This paper accounts for a study of the largest employer in Scandinavia of jobseekers with designated impairments. Like many similar organizations, this organization has undergone a transformation from a provider of ‘sheltered work programs’, which remove this category of jobseekers from the labour market, to a provider of ‘individual placement programs’, which instead integrates them in the labour market. I use Foucauldian governmentality studies to show how this transformation problematizes basic assumptions underlying organizational disability studies. While these studies are variegated, they have generally found that jobseekers with designated impairments are often treated as disabled, as less employable than non-impaired individuals and in need of care and rehabilitation. The study presented below points in another direction. It shows that jobseekers’ designated impairments are treated as signs of their special abilities for particular jobs, rather than as signs of their disabilities. These findings, I argue, are illustrative of how a neoliberal governmentality tends towards replacing the distinction between the able and the disable with a bio-medical structuring of different qualities of human capital. While it leads to that individuals with impairments are integrated in the labour market, I argue that it also leads to that they are treated as having an exclusive, medically designated fit for simple and often dirty labour.