In view of the difficult budgetary negotiations the debate about the healthcare expenditure growth rate is everywhere. For some, a more modest rate stands for the beginning of the end of a solidary social security; for others the status quo will condemn our welfare state to bankruptcy. Difficult to say who will be right. What we know for sure, however, is that this extraordinary budgetary crisis is an extraordinary opportunity to discuss, without taboos, about a sustainable future for our healthcare. And the controversial growth rate will certainly be part of the debate.