Desire-based and value-based normative reasons

This paper is a response to John Harris' provocative 'Justice and Equal Opp ortunities in Health Care: The aim of this short response is to locate the difference between Harris and me within a broader debate about the nature o f reasons for action. I argue that Harm's is appealing to a desire-based co nception of normative reasons. I highlight some of the deficiencies of a de sire-based conception of reasons, and contrast it with a value-based accoun t.