 Others avoid the leveling down objection by defending sufficientarian approaches to health justice (for comprehensive discussions of sufficientarian approaches, see Fourie 2016; Rid 2016). Madison Powers and Ruth Faden (2006: 15–29) argue that social justice requires that people be secured a sufficient level of wellbeing where wellbeing is understood to have six essential dimensions: health, personal security, reasoning, respect, attachment, and self-determination. Justice does not therefore demand equality in health outcomes, but rather that people have “enough health over a long enough life span to live a decent life” (Powers &amp; Faden 2006: 95). Jennifer Prah Ruger (2010) similarly develops a capabilities approach to health justice, according to which people are entitled to a threshold level of certain core health capabilities, that is, abilities to be healthy. The focus of public policy, Prah Ruger (2010: 88–90) argues, should be to reduce “shortfall” inequalities—i.e., to bring people as close to the requisite threshold as is possible.