PT - JOURNAL ARTICLE AU - Michele Loi TI - You cannot have your normal functioning cake and eat it too AID - 10.1136/medethics-2012-100989 DP - 2013 Dec 01 TA - Journal of Medical Ethics PG - 748--751 VI - 39 IP - 12 4099 - http://jme.bmj.com/content/39/12/748.short 4100 - http://jme.bmj.com/content/39/12/748.full SO - J Med Ethics2013 Dec 01; 39 AB - Does biomedical enhancement challenge justice in health care? This paper argues that health care justice based on the concept of normal functioning is inadequate if enhancements are widespread. Two different interpretations of normal functioning are distinguished: the “species typical” vs. the “normal cooperator” account, showing that each version of the theory fails to account for certain egalitarian intuitions about help and assistance owed to people with health needs, where enhancements are widespread.