Work has not only an objective dimension, through which the sustenance of individuals and their families is secured, but, even more importantly, a subjective one, through which humans actualize their creativity and imprint their personalities on the world they inhabit. In short, work is a vital way human beings manifest their dignity. No safety-net, no matter how secure, that deprives disabled people of the opportunity to work can be justified. Regrettably, CMS’ proposed rule may do just that.