 Given that several of the items on Nussbaum’s ’98 list cannot be enjoyed by many people with disabilities, it follows that if high levels of well-being cannot be attained by someone who cannot enjoy all of the items on the list, then high levels of well-being are not attainable by many people with disabilities. If that implication is false, then the list must be changed. For example, even if it is necessary to include substantive goods or normative ideals in an account of individual well-being, it is not clear that all of the categories in Nussbaum’s list, for example, are necessary for high levels of well-being. As Jerome Segal (1998) points out, most of us would agree that a life can go very well without one or more of the capabilities Nussbaum regards as essential. Indeed, the most successful of lives of people lacking a single capability may go as well as the most successful lives of people with a standard complement of sensory and motor functions. Although a life could hardly go well without at least some of these capacities, we have no clear basis for establishing a minimum set.