At a time when most every government and agency involved in supporting people with intellectual and developmental disabilities agrees that their goal is to support social inclusion and a full life in the community, why in practice does the sector continue to invest so heavily in systemic and programmatic infrastructure and practices? Although most jurisdictions have adopted at the very least the language of "person-centred planning" are individuals and families really being provided a valid opportunity to pursue a supported choice of community-based living, employment, and socio-recreational outcomes? This session will explore the disconnect between modern sector language of inclusion and community wand the contradictory ongoing investment in medical models of service and outputs. It is intended to provoke cognitive dissonance with respect to fundamental realities of how we invest in the sector and the non-inclusive results we are producing, in light of our stated purpose and values to the contrary.