On a standard relational egalitarian framework, social justice is achieved through eliminating intolerable inequalities of power and social status. From this point of view, injustice is not simply a matter of what institutions or individuals do but of how they do it. If they fail to challenge, reinforce, or create paradigm social injustices such as domination, stigma, and oppression, citizens remain socially unequal whatever their distributive positions. As this chapter demonstrates, the case of dementia clearly illustrates the value of this approach, as purely distributive views cannot fully capture the severity nor the character of the injustices those that live with this condition face.