vatican city pope francis condemn thursday inequality healthcare particularly rich countries say governments duty ensure common good citizens increasingly sophisticate costly treatments available ever limit privilege segment population francis say address conference european members world medical association raise question sustainability healthcare delivery might call systemic tendency toward grow inequality healthcare say tendency clearly apparent compare healthcare cover countries continents pope say add also visible within wealthy countries access healthcare risk dependent individuals economic resources actual need treatment francis mention countries healthcare big issue unite state president donald trump vow get rid affordable care act introduce predecessor barack obama aim make easy lower-income households get health insurance say healthcare legislation need broad vision comprehensive view effectively promote common good concrete situation speak end-of-life issue francis re-affirmed catholic church long-standing teach morally acceptable patient family suspend reject disproportionate measure keep terminally ill person alive stress different euthanasia always wrong intent euthanasia end life cause death regard end-of-life decisions pope say governments duty protect involve defend fundamental equality whereby everyone recognize law human live others society pope denounce healthcare inequality rich countries