 Daniels (2008) develops an institutionalist approach to global health justice. He rejects the cosmopolitan idea that national membership is morally arbitrary on the grounds that co-nationals stand in a morally relevant set of institutionally mediated relationships which establish sustainable claims of egalitarian justice. Co-nationals are subject to the same coercively enforced rules of social cooperation of which they are the putative co-authors (see Nagel 2005). While Daniels (2008) rejects Segall’s claim that global inequalities due to national membership are unjust, he follows Joshua Cohen and Charles Sabel (2006) in arguing that international organizations and agreements establish morally relevant relationships and so must be designed in accordance with principles of justice. Thus, Daniels (2008) argues, the World Health Organization must show equal concern to all in its distribution of public health expertise and technology, and international property rights regimes must be designed to better address the global burden of disease.