 On the face of it, these inequalities in life expectancy and self-reported health are seriously unjust. But whether the appearances of injustice here will withstand close scrutiny is a separate question. Not all inequalities in life expectancy seem unjust. For example, in 2018, life expectancy for all American women was 81.2 years, whereas for all American men it was only 76.2 years (Xu et al. 2020). Presumably, little (if any) of this 5 year inequality in life expectancy represents an injustice. However, if some inequalities in health are not unjust, then inequalities in health are not unjust per se.