Health is an area in which there are significant and growing inequalities. The wealthier you are, the longer you live and the healthier you are. This applies to general health conditions worldwide, but also within high-income countries. In the field of public health, these inequalities are well known and statistically recorded. From a Christian perspective, inequality in existential areas such as health is discussed against the backdrop of the claim to universal justice, solidarity and equality. At the same time, this claim to universality is limited by harmatiological time diagnosis, eschatological distancing or pragmatic considerations. This tension between universality and its limits has long been discussed in theological ethics on the basis of paradigms such as migration, property or the welfare state. The proposed contribution will revisit these questions in the theologically underdeveloped field of public health ethics. It will address the topics of orphan diseases and drug pricing, group risks in the course of a pandemic, and global inequalities in healthcare, and will examine the structural logic of the respective argumentation about universality and its limits. Literature: Moos, Thorsten (2022): Public Health als zu entdeckendes Thema einer theologischen Ethik [Public health as a topic to be explored in theological ethics], in: Thorsten Moos/ Sabine Plonz: Öffentliche Gesundheit [Public Health] (Jahrbuch Sozialer Protestantismus [Yearbook of Social Protestantism]), Leipzig, 291-318.