In health services where much care is provided for free there has always been a question of balancing resources. Some treatments are just too expensive, when this is the case the individuals are free to pay for private healthcare. Clearly then if there is less money to be spent on healthcare there just needs to be a rethink about which treatments are affordable as a part of free healthcare. In the United States deciding what treatments are worth the cost is left to the market, in more centrally organised health systems as is the case in Europe there is a regulator or commission that decides. In the UK this is NICE (the National Institute for Health and Clinical Excellence) which decides what drugs are worthwhile based upon quality-adjusted life years and usually does not recommend treatments that cost more than £20-30,000 per QALY. [1] The answer then would be to drop this down to a lower figure.  [1] Dreaper, Jane, ‘Researchers claim NHS drug decisions ‘are flawed’’, BBC News, 24 January 2013,