Any health care system should be restricted in its coverage. There are lots of medical procedures that are ‘nice to have’ but not necessary to be healthy. Cosmetic surgery is just one example. About 20% (German number) of health care costs occur in the last six month of a person’s life because there is some universal aim to prolong peoples live as long as possible. My father, against my protests, was one of those who were treated very expensively even though it was certain that he would die soon. We really need to think about this. Is it justifiable to ‘invest’ so much into a likely soon dying person?