The Olmstead ruling also insisted that public entities must provide community-based services for those who wish to use them. Medicaid covers some of the cost, but I also have to crowdfund out-of-pocket costs that total $840 per day. Medicaid, the largest payer of long-term care, is structured in a way that forces disabled people into impossible situations. Compliance cannot be forced, even on people who do not see you as fully human or deserving of the right to access the same space. Disabled advocate Sarah Blahovec wrote that “creating access is a critical way of showing up in solidarity.” If we lived in a world that placed access above all, creating access would be a collective responsibility.