My view is that good community management is like having good municipal government: You should be able to have dissenting opinions and so on freedom of speech but your grandmother should also be able to walk down the street at night without having to worry about getting mugged.
These days the technology can solve our problems and then some. Solutions may not only erase physical or mental deficits but leave patients better off than "able-bodied" folks. The person who has a disability today may have a superability tomorrow.