Thinking anew about Utopia -- I wonder if there are Utopian schemes that can accommodate people with impairments. I am sure there are Utopias where impairments are fixed; and there are dystopias where perfect bodies are required and those who don;t measure up are disposed of. But what about Utopias where impairments are accepted and dealt wisely with?

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In which, if I recall correctly, - the wikip summary and reviews on Amazon are not helping, as they all seen to miss/don't mention this, which I thought pretty important/the main point of the whole thing -
It's not a utopia (as you said before, who writes them anymore), but in it autistic people are, in the background, rebelling against being 'disabled', happy to be 'otherwise-(and equally validly)-abled' and some are resisting 'treatment' for their condition (that the protagonist himself, while not autistic, may seem to be on the asberger's spectrum, to us the readers, is also there), and at the end, an event happens such that cognitive function for everyone is changed, which validates their point of view.
(If I recall correctly - I'm sort of worried now that the wikip summary and the reviews all seem to be about a different book from the one in my head. Looks like that one rather than any other Greg Egan, but to me this was an important thing about it, which they don't mention.)
"The Fifth Sacred Thing"?
I wish I had a good database of Sci-Fi short stories. I remember one where a psychopath was altered so he couldn't actually hurt people and he smelled bad so people could avoid him, then he was let free.
And another short story where "normal" people had incredible psychic powers and people without powers where kept in a home where they could pursue their lives without being victimized by people with powers.
And a story where everyone lead fulfilling lives of intellectual development, with some minor drudge work as a form of tax. The plot was that the family was assigned a "wife", who was not terribly bright, as way to pay their public service tax.
2. ?
3. Joanna Russ, "Nobody's Home"
A lot of Pamela Sargent's short stories deal with alternative forms of consciousness or other ways of defining and an advanced culture.
"Miss Smith was stupid. Not even very stupid. It was too damned bad. They'd probably have enough of Leslie Smith in a week, the Komarovs; yes, we'll have enough of her (Jannina thought), never able to catch a joke or a tone of voice, always clumsy, however willing, but never happy, never at ease. You can get a job for her, but what else can you get for her? Jannina glanced down at the dossier, already bored. [....] Well, it *was* too damned bad! Jannina felt tears rise in her eyes. Nobody could take to Leslie Smith. She wasn't insane enough to stand for being hurt or exploited. She wasn't clever enough to interest anybody. She certainly wasn't feeble-minded; they couldn't very well put her in a hospital for the feeble-minded or the brain-injured; in fact (Jannina was looking at the dossier again), they had tried to get her to work there and she had taken a good, fast swing at the supervisor. She had said the people there were 'hideous' and 'revolting'. She had no particular mechanical aptitudes. She had no particular interests. There was not even anything for her to read or watch; how could there be?"
The sting in the tale is that Leslie Smith would have been comparatively very intelligent in our world; as intelligent as Joanna Russ, even.
which certainly implied that such things would be worked out...
But what about Heinlein's Starship Troopers? A world in which *no-one* may be denied the right to serve in the military because it is the route to citizenship.
They might consider Brave New World a Utopia now given the enthusiasm for fully pneumatic breast implants (a description that conjures up a number of strange images)
I have a good collection of utopian literature because it interests me. There needs to be a conflict for there to be a story.
In "The City, Not Long After" by Pat Murphy, and "The Fifth Sacred Thing" by Starhawk, the conflict was with other societies.
"Herland", "Ecotopia", and "Looking Backward" were travelogs. The conflict was the narrator's personal journey.
Many 'utopian' stories, like Frederik Pohl's "JEM", deal with how to solve a problem the society has.
And then there are stories, like "Candide", "Gulliver's Travels", and "Erewhon", that are social commentaries. Which segue into dystopian literature.
I think what Uncle Remus portrayed was not so much utopia as Eden. Utopia being the perfect soiciety we can build with foresight and wisdom ("where everybody wants to do what they should," W.H. Auden) and Eden the place we once lived in where everything was perfect till we lost it ("where everyone should do what they want," Auden.)
For these reasons I tend to enjoy reading about Utopias that are failing, or that must be propped up through some means, often ritualistic (like Romes Gladiatorial arenas). Now I am no great fan of Stephen King but one of his early short stories, The Long Walk fits this bill nicely. Without giving too much away for those who might wish to read it for themselves the story is about a future dystopic America that has become governed by a man called the Major who keeps the people happy by an annual sport in which boy's from around the country walk non-stop until there is only one left standing. Whats more the boy's enter this contest with eagerness that is one part individual bravado and one part group think, not unusual for boy's in the real world. Many would not consider such a world a utopia but to me, a utopia is any world that seeks perfection by a collective of will. The means are almost irrelevant; you can destroy imperfections, you can refocus peoples attention away from imperfection or you can simply redefine value systems to make what was once morally bad seem to be morally good.
I have the impression I have already written about this on my blog or in a previous comment but I can't find the reference.
So to deconstruct that, a Utopia that accommodates impairments would be one that either
(a) doesn't have the ability to prevent or correct them, but is nevertheless a great society; or
(b) chooses to see them not as impairments but as differences — much like the way some people are arguing today that Asperger syndrome isn't a disorder but a different and valuable way of thinking that complements the 'normal' one (much like introversion vs extroversion).
I think "The Country Of The Kind" fits into (a), while "The Persistence Of Vision" is more like (b).