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Nearly 50 years of research demonstrates that serving students with extensive support needs (ESN) in general education environments leads to better outcomes across all domains, yet they continue to be placed in segregated environments. This paper uses Bronfenbrenner’s ecological systems theory to explain how social systems influence the attitudes and decisions made by education team members about the educational placement of students with ESN. This article will describe (a) Bronfenbrenner’s ecological systems theory, (b) the history of educational segregation of students with ESN, (c) some predictors of placement decisions for students with disabilities, (d) how the macrosystems of each education team member maintain segregated placement decisions, and (e) actions to disrupt the social systems that perpetuate segregated placement decisions.