Obesity rates are rising, particularly among children, where the rate has grown by 50% since 2001. Nevertheless, the share of public expenditure is high (77%) and the benefits package is broad. While co-payments are levied on an increasingly wide range of health benefits, there are exemptions for vulnerable groups and out-of-pocket payments accounted for only 15% of total health spending in 2015, equal to the EU average. Strengthened health system governance will be crucial to ensure financial sustainability. There is a large gender gap, with women living about six years longer than men (81 years for women compared with slightly less than 75 years for men). Standardised death rates from cardiovascular diseases were 679 per 100 000 population in 2014,1.8 times higher than the EU average of 374.