French Healthcare vs U.S. Healthcare

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Health Status and Health Care Services in France
with comparison to the United States

HSM310 Introduction to Health Services Management Course Project Date submitted:

Table of Contents
Executive Summary………………………………………………………………………….1 Population and Health Status…………………………………………………………………………………………..1 Demographic characteristics of population……………………………………………………...2 Mortality, Infant mortality data, causes of death………………………………………………...3 Related information (such as on quality of life); analysis………………………………………..3 Availability of Health Services…………………………………………………………………...4 Basic organization/general description of services institutions, providers of care………………..4 Issues related to access…………………………………………………………………………….4 Expenditures……………………………………………………………………………………5-6 How are health services paid for; any roles for the government here……………………………7 Macro environmental influences on the health care system

Political
Socioeconomic
Cultural
Technological/Other relevant influences
Summary comments
Problems
Opportunities
Comparison to the United States: what works better, what is not working as well…………………………………. Concluding comments: Lessons learned for the U. S., other countries……………………………………………… Bibliography (required)………………………………………………………………………………………………….

Health care experts for the World Health Organization tried to do a statistical ranking of the world's health care systems. They studied 191 countries and ranked them on things like the number of years people lived in good health and whether everyone had access to good health care. France came in first. The United States ranked 37th. (Shapiro, 2013) Americans assume that France practices socialized medicine, but actually France, like the U.S. relies on both private insurance and government insurance, and also just like in America, the French generally get their insurance through their employer. However one difference is, in France everyone has healthcare. Americans often assume that when people get universal coverage, they give up their choice in doctors, hospitals and care. That's not the case in France. The system is set up both to ensure that patients have lots of choice in picking doctors and specialists and to ensure that doctors are not constrained in making medical decisions. When someone goes to see a doctor, the national insurance program pays 70 percent of the bill. Most of the other 30 percent gets picked up by supplemental private insurance, which almost everyone has. It's affordable, and much of it gets paid for by a person's employer. There are no uninsured in France. That's completely unheard of. There is no case of anybody going broke over their health costs. In fact, the system is so designed that for the 3 or 4 or 5 percent of the patients who are the very sickest, those patients are exempt from their co-payments to begin with. There are no deductibles. French healthcare is widely regarded as the best in the world. Healthcare is provided free (or highly subsidized) by the government. Management of France’s healthcare system is done through the social security system. Healthcare funds are predominately derived from the income of France’s working population. It is estimated that almost 21% of an employee’s compensation, including employer contribution, is remitted to the government. Of this amount, 12.5% is contributed by the employer and 0.75% by the employee; 7.5% in social security tax is also collected from the employee. This accounts for 60% of the social security fund. Other fund sources are indirect taxes from alcohol and tobacco. France is implementing a standard tariff scheme for all services. Medical practitioners are categorized as either conventioné or non-conventioné. Conventioné practitioners adhere to the standard rate while the non-conventioné can charge whatever rate they like. However, almost all health practitioners charge the standard rate, even the private ones (for competitive reasons). Services and prescribed...
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