Given existing inequalities in health between the native Danish population and some immigrant groups, this additional fee may present an obstacle for some patients, although it is unclear how large a population group would be affected by the measure. The recent reduction in cost-sharing will also help low-income groups improve access to care. That said, cost-sharing remains the most repressive form of financing health systems. International evidence shows that cost sharing applied indiscriminately is a blunt instrument for controlling cost, because it reduces both desirable as undesirable health service utilisation. A starting point would be to review the effectiveness of current exemption policies and monitor health utilisation patters and out-of-pocket expenditure for other vulnerable categorises not currently benefiting from exemptions.