thus it may be considered desirable to take into account the particular factors pertaining to some people or some groups by designing and implementing the necessary policies to facilitate better health outcomes in groups that are disadvantaged so as to reduce the disadvantage in this regard it is up to each society or nation to define what it considers as desirable with respect to the distribution of health and what people expect from their governments in terms of achieving those goals further examination of these issues is beyond the scope of this note simply put this note argues that large inequalities in health outcomes such as exist in many countries and across countries are generally undesirable