This chapter has reviewed welfare to work policies in the United States, Australia and the United Kingdom and identified similarities and differences between them that have an impact on people with disabilities. These are organized around three primary issues: (i) welfare to work represents a choice between employment and poverty for people with disabilities; (ii) the implementation of welfare to work presents challenges to the human rights of people with disabilities; and (iii) welfare to work is focused on supply-side policies without consideration of demand-side factors that promote equality of opportunity.