 Currently, the dilemma posed by whether, and how, disability should be taken into account for health allocation remains unsolved, although it frequently appears in the distributive justice literature as a test case for some variant of egalitarianism or a refined version of CEA. Even if the dilemma is resolved, additional problems arise. If we decide that disability is always a relevant allocation consideration, then on the way to tackling the larger question of what the impact of disability should be the question of comparability of varieties of disability looms larger. It has recently been suggested that the so-called “indexing problem” created by the incommensurable components of human disadvantage (Woff and De-Shalit 2007), which prevents any meaningful comparison between people experiencing very different forms of social disadvantage is compounded when trying to compare people with different disabilities. Comparing lower body paralysis with deafness is hard enough, but two people both of whom are paraplegic may experience it in vastly different ways depending on the availability of wheelchairs and accommodations such as accessible public buildings (Riddle 2014). If we decide that disability should never matter, then it is difficult to see why any consideration of either cost or benefit, unrelated to disability, could also be justified. If so, then the only survivable allocation procedure would be random allocation, which is highly counter-intuitive as a solution to head-to-head individual allocation decisions, let alone a general allocation policy. 