The value of life in cost benefit analysis is £1 million with a disproportion factor (multiplier) of 5 for the civil nuclear industry or $10 million in international oil & gas companies. In the UK health service, NICE uses about £20,000 to £30,000 per quality life year which on 45 year working life is close to the million. As old peoples homes cost about £50,000 per year we are already at the stage where extending peoples lives is becoming uneconomical. As one consultant put it we could spend the total GDP on health care but 100% of the population would still die. A goal for too long has been extending peoples lives regardless of the quality but still politically the NHS has to swallow ever increasing sums. No one has the courage to say it is not worth it.