 A state-subsidized personal assistance response to disability-related needs is not welcomed by all disability theorists and activists. Wendell (1989, 1996) sees people with disabilities, in their dependence, as having lessons to teach nondisabled people about human interdependence. Similarly, Eva Kittay has argued for the importance of kinship caregiving. Kittay stresses the importance of a loving and “sustaining” relationship between the caregiver and the care-recipient, which may be absent when care is professionally outsourced. Moreover, family caregivers are more likely to maintain trusting and long-lasting relationships, as opposed to professional caregivers, who may come and go. Furthermore, Kittay stresses the significance of including disabled people in familial and cultural activities rather than relegating them to paid caregivers, although it is not clear why having a paid assistant is inimical to participating in familial and communal activities (Kittay 2003). (See also Longmore 1995 and Levine 2004.).