 Higher-order evidence thus raises a puzzle. Two apparent features of Hypoxia are in tension with one another: it seems that Aisha is required to reduce her confidence in G, and yet it also seems that her evidence still strongly supports G. Some see this as a conflict between the belief state that seems intuitively rational (reduced confidence or suspension of judgment about G) and the belief state that seems strongly supported by her evidence (high confidence in G). Others see it as a conflict within her beliefs. If Aisha maintains high confidence in G, but also takes seriously the possibility that she could be hypoxic, she will be in a state of epistemic akrasia: she will have a belief state (her high confidence in G) which she also judges likely to be irrational, or unsupported by her evidence.