Abstract
Health care in France falls almost exclusively under theresponsibility of the Social Security department, which coversalmost all the expenditures related to health care,whether hospitalization or medication is concerned.For severe diseases or surgery the coverage is likelyto reach as much as 100%. The medical expendituresfor several severe diseases, such as cancer, myocardialinfarction, or neurodegenerative diseases are 100% coveredfor a period of time as long as three months. For some procedures, full coverage may be achieved by usinga subscription to private health care insurance.Access to cover by the state has recently been openedto anyone living in France, after passage of a special law. There is still a lack of intensive care and hospice beds, given the rapidly increasing number of elderly who cannot be maintainedat home. There is a tendency to reduce the number ofbeds in private and public hospitals due to thegreat number of such institutions and the generalconcern that a low volume of procedures, associatedwith inexperienced health care professionals, is likelyto increase morbidity and mortality as well as publichealth care expenditure. Patients are still free tochoose doctors and hospitals (whether privateor public), provided that beds are available and thatspecific procedures can be carried out in thevicinity. So far no waiting list is needed, exceptfor specific procedures performed by a few specialists of high repute. Health care expenses are increasingcontinuously, which results in a very expensive systemin France.
Similar content being viewed by others
References
Brucker, G. and Fassin, D. (1989) Santé Publique. Paris: Ellipses.
Dreyfuss, D. (1998) Comité de Protection des Personnes. Paris: Médecine-Sciences Flammarion.
Hirsch, E. and Ferlender, P. (1998) Droits de l'homme et Pratiques Soignantes. Paris: Doin Editeurs.
Joly, P. (1993) Le Système de Santé Français. Paris: Les Editions d'Organisation.
Levinas, E. (1985) Indivisibilité des Droits de l'Homme. Fribourg: Ed. Universitaires.
Levinas, E. (1982) Ethique et Infini. Paris: Fayard.
Ordre National des Médecins (1996) Conseil National de l'Ordre. Paris: Conseil National de l'Ordre des Médecins.
Mandraud, I. (1999) Nouvelle carte hospitalièrè. Le Monde 55: 17038.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Geschwind, H.J. Health Care in France: Recent Developments. Health Care Analysis 7, 355–362 (1999). https://doi.org/10.1023/A:1009468311105
Issue Date:
DOI: https://doi.org/10.1023/A:1009468311105