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An interview with Tom Harkin, former Senator from Iowa, is presented. Topics include his decision to retire from the Senate after four decades, his proudest achievement—the Americans with Disabilities Act (ADA), frustrations during his Senate tenure, and the Harkin Institute's work on disability issues, retirement security, labor, and a pilot project on universal basic income. Harkin reflects on his family's influence on his advocacy for disability rights.

The article comments on the proposed rulemaking by the U.S. Department of Justice under Title II of the Americans with Disabilities Act that is intended to improve access to medical diagnostic equipment for people with disabilities, and the U.S. Department of Health and Human Services' proposed rule on nondiscrimination on the basis of disability. It discusses the problem with telehealth platforms that contribute to health inequities and discriminatory medical decisions.