Today people with disabilities may expect to live longer and to work and to participate in productive social activities. This article is a part of the Healthy people 2020 for the people with disabilities. Although systematic data regarding the health status and outcome of the people with disabilities are not available, it's reasonable to assume that significant health disparities exist between the persons with disabilities and the general population. Goals and strategies to closing the gaps and to promoting the overall health and social inclusion of the people with disabilities are proposed. In these two documents, we can tell how the concept of disability has evolved. Moreover, two official reports on disability policies, from the United States and Japan, are also introduced in this article in order to show the influence of these two documents on the US and Japan's policy orientation towards disability.