As regards specific sectors, primary care is generally judged to be exemplary, but hospital care, although good, is seen as requiring some attention, with notable worries about overcrowding (OECD, 2012). In addition, there are concerns about whether the current system of long-term care is capable of dealing with the expansion in demand from population aging. Training, recruitment and retention of professionals are among the most immediate issues. On other fronts, pressures for savings in public spending on health care are unlikely to lessen in the coming years, and neither will cost pressures from ageing and technological development. Data envelopment analysis (DEA) was performed with one output (life expectancy at birth for 2010 and 2005) and two inputs (a composite indicator of the socio-economic environment and lifestyle factors for 2010 or 2005 and healthcare spending).