[Criteria of the life impact of various types of permanent health disorders].
There is a tendency to ignore differences between different types and grades of permanent health disorders as regards their negative impact on the situation of the affected humans. The article discusses difficulties associated with the definition of effective guidelines for their evaluation. The author considers the loss of opportunities in life as an apt criterium of the vital impact of different permanent health impairments. He emphasizes that it is important to differentiate between actual opportunities in life and the absolute possibility to live, which are of different order. Analysis indicates that the greatest loss of opportunities in life are immobility or complete loss of eyesight or extensive impairment of rational abilities. These three categories deserve exceptional and preferential social assistance. In immobile and blind subjects so-called active social care is indicated which will help them by rehabilitation and technical aids to evade complete helplessness. In mentally affected patients passive care is in the foreground.