 Segall (2010) defends a cosmopolitan luck prioritarian account of global health justice. National membership is a morally arbitrary feature of one’s identity, Segall argues, and so disadvantages in people’s opportunities for health that are due to national membership should be addressed, with priority given to those who are worse off. While luck egalitarian or prioritarian positions often permit deficits in health due to voluntary choices in the domestic context, Segall (2010) rejects appeals to national responsibility to justify global health disparities on the grounds that not all residents of a polity can be held responsible for national policies. Even in an ideal world of democratic countries operating in the context of a just global economic order, policy decisions will be made on behalf of children and against the wishes of dissenters.