What we here call “the value neutrality constraint” is a bit more complex, but its significance makes it important to explain clearly. Value neutrality refers to the idea that we need to leave room for patients to make unusual or unpopular choices (Craigie 2013a: 1). People vary greatly in their values and so, even when confronted with similar situations, make very different kinds of choices. If the freedom to decide for oneself is to be meaningful, we need to ensure that individuals are not dee