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The health care system under French national health insurance: lessons for health reform in the United States



The health care system under French national health insurance: lessons for health reform in the United States



American Journal of Public Health 93(1): 31-37



The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high; its expenditures, as a share of gross domestic product, are far lower than in the United States; and patients have an extraordinary degree of choice among providers. Lessons for the United States include the importance of government's role in providing a statutory framework for universal health insurance; recognition that piecemeal reform can broaden a partial program (like Medicare) to cover, eventually, the entire population; and understanding that universal coverage can be achieved without excluding private insurers from the supplementary insurance market.

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Accession: 047652332

Download citation: RISBibTeXText

PMID: 12511380

DOI: 10.2105/ajph.93.1.31


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