 Several ethics frameworks directed at assisting policymakers in taking this broader perspective attempt to incorporate both value-for-money and other justice-based commitments in one guidance document (see Ottersen et al. 2014). Relatedly, there is increasing interest in multi-criteria decision analysis (MCDA) in public health, a formalized methodology in the operations research tradition that allows for systematic attention to a range of considerations inclusive of both efficiency and equity criteria. There is also continuing interest in incorporating equity- based concerns directly into formal economic methods, sometimes referred to as cost-value analysis. (Distefano and Levin 2019) Each of these different strategies to blunting the influence of cost-utility analysis in the service of more just policymaking is subject to different criticisms. For example, strategies that emphasize underscoring to policymakers that they broaden their scope of relevant inputs, including with the aid of purpose-built ethics frameworks, are challenged for failing to appreciate how numbers-oriented policymaking actually is. Conversely, strategies that incorporate empiricized versions of ethical considerations into economic methods and some quantitative MCDA approaches are open to critiques about making commensurable that which is not, and also obscuring from political and public view what is morally at stake, including where there are moral disagreements that bear on the policy decision.