 Although an intriguing theoretical take on the problem, Bognar’s solution, like all forms of luck egalitarianism, is fraught with a very practical problem of distinguishing causal responsibility from moral responsibility. We may feel confident blaming the excessive drinker for the medical need of a liver transplant, but only if we are equally confident that drinking was a choice, rather than a genetically predisposed behavior. And how far back in the causal history do we need to go to determine innocence or guilt? Most traumatic spinal cord injuries are the result of risky behaviors, and the soldier who voluntarily enlists surely understands the risks. Even assuming that these investigations into blameworthiness could conceivably be resolved, and resolved in a timely and inexpensive manner, Bognar is not offering a feasible solution to healthcare allocation in practice since ignoring blameworthy disability when allocating resources is not only unfair, but impractical since disabilities need to be taken into account in order to ensure that treatments and other medical interventions are as appropriate and beneficial for people with disabilities as for those without.