 This response is correct as a general point but does not touch the present objection. The objection is not that it is hard to say when someone is badly off, but that it is hard to isolate the specific class of ways of being badly off that we regard as medically relevant without relying on a notion of natural malfunction. Glackin (2019, p.272–3), however, denies that this is a problem at all. He argues that to justify treating some conditions as medical issues, and "others as social or legal, rather than medical, all a normativist needs to say is that this is morally speaking the right thing to do." For Glackin, we can defend the claim that someone is sick by saying that according to our values they are sick, and no more need be said.