I do feel we really do have to bite the bullet and reduce non essential treatments. We spend millions on IVF, (being childless is not an illness), millions on abortions, (except for rape - the mother and father should pay) millions on drug addiction (let them go cold turkey), millions on prolonging life for those with no quality of life, millions on pen pushers instead of medical staff, millions on multiple health boards which could be combined.
Why do we waste resources on people who will not give up smoking and have lung problems as a result, why do we treat drunks when their problems are self inflicted? Why operate on the morbidly obese when the chances of failure are so much greater.
If people are not intending to alter their lifestyles to comply with medical advice why treat them?
Medical advances mean that more and more expensive treatments will become available in the future, we have to draw the line somewhere.