This article is a review of the long-term follow-up study of competitively employed individuals with significant developmental disabilities by Brown, Shiraga, and Kessler (2006). In this report, 50 people with developmental disabilities were followed for 20 years and their work histories carefully chronicled. Notably, all of these individuals were eligible for Supplemental Security Income and Social Security Disability Income, suggesting significant disabilities. In this article, the author shares a number of observations he had as he read through the paper and then moves to a series of policy suggestions that need to be considered. (Contains 1 footnote.)