 One of the most robust defenses of how the CEA approach deals with disability comes in the form of Michael Stein’s general defense of utilitarianism against forms of resource egalitarianism (Stein 2006). Stein argues that only utilitarianism, by relying on the greater benefit criterion of distributive justice, can handle our intuitions about disability when it comes to health care allocation. He acknowledges that disability is conceptually related to ill-health or functional decrement (impairment), and, as a utilitarian takes that to mean that disability also reduces welfare—and proportionately: the more severe the disability, the greater the welfare loss. Because of this relationship, he argues that the utilitarian can precisely determine—in welfare terms—the impact of a health benefit and this makes utilitarianism, overall, a far better decision-making method for health care allocations. Unfortunately, on his own utilitarian terms, Stein’s argument is flawed. For, as we have said, as long as welfare is a subjective notion, there is no reason to think that there is a strict correlation between health and welfare deficit. Moreover, for a utilitarian consequentialist, there is no a priori reason to think that a person without a disability always experiences less welfare benefit than a person with disability—since there are domains other than health that impact welfare. On the other hand, if we are concerned about maximizing welfare, rather than health, then we need to take into account all consequential welfare advances that are linked to health improvements (opportunity to develop talents, better job prospects, or a more stable family life) and once that door is open, there is no reason to think that disability will matter since these benefits may, overall, greatly overwhelm the negative impact of disability (Bickenbach 2008). 