 The Oregon prioritization scheme based its QALY evaluations on a general resident’s survey in order, it was claimed, to capture “community values”. But why should these values determine which treatments are funded, since (as was demonstrable in the actual rankings that resulted) these values may reflect cultural or racial biases or just profound misunderstandings about health problems and what it is like to live with a disability (Asch 2001; Doyal 1998)? On the other hand, it is the public who pays for these health resources so why should some group of elites, however knowledgeable, pre-empt majoritarian decisions (Brock 2002)?