This article shows the relationship between health spending per capita and life expectancy in the OECD. Most countries are grouped around a 45 degree line with life expectancy duly rising with spending. Health care expenditures and life expectancy have both been rising in many countries, including in the Netherlands. However, it is unclear to what extent increased health care spending caused the increase in life expectancy. Establishing a causal link between health care expenditures and mortality is difficult for several reasons.