House Rule: Rest and Recovery

The ease of a full recovery after just one extended rest (6 hours) is one of the most commonly criticized game mechanics of 4th edition. I feel it removes an important element of danger from the game and indeed I have never been a fan of the ease of magical healing in prevoius editions of D&D either.

Therefore, I'm introducing this house rule into my 4e game:

Per extended rest, a character may recover either one healing surge or may remove one failed death save.A short rest has no effect on recovering failed death saves.

The doesn't have a major effect on the tactics of an encounter but it does change the players' overall strategy between encounters. This puts 4e players in a more perilous position than players of eariler editions as there are no easy means of magical healing to speed up long term recovery. Any such magic would also have to be house ruled as well if used at all. Perhaps a new ritual or new magic item could be introduced to improve the recovery rate but I'm not inclined to include such items. I've always liked the "major wound" mechanic of the Pendragon RPG and I think this rule lends a little of its flavor to D&D.

Any 4e players or DMs out there have an opinion of this?