But why should this not apply equally to a more pressing question for most patients with mental disorders: what justifies treatment against their will? Mental health legislation almost always ignores capacity. This is in sharp contrast to treatment for "physical" disorders, in which capacity and consent are central; a patient who has capacity cannot be treated nonconsensually, no matter how drastic the health consequences. The report by Gardner et al. (2), addressed in the editorial, involved patients involuntarily committed to the hospital according to common criteria—the presence of mental illness and dangerousness to either themselves or others. There was no consideration of the capacity to make treatment decisions and, if capacity is impaired, whether nonconsensual treatment is in the patient’s "best interests"—a question in which values loom large.