 In all of these scenarios, the CEA and QALY allocation strategy would prima facie favor the non-disabled individual B. Both the priority and the indirect benefits problems are at work here. Although this result seems intuitively acceptable for case (iii), since the treatment to A would be a total waste of a scarce resource, and unfair if B could benefit from it. But it is far less clear what we would say if the effectiveness of the treatment was less obviously compromised by the disability. As for cases (i), (ii) and (iv) the CEA analysis is at least troubling because the preference is based exclusively on A’s (or for case iv), C’s) disability, or ex ante quality of life. We might not think it relevant what kind of life a person would live after a medical treatment, and differences in life expectancy would only be relevant if they were very stark—say A would only live a few weeks, but B several decades.