Rebecca, a straight-A scholar, was decided to carry them to it.
Within the fall of 2003, Rebecca’s mother and father packed up the household’s van and drove her almost 400 miles to the College of Missouri.
She had rejected a faculty a lot nearer to house after studying that it housed all its disabled college students in a single dormitory. At Missouri, she would keep in an everyday dorm, counting on an Illinois program that allowed her to pay different school college students to assist her eat, bathe and get by means of the day.
Minutes after dropping her off, Matt and Christie pulled over and debated turning round. “This was both going to be probably the most silly factor we’ve ever completed,” Christie recollects considering, “or probably the most incredible factor.”
Challenges emerged nearly instantly. One scholar caregiver give up straight away. A second caregiver she thought-about a good friend stole $5,000 from her, secretly utilizing her debit card for months to purchase meals and furnishings. One other didn’t present up one morning, leaving Rebecca caught in mattress, unable to eat, drink or use the toilet for hours.
“Once you’re relying in your mother and father, you just about know you’re going to be getting up each day,” Rebecca stated. “However once you’re in your personal house and also you don’t have household residing with you, you’re counting on any person else displaying up.”
Nonetheless, she made it work.
She studied visible arts, studying to make pencil drawings with an adaptive gadget she held in her mouth. She graduated, moved again to the Chicago space and began her personal graphic design enterprise.
However the identical Medicaid applications that made that life potential additionally imposed limits. Rebecca struggled to seek out dependable aides in an business stricken by persistent employee shortages and excessive turnover. She marketed on Craigslist. Some caregivers lasted a day, others just a few months. Just a few, like O’Connor, stayed for years.
The monetary constraints introduced their very own challenges. To maintain her Medicaid funding, Illinois restricted Rebecca to not more than $17,500 in property. There was no earnings cap, however she may by no means save. No squirreling away cash for a down cost. No retirement account.
“So long as you stay poor,” she stated, “you’ll be able to work.”
Rebecca wished extra.
She enrolled at Loyola College’s regulation college, graduated in 2015 with $230,000 in scholar mortgage debt and spent years struggling to go the bar. It was a battle getting the testing authority to approve her requests for additional time wanted to sort out essay responses one letter at a time.
Lastly, she handed.
Whereas grinding by means of regulation college, she had begun courting Greg, a former wheelchair basketball participant with a simple smile. The 2 had been Fb buddies for years earlier than assembly in individual. 4 months later, they had been engaged.

Earlier than making it official, nonetheless, they needed to seek the advice of a lawyer to verify Greg’s financial savings wouldn’t push Rebecca over Medicaid’s asset restrict — as routine a step for disabled {couples} as selecting a gown or debating seating charts.
They wed in 2016, purchased the apartment close to Wrigley with assist from household and later went to work at Chicago Volunteer Authorized Providers — he as a paralegal, she as a supervising legal professional.
Piece by piece, she constructed her model of the longer term her mother and father had imagined.
After breakfast, O’Connor cleared the dishes and ready to depart for her major job educating at a preschool. Rebecca and Greg shifted into work mode.
“You able to go?” Greg requested.
“Yeah, I higher.”
“OK,” he stated, backing away from the desk. “Let’s commute.”
“I hope there’s no visitors.”
They laughed, facet by facet of their wheelchairs, then headed for his or her house workplace down the corridor.
Pearl Jam performed from a speaker — they share an affinity for ’90s grunge — as they settled in entrance of their screens. The partitions had been crowded with Milwaukee Bucks posters, “Seinfeld” memorabilia, images from journeys to New York and Cleveland, and snapshots with longtime caregivers who had change into like household.
In a few hours, one other certainly one of them could be coming to feed Rebecca lunch.
Navigating a mouse together with her left hand and utilizing a mouthstick — a tool that permits her to faucet a keyboard with a stylus held between her tooth — Rebecca labored her manner by means of a mountain of consumer emails. A typical Monday.

