Community based service delivery: power and pathology: or, social rehabilitation is still a 'commie plot'.

Service delivery in the broad field of rehabilitation has been declining in quantity and quality for people with disabilities, the dispossessed, and others. The context, that is, our communities, has similarly been weakened. Meanwhile, the world's resources and wealth and talent flow freely up the hierarchies to the powers-that-be, the wealthy and the elite. In turn, these powerful people regard social action efforts to redress the underlying social, economic, and political imbalances as a 'Commie plot'. More, not less, social rehabilitation is needed to make human communities fit again.