 Some scholars avoid the leveling down objection by opting for social or relational egalitarian alternatives to luck egalitarianism. On this view, health inequalities are unjust if they undermine citizens’ ability to interact with each other as equals (see Voorhoeve 2019; Kelleher 2016; Voigt &amp; Wester 2015; Hausman 2012; Pogge 2004). For example, Alex Voorhoeve (2019) suggests that social egalitarians have special reason to be concerned with health deficits that make people vulnerable to domination or exploitation in private life as well as domination or marginalization in public life. Proponents of this view argue that it addresses a significant problem with luck egalitarian approaches since it holds that health inequalities due to people’s voluntary and informed choices are nonetheless unjust if they undermine their standing as equals. A challenge to social or relational egalitarian views, however, is that they are vague on which health inequalities undermine equal relations among citizens (Hausman 2019; Voigt &amp; Wester 2015).