{"id":52296,"date":"2016-09-30T11:27:00","date_gmt":"2016-09-30T16:27:00","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-legal\/supreme\/legal-commentary\/is-sex-a-major-life-activity-why-a-claim-of-disability-discrimination-turns-on-the-answer-to-this-question.html"},"modified":"2016-09-30T11:27:00","modified_gmt":"2016-09-30T16:27:00","slug":"is-sex-a-major-life-activity-why-a-claim-of-disability-discrimination-turns-on-the-answer-to-this-question","status":"publish","type":"supreme","link":"https:\/\/supreme.findlaw.com\/legal-commentary\/is-sex-a-major-life-activity-why-a-claim-of-disability-discrimination-turns-on-the-answer-to-this-question.html","title":{"rendered":"Is Sex a &#8220;Major Life Activity&#8221;? Why a Claim of Disability Discrimination Turns on the Answer to this Question"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7  fl-block-columns fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles   fl-block-column fl-section-main fl-section-main-full-width\">\n        <div class=\"yui-g\" id=\"leftcol-module\">\n      <!-- Right Line of Links Section -->\n      <!-- BEGIN PICTURE INSERTION -->\n      <!-- BEGIN TITLE AND AUTHOR INSERTION -->\n      <table>\n        <tr>\n\n          <td width=\"100\" rowspan=\"3\" class=\"wiauthor\"><a href=\"\/legal-commentary\/sherry-colb-archive\"><img decoding=\"async\" src=\"https://supreme.findlaw.com/static/f/images\/writ\/sherry.colb.jpg\" border=\"0\"><\/a><\/td>\n          <td class=\"wititle\"><h1>Is Sex a &#8220;Major Life Activity&#8221;?  Why a Claim of Disability Discrimination Turns on the Answer to this Question<\/h1><\/td>\n        <\/tr>\n        <tr>\n          <td class=\"wiauthor\"><a href=\"\/legal-commentary\/sherry-colb-archive\" class=\"graybold\"><h2>By SHERRY F. COLB <\/h2><br><\/a><\/td>\n        <\/tr>\n        <tr>\n          <td class=\"widate\">Wednesday, Aug. 6, 2008<\/td>\n\n        <\/tr>\n      <\/table>\n<span class=\"smalltext\">\n\n\n<p>Earlier this month, the U.S. Court of Appeals for the D.C.  Circuit held, in <strong><em><a href=\"http:\/\/pacer.cadc.uscourts.gov\/common\/opinions\/200807\/07-5101-1128299.pdf\" rel=\"noopener\">Adams  v. Rice<\/a><\/em><\/strong>, that for purposes of the Rehabilitation Act, sex  constitutes a \u201cmajor life activity.\u201d One  of the issues that this ruling highlights is the odd relationship between the  part of the law that prohibits disability discrimination and the part that  defines plaintiffs\u2019 membership in the category of disabled individuals.<\/p>\n\n<!-- 300x250 AD -->\n\n<p>Unlike most other federal laws that restrict discrimination,  the disability-related statutes require that, to succeed in court, plaintiffs  must belong to a victim group. Though  this \u201cmembership\u201d requirement addresses some of the difficulties that surround  other anti-discrimination statutes, it also creates some oddities of its own.<\/p>\n<p><strong>Kathy Adams and the Revocation of Her Position with the Foreign Service<\/strong><\/p>\n<p>The plaintiff in <em>Adams<\/em> is a woman who applied for the U.S. Foreign Service, scored extremely well on  the entrance examinations, and received medical clearance to join. Soon after her acceptance, however, she was  diagnosed with breast cancer and had to undergo surgery and other treatment for  it. Upon hearing about her breast  cancer, the State Department revoked her medical clearance and thus  disqualified her from the Foreign Service. <\/p>\n<p>Adams brought suit under the Rehabilitation Act of 1973. She claimed as her disability the cancer from  which she had suffered prior to successful treatment. The trial court granted summary judgment to  the defendant, finding that Adams did not have a record of disability for  purposes of the Rehabilitation Act.<\/p>\n<p>Under the Rehabilitation Act, federal agencies may not  discriminate in employment against disabled individuals. As with the broader and more recently enacted  Americans with Disabilities Act, to trigger the application of the  Rehabilitation Act, a complaining party must first demonstrate that he suffers  from a disability (or has a record of a disability or is perceived by the  defendant as having a disability). Like  the ADA as well, the Rehabilitation Act defines a disabled individual as one  who suffers from a physical or mental impairment that substantially limits one  or more of that individual\u2019s major life activities. If an individual has neither a disability nor  a record of disability and is also not perceived by the defendant as disabled,  then he has no basis for a lawsuit.<\/p>\n<p>It is undisputed among the parties in <em>Adams<\/em> that cancer qualifies as a \u201cphysical impairment\u201d for purposes  of the law. The controversial question  is whether the impairment \u201csubstantially limit[ed]\u201d one or more of the  plaintiff\u2019s \u201cmajor life activities.