The paper by Macchi and Pavan [1] reaffirms that sustainable publicly funded healthcare systems depend on a mature recognition of the necessity to manage scarcity. The moral importance of preventing and treating diseases and disability with effective health care systems derives from the way in which protecting normal functioning contributes to protecting opportunity and preserving the individual ability to participate in the political, social and economic lives of their society. It is therefore of the utmost importance to have an universalistic health care system.
