 A somewhat different set of issues emerge when public health efforts that aim to benefit the future require the participation of those who are currently suffering from unjust unmet health needs. When, for example, individuals and groups in lower and middle-income countries argue that there are more urgent health priorities than eliminating various diseases, is this just a variant of the failure to properly prioritize resources to reduce unjust health inequalities, or is there something distinctive about the resource allocation going to benefit future persons or about the involvement of the currently disadvantaged in the intervention designed to benefit future persons? (Rubincam and Naysmith 2009)