When I was a boy, I had two first cousins around the same age as me. My mom’s brother’s kids, they were both born with Duchenne Muscular Dystrophy, a disease that causes progressive degeneration of a person’s musculature. When we were in early elementary school my cousins were confined to wheelchairs, which over time changed from the kind you push yourself to the kind that were battery powered. Then bit by bit, they lost more control over their bodies until they were completely immobilized.
This was in the Atari/NES period of the '70s and '80s, and we were all huge fans of video games. I never had a home console as a kid, but my cousins had them, so I would go over to their house to play. As we got older and the disease took away more and more of their mobility, gaming became an even more important outlet. No longer able to easily leave the house, my cousins would enthusiastically dive into games like Contra and Ikari Warriors as a means of escape (they were huge action fans – stuff like Final Fantasy was emphatically not their jam).
Time eventually took its toll though, and first one then the other of my cousins lost their ability to manipulate the buttons on the tiny, rigid NES controller, leaving them unable to enjoy their favorite pastime. On the few occasions that they talked me into playing for them, I was a poor surrogate, and they would good naturedly hurl abuse at me while I struggled to meet their stringent gaming standards. The bottom line was, my no-NES-having self sucked, and there were no products on the market that would allow my cousins to continue playing on their own.
By the time the SNES arrived, both of my cousins had completely lost any fine motor control in their hands. With no other viable
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