 Some disability advocates argue that there is no real dilemma here since “capacity to benefit” is merely a cloak for the prejudice that the life of disabled person, like that of the elderly, is of intrinsically less value and deserving of less effort to preserve or improve (Asch 2001). These advocates have a point since precisely this view can be seen in the pronouncements of respectable bioethicists who do assert that the “disabled life” is fundamentally inferior (Kuhse &amp; Singer 1985; Singer 1983; McKie et al. 1998). In the case of disability, for some writers, lower capacity to benefit is not an empirical conclusion, but an a priori assumption (Veach 1986; Harris 1986; Anand &amp; Hanson 1997; Arneson &amp; Nord 1999; Rock 2000; Koch 2000). CEA systematically disadvantages people with disabilities because it is intrinsically discriminatory.