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This paper is a response to John Harris' provocative 'Justice and Equal Opportunities in Health Care'. The aim of this short response is to locate the difference between Harris and me within a broader debate about the nature of reasons for action. I argue that Harris is appealing to a desire-based conception of normative reasons. I highlight some of the deficiencies of a desire-based conception of reasons, and contrast it with a value-based account.


Journal article



Publication Date





405 - 413


Analytical Approach, Health Care and Public Health, Delivery of Health Care, Ethical Theory, Ethics, Health Care Rationing, Humans, Intensive Care Units, Life Support Care, Patient Selection, Prognosis, Quality of Life, Resource Allocation, Social Justice, Treatment Outcome, Value of Life