Good reasons, as Scanlon argues in 'Being Realistic About Reasons', must be grounded in facts about the world that obtain independently of whether any agent has a relevant attitude.
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The party in a principal-agent relationship who is instructed to produce the good or service on the principal's behalf — in the medical context, the doctor
facts about the world(as foundational truths)
Things that are actually true in reality—like 'fire is hot' or 'water is wet'—as opposed to things that are just matters of opinion or personal preference.
grounded in(whether distinctness or identity is explained by intrinsic features)
To be explained by or to have its reason or basis in something else—like how a tree being wet is grounded in (explained by) recent rain.
relevant attitude(as used in metaethics (the study of what morality is))
A personal feeling, belief, or preference that someone has; the point here is that true reasons shouldn't depend on whether you happen to like or want something.