 Yet it was not clear how a renewed emphasis on “fair chances” helps to resolve the dilemma that CEA purportedly creates. Even if a purely “best outcome” approach disadvantages people with disabilities, focusing on “fair outcomes” would not mean that we ignored differences in costs and capacity to benefit created by disability. One might argue that, as abstracted individuals, everyone should have an equal opportunity to benefit from health care resources, ceteris paribus. Yet, as it is irrational to ignore issues of cost and benefit, it is clear that disability is just the paradigm example of a consideration that disrupts the ceteris paribus assumption. People with disabilities cannot fairly be denied the opportunity to benefit from health care, but on rational and relevant grounds of cost and prospect of benefit, they can fairly be denied health care, at least on a case by case basis. Brock came to realize that the move to egalitarian equality of opportunity could not resolve the dilemma posed by the relevance of disability in health care rationing. After nearly three decades of work he acknowledged that the problem of seemingly justifiable disability discrimination “represents a deep and unresolved problem for resource prioritization” (Brock 2002) and “there is much work still to be done” (Brock 2009). 