 Equity and efficiency frequently sit side by side in public health policymaking. Countries often explicitly include a range of diverse health equity objectives in national public health goals (Krubiner and Faden 2017). Several approaches have been put forward to assist policymakers who do not want to lose sight of these objectives as they also aim to be efficient in the use of the limited resources available for population health. One major concern is that cost-utility and cost-effectiveness can have an outsized influence on policymaking because the quantitative character of their results convey a kind of pseudo-scientific certainty or otherwise seem to provide an evidence-based grounding for what policymakers should do. To combat this concern, which of course is a risk in policymaking generally, some have argued the importance of treating CEA and CUA findings only as aids to decision-making that policymakers should take into account, but always in concert with other sources of relevant information, including explicit ethics analysis.