Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

Space, in a geographic sense, entails costs when there is too much of it in relation to population and income. In the West, by comparison with more populous areas to the east, the level of personal income per square mile and per capita is low; costs per unit of, and per capita for, transportation, health and medical care, and education are high;…