 Other deliberative democrats, while still pegging the legitimacy of democratic decisions to features of both the procedure and its outcomes, are more skeptical about the ability of deliberative processes to reach an ideally justified decision (e.g. Gutmann and Thompson 1996). A case in point is Philip Pettit’s and Christian List’s work on the discursive dilemma (e.g. Pettit 2001, 2003; List and Pettit 2002; List 2006). They show how occurrences of the discursive dilemma may undermine the rationality of the outcome of public deliberation. This problem arises when the evaluation of alternative outcomes is logically connected to a set of independent premises. It is possible that the deliberative constellation is such that a decision made based on the evaluation of the premises will produce the opposite result than a decision based on the evaluation of the outcomes directly. For example: while a majority might hold (P1) that health is the most important good and there might also a be a majority that holds (P2) that affordable health care is a good strategy to secure people’s health, it is still possible that a majority will reject a health care reform (C) which would improve people’s health. This can happen if participants will only endorse the reform if they endorse both premises and if only a minority does so—even though there are majorities for each premise individually.