The health care debate has been raging for years, and it is at a peak right now as a Republican Congress and President seek to repeal and possibly replace the Affordable Care Act. Much rhetoric has been expended on both sides, and much of it is confusing. What is clear is that the general populace, while not thrilled about the ACA prefers it to the current alternatives. One of the "groups" that is caught up in the debate is those persons with disabilities, many of whom are covered by Medicaid, and who could face loss of coverage under current proposals. Courtney Wilder raises questions from the perspective of "Disability Theology." That is, viewing theology from the perspective of those with disabilities. As the pastor of a young man with Down's syndrome, I know how the debate affects his family. I invite you to read this essay and contemplate how people of faith ought to view the debate, recognizing that one can equate living a good life with being illness or disability free. This isn't just a political discussion, this is a spiritual one!