 Kim (2016) has recently defended a mild form of authenticity requirement that he calls “the ability to value”. The terminology can be misleading because it is not about whether one is able to value something as opposed to nothing, but about whether one is able to bring one’s own authentic values to bear on decision-making (Hawkins 2016). There are two questions raised by Kim that correspond neatly to the two requirements he sketches for the ability to value: first, are the values driving a particular treatment decision really the patient’s own values, or is the patient acting out of character? Second, if the values seem inauthentic, can we demonstrate that the new problematic values arose with the onset of mental disorder or after some illness related event (for example, a depressed person who stopped taking meds three weeks ago, and started wanting to die shortly thereafter)? The second question is analogous to the second question that arises in assessing appreciation, where we have to determine whether or not a patient’s failure to believe that the facts are true of her is caused by a mental problem of some sort (e.g., dementia induced confusion or ICU psychosis). If appreciation fails because of religious or cultural beliefs, this is not a sign of incapacity. Kim is clear that he intends this requirement to be applied very carefully, and that impairment in this domain is not sufficient for a determination of incapacity, though he is vague about what precisely it can contribute to such a decision.