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

Abstract:

: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.

journal_name

Am J Public Health

authors

Rodwin VG

doi

10.2105/ajph.93.1.31

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

31-7

issue

1

eissn

0090-0036

issn

1541-0048

journal_volume

93

pub_type

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