debilitating circumstance disabled people face, resulting in the inability to afford proper medical, technological and other assistance necessary to participate in society. Law and public policy In the United Kingdom, the Disability Discrimination Act defines disability using the medical model - disabled people are defined as people with certain conditions or limitations on their ability to carry out "normal day-to-day activities." But the requirement of employers and service providers to make "reasonable adjustments" to their policies or practices, or physical aspects of their premises, follows the social model. By making adjustments, employers and service providers are removing the barriers that disable, according to the social model. In 2006, amendments to the act called for local authorities and others to actively promote disability equality; this was enforced via the formation of the Disability Equality Duty in December 2006. In 2010, The Disability Discrimination Act (1995) was amalgamated into the Equality Act 2010, along with other pertinent discrimination legislation. The Equality Act of 2010 extends the law on discrimination to indirect discrimination. For example, if a carer of a disabled person is discriminated against, this is now also unlawful. Since October 2010, when it came into effect, employers may not legally ask questions about illness or disability at interviews for a job or for a referee to comment on such in a reference, except where there is a need to make reasonable adjustments for an interview to proceed. Following an offer of a job, an employer can lawfully ask such questions. In the United States, the Americans with Disabilities Act of 1990 (ADA), is a wide-ranging civil rights law that prohibits discrimination based on disability in a wide range of settings. The ADA was the first civil rights law of its kind in the world and affords protections against discrimination to disabled Americans. The law was modeled after the Civil Rights Act of 1964, which made discrimination based on race, religion, sex, national origin, and other characteristics illegal. It requires that mass transportation, commercial buildings, and public accommodations be accessible to disabled people. In 2007, the European Court of Justice in the Chacón Navas v Eurest Colectividades SA court case, defined disability narrowly according to a medical definition that excluded temporary illness, when considering the Directive establishing a general framework for equal treatment in employment and occupation (Council Directive 2000/78/EC). The directive did not provide for any definition of disability, despite discourse