This article brings together members of the International Advisory Committee for the Inclusive Early Childhood Service System (IECSS) project, a longitudinal study of interactions with institutional processes when families have a young child with disabilities. The article introduces international discourses on early childhood development (both individual and community) and raises questions about the ethics of these discourses in the context of historical and current global inequalities. We consider the exporting of professional discourses from the global north to the global south through directives from global institutions, and the imposition of medical thinking onto the lives of disabled children. We discuss theoretical positions and research methods that we believe may open up possibilities for change.