\u201d The  major life activity limitation that Adams alleged, and that the Court of  Appeals accepted as qualifying under the statute\u2019s requirements, was the sexual  dysfunction that she said resulted from a combination of surgery (a mastectomy),  which affected her body image and self-esteem, and medication (tamoxifen),  which affected her libido. <\/p>\n<p>The Court of Appeals agreed that an inability to become  involved in sexual relationships represented a substantial limitation on a  major life activity and that Adams\u2019 discrimination claim therefore should have  survived the State Department\u2019s motion for summary judgment.<\/p>\n<p><strong>The Relevance of  Substantial Limitations on Major Life Activities<\/strong><\/p>\n<p>It is hardly surprising to learn that a court considers sexual  activity to be a major life activity or that the plaintiff\u2019s incapacity  represents a substantial limitation on this activity. The strangeness of the case has more to do  with the disability law itself than with any of the particulars of Kathy  Adams\u2019s situation. <\/p>\n<p>It  is peculiar that under the federal law barring discrimination on the basis of  disability, it is somehow necessary for Adams to prove not only that she had a  record of cancer on the basis of which the State Department discriminated  against her but also that the cancer (or its treatment) destroyed her sex  life. Why should the impact of the  cancer on Adams\u2019s sexuality have any bearing on whether the State Department  unlawfully discriminated against her when it disqualified her from the Foreign Service  on the basis of her status as a cancer survivor?<\/p>\n\n<p>The answer lies in the fact that the law barring disability  discrimination protects only those who suffer from an existing or historical  impairment (or a perceived impairment) that has a very significant impact on  the individual\u2019s major activities. It is  not enough, in other words, to experience or to have experienced an  impairment. The impairment must have  concretely diminished the quality of the person\u2019s life in some concrete  way. <\/p>\n<p>To examine the significance of this requirement, it is  useful to contrast the laws against disability discrimination with the laws  that prohibit other sorts of discrimination.<\/p>\n<p><strong>Classification Discrimination Versus Class Discrimination<\/strong><\/p>\n<p>Consider the federal laws that prohibit discrimination on  the basis of race, sex, religion, and nationality. Anyone is qualified to allege discrimination  on the basis of these categories, regardless of her race, sex, etc., because  what triggers the law is the defendant\u2019s reliance on a forbidden classification  rather than the particular class into which the plaintiff happens to fall. This means, for example, that white people  can bring lawsuits against employers for failing to hire them on the basis of  race, and it means that men can bring similar suits for failure to promote them  on the basis of sex. The same is true  for dominant religions and nationalities.<\/p>\n<p>Because most anti-discrimination law focuses on  classifications, rather than on membership in a disadvantaged class, powerful  plaintiffs can sometimes appear to be exploiting a law that was designed to  protect someone very different. When a  white person brings a suit claiming race discrimination, because \u2013 for instance  \u2013 an affirmative action policy led to his rejection in favor of an  African-American candidate with worse credentials, there are those who view  such a suit as a perversion of the law. <\/p>\n<p>Prohibitions against race discrimination, after all, did not  arise in a vacuum. What makes race  discrimination invidious is the consistent pattern of persecution of non-whites  following a history of their enslavement as live property. When a white person complains that he lost an  opportunity because he is white, the complaint therefore lacks at least some of  the moral force that generated protection against discrimination in the first  place. To put it differently, it is by  many lights no more objectionable to deny a white person a job because he is  white, than it would be to deny that same person a job because he is tall or  because he grew up in a wealthy and adoring family that lacked for  nothing. None of these bases for  discrimination is relevant to a person\u2019s fitness to serve in a job, yet neither  does any of them cry out for a legal remedy.<\/p>\n<p>The alternative to prohibiting discrimination against any  person on the basis of a specified classification is to prohibit discrimination  only against a particular class of people.  In the case of race and sex, for example, a law focusing on class rather  than classification might prohibit discrimination against African-Americans on  the basis of their race, and against women on the basis of their sex. In such a regime, members of the \u201cadvantaged\u201d  race and sex would \u2013 at least for purposes of their race and sex \u2013 join all of  the other people who do not suffer systematic oppression and must therefore  grin and bear discrimination on the basis of arbitrary, job-irrelevant  traits. Those who find discrimination  suits by whites and men (for race and sex, respectively) perverse might like to  see this change in the law.