Finally, change can occur through the policy process (Page and Simmons, 2000). The range of federal and social policies that can be adjusted to accomplish poverty reduction include providing jobs, raising wages, expanding the safety net, assuring effective access to medical care, and coordinating social insurance programs. In order to protect these programs in an era of governmental retrenchment, it is increasingly clear that the poor and their advocates need to be more politically mobilized. Legal changes to enforce civil rights of the poor and to protect minority groups are needed. For example, the American Disability Act has established many gains for otherwise able persons who happen to be blind, deaf, or with limited mobility. One of the boldest policy moves is suggested by Quigley (2003) and others who advocate a constitutional amendment to guarantee a job to anyone who wants one and to guarantee that anyone working full time would be able to earn a living wage.