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In this article Engelhardt calls for a critical review of health care policy. His thesis is that, in view of our moral diversities, the idea of a morally uniform approach to health care policy can no longer be justified. In contemporary pluralist societies, marked by the bounded moral authority of bounded democracies, we are forced to allow diversity to assert itself and tolerate different conceptions of human goods within competing health care insurance systems. For the author, our moral diversities constitute an outstanding opportunity for different communities, cultures and religions: within competing systems, he argues, they have the possibility to address health care problems while standing by their own moral convictions.