For several reasons, AT products cost more than many people can afford. Public and private systems frequently do not create an efficient, market-driven approach to AT purchasing. A fresh approach is needed for creating a universally accessible system for timely procurement, distribution and cost savings.

One element of the federal effort to advance the use of AT is the Assistive Technology Act (AT Act). The AT Act offers state-level support and advocacy for people with disabilities, provides information about AT, training for professionals, AT equipment distribution/loan programs, public awareness, and assistance with securing funding. These are important initiatives that could be strengthened, incorporating close cooperation with industry and expansion and replication of successful equipment distribution programs.

In the accessible nation envisioned by the Task Force, people with disabilities will purchase technology in an expanded, reorganized and consumer-driven process that takes advantage of scale. Some of the challenges inherent in this vision include increasing the coordination of services at the federal and state levels, facilitating consumer informed choice, reducing the cost of AT, and ensuring affordable access to emerging technologies. The overriding challenge is to make AT more affordable and available to those who need it, and reduce costs to consumers, government and private insurers.