The U.S. Civil War brings new attention to disability.
Date: 1862
Over 30,000 soldier survivors return home with physical disabilities, bringing the reality of visible disability to the forefront of public consciousness. This also opens a conversation on how to provide institutional support for people with disabilities, and solidifies a state response to disability that is paternalistic and curative.
It also begins cementing into place a perceived difference between "physical" and "mental" (or "cognitive") disabilities, with the physical being more often seen as worthy of support, particularly when the disability is the result of battle and war.