In the Independent Living philosophy, people with disabilities are primarily seen as citizens and only secondarily as consumers of healthcare, rehabilitation or social services. As citizens in democratic societies, the IL Movement claims, persons with disabilities have the same right to participation, to the same range of options, degree of freedom, control and self-determination in everyday life and life projects that other citizens take for granted. Thus, IL activists demand the removal of infrastructural, institutional and attitudinal barriers and the adoption of the Universal Design principle. Depending on the individual's disability, support services such as assistive technology, income supplements or personal assistance are seen as necessary to achieve equal opportunities. As emphasized by the IL Movement, needs assessment and service delivery must enable users to control their services, to freely choose among competing service providers and to live with dignity in the community. Cash benefits or Direct Payments are favored by IL activists over services in kind in terms of the outcomes for users' quality of life and cost-efficiency.