 While less explored, a different set of questions about institutional design and disagreement concerns the connection between administrative agencies, public health, and democratic decision-making. Public health decision-making often occurs within administrative agencies, where unelected officials make value judgments about how to interpret or implement legislation or executive directives (Weinstock 2016). This feature of public health raises interesting legitimacy questions, questions that also crop up for national defense or environmental agencies or appointed judges. While of considerable interest and importance for public health ethics, there has been relatively little work addressing this topic. Adequately addressing this gap in the literature would require bringing together work on democratic legitimacy, the legitimacy of administrative agencies, and the implications of both for public health, in particular.