Background injustice and genuine choice operate very differently across patients, and any plausible theory of justice in healthcare must account for this contrast. How do we allocate care without leaving anyone behind?

While we should uphold the view that disabled bodies are simply different and deserving of social acceptance, the more intricate issue is whether and when it is permissible to intervene in cases where a body is not just different, but fundamentally at odds with its own capacities and sense of agency.