 Kim’s awareness of the dangers of confusing real value changes with pathologically induced changes leads him to emphasize the need for extreme caution in this area. Indeed, one problem with Kim’s approach is that his understandable caution means that in many cases where intuitively a patient may lack capacity, we will still not be able to rule the patient incompetent (Hawkins 2016). In short, the original range of ethical constraints on capacity assessment continues to make it difficult to capture all and only the cases that seem intuitively to be cases of genuine incapacity, and Kim’s solution, though perhaps capturing a few more cases than other views, is still restrained in ways that leave us with some highly counterintuitive cases.