 Yet even if disability could be regarded as neutral if other features contingently associated with it, such as social exclusion, physical pain, and the loss of valued functions, are factored out, that conclusion might have limited practical significance for decision makers who cannot factor out those features. As noted earlier, the question of whether it is disadvantageous may have a different answer for those who can significantly modify the physical and social environment and those who cannot. Many decision makers, from prospective parents to healthcare policy makers, will fall in the latter category.