<\/p>\n<p>There is, however, at least one downside to such an  approach. If only African-American  plaintiffs could sue for race discrimination, then a plaintiff would have to  prove that he truly was an African-American.  To require such proof, the law would necessarily have to define who does  and who does not qualify as black. And  that is a particularly fraught (and arguably objectionable) exercise,  especially given the complicated relationship between the biological \u201creality\u201d  of race and the social practice of race discrimination. <\/p>\n<p>One can imagine disturbing proof problems in cases in which  people must show that they are black, while opponents attempt simultaneously to  negate that racial identity. By  prohibiting discrimination on the basis of a classification (race), rather than  requiring membership in a class (African-Americans), the law avoids the  difficulties inherent in requiring people to prove their racial bona  fides. The same would be true of applying  a religious test or even, now that a man has given birth, a sex test. The law might otherwise have to tell us who  gets to qualify as a black person, a woman, or a non-Christian.<\/p>\n<p>In the case of disability law, however, the law does, in  fact, tell us who gets to qualify as disabled \u2013 embarking on exactly the  inquiry that other discrimination laws avoid.  A plaintiff (if she rests on the disability or \u201crecord of disability\u201d  portions of the relevant statutes) must demonstrate that she truly is disabled  before she can use the law to hold the discriminator accountable. And a disability must have a significant  impact on the disabled person. For  example, many years ago, I had the peculiar experience of being assigned to take  the New York bar examination in a room reserved for disabled people because of  my need to have some fruit juice during the exam (in contravention of the  no-beverage rule in the regular exam room).  Though I might require sugar somewhat more frequently than the average  person, it struck me as inaccurate to describe me as therefore being \u201cdisabled\u201d  in any meaningful sense.<\/p>\n<p>When the law seeks to extend protection only to those who  are truly disadvantaged, it \u2013 perhaps inadvertently \u2013 compels plaintiffs to  adopt a victim identity. Rather than  saying only that she had cancer and that she survived it and can now do  anything that anyone else can do, Kathy Adams was compelled to tell the court  (and thus the public) about her fears of sexual intimacy and the debilitating  impact of her surgical disfigurement and medical side effects. Rather than focusing on the misdeeds of the  State Department, Adams was forced to focus on herself and her limitations.<\/p>\n<p>Perhaps this is fair.  If a person survives breast cancer and has no further difficulties, then  maybe she does not need the law to protect her from discrimination on the basis  of her cancer. She is not in fact  disabled and, apart from the period of time surrounding diagnosis and  treatment, she never really was. We do  not have a general law to protect against arbitrary and irrational discrimination,  and the refusal to hire a perfectly healthy person because she used to have  cancer would seem to fall into that category, rather than representing an  instance of disability discrimination.<\/p>\n<p>To avoid forcing someone like Adams to portray herself as a  victim, one might favor a broader version of our approach to race  discrimination \u2013 prohibit all discrimination on the basis of arbitrary  characteristics having nothing to do with a candidate\u2019s fitness to perform a  job. Don\u2019t require a plaintiff to prove  anything about her own identity. The  person on trial is the defendant. <\/p>\n<p>To take this route, however, could affect the smooth  operation of the labor market, because every person suffering an adverse  employment event might be tempted to sue.  This helps explain the designation of particular categories meriting  protection (sex, race, etc.) and it may provide a reason (if not a complete  justification) for the disability laws\u2019 requirement that a plaintiff prove not  only that an employer discriminated against her <u>because of<\/u> a disability  but that the plaintiff in fact <u>is<\/u> disabled and suffers substantially  from that disability in a manner wholly disconnected from the subject of the  suit.<\/p>\n<hr size=\"1\">\n<p class=\"authorfoot\">\n\n<!-- BEGIN AUTHORS FOOTNOTE -->\n<a name=\"bio\"><\/a>\n<i>Sherry F. Colb is a Professor of Law and Charles Evans Hughes Scholar at Cornell Law School. Her book, <i>When Sex Counts: Making Babies and Making Law<\/i>, is currently available on Amazon.<\/i>\n<br><br>\n\n<\/p>\n\n\n\n\n    <\/span><\/div><div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" 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