Dr. Tom Ryan:

I will comment on that. Healthcare spending in any country is directly related to how long people live. As a greater proportion of a population becomes elderly and infirm, more medical care is needed. People in Ireland live quite long lives. We live well into our 80s - to 81 or 82 years of age. That is a key driver of healthcare spending. Over the last 20 or 30 years we have been remarkably successful at prolonging people's lives by spending more money on healthcare. There is no sign that trend will change. As people in Ireland continue to live longer, more fruitful, happy lives, more money will need to be spent to keep them alive.