2.2.2 Truth 2 - An Undeniable Truth

The undeniable truth that "RTW outcomes can’t be explained by the medical disability alone" directly challenges reductionist practices inherent in a constrained and impairment-based systems like disability insurance systems.

It doesn't deny the medical component; it points out its insufficiency and mandates inclusion of modifiable factors within the worker and around the worker that profoundly impact on RTW outcomes but often sidelined in insurance contexts.

This undeniable truth is no longer just a process preference; it's a necessary response to the basic premise. If being out of work is harmful (basic premise), and medical isn't the whole story (undeniable truth), then you are compelled to look at the non-medical factors.

The undeniable truth centers agency where it can impact the most on the RTW outcome à The worker’s voice.