 Recently, Greg Bognar, recalling a version of “luck egalitarianism” (see Arneson 2000) has suggested another tactic that might avoid this tangle (Bognar 2010, 2011). Trading on the distinction between the value of a life and its moral worth, he has argued that we are uncomfortable with the quality of life measure, not because it is irrelevant to the capacity to benefit from a health resource, but because it tells us nothing about whether the individual deserves or merits the scarce resource. He suggests that in general we should ignore disability in the allocation of health resources. Disability is only relevant, he claims, when it diminishes the capacity to benefit from the health resource and the individual is responsible for the disability. Thus, while it would be unjust to deny a person a hip and knee replacement just because he or she is blind because of bad luck, it would not seem to be unjust if the person was voluntarily obese: being overweight contributed to the need for the replacement surgery in the first place, and would in any event reduce the benefit that the person would receive from the surgery. 