“a votre santÉ” le système de santé publique français by rhieu mellor
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““A VOTRE SANTÉ”A VOTRE SANTÉ”
Le système de santé publique Le système de santé publique françaisfrançais
By Rhieu MellorBy Rhieu Mellor
BIBLIOGRAPHIEBIBLIOGRAPHIE
Employee at the West Bay Family Employee at the West Bay Family YMCAYMCA
Kinesiology- Study of human body Kinesiology- Study of human body movementmovement
Pourquoi ce sujet ?Pourquoi ce sujet ?
Educational relevance Educational relevance
Comparison to the United StatesComparison to the United States
Can both countries learn from each Can both countries learn from each others system?others system?
Je m'excuse des Je m'excuse des contradictionscontradictions
PoliticalPolitical
MedicalMedical
Business/IndustryBusiness/Industry
CircumstantialCircumstantial
Overview of US Health CareOverview of US Health Care
Health InsuranceHealth Insurance
Insurance that compensates the Insurance that compensates the insured forinsured for
expenses or loss incurred for medical expenses or loss incurred for medical
reasons, as through illness or reasons, as through illness or hospitalizationhospitalization
Types of InsuranceTypes of Insurance
Employee-basedEmployee-based
Private policiesPrivate policies
Publicly financed fundsPublicly financed funds
Prominent US Insurance Prominent US Insurance CompaniesCompanies
Blue Cross-Blue ShieldBlue Cross-Blue Shield
United HealthcareUnited Healthcare
MedicareMedicare
MedicaidMedicaid
Medical EducationMedical Education
Typically an Undergraduate degree Typically an Undergraduate degree for medical personnelfor medical personnel
For a Medical Degree For a Medical Degree (MD/DO)(MD/DO):: Undergraduate curriculumUndergraduate curriculum Medical School/ResidencyMedical School/Residency Optional: Additional specialty trainingOptional: Additional specialty training
MONEY MONEY MONEYMONEY MONEY MONEY
AVERAGE MEDICAL STUDENT DEBT:AVERAGE MEDICAL STUDENT DEBT:
$150,000-$150,000-$175,000+$175,000+
So we’re all insured, right?So we’re all insured, right?
NOOOOOOOOOOOOOPENOOOOOOOOOOOOOPE
46 MILLION AMERICANS ARE 46 MILLION AMERICANS ARE CURRENTLY UNINSURED (15% of the CURRENTLY UNINSURED (15% of the total population)total population)
Numéro unNuméro un
World Health Organization (WHO) in World Health Organization (WHO) in 2001 voted the French Health Care 2001 voted the French Health Care system the best in the worldsystem the best in the world
Trente-septTrente-sept
The United States ranked 37The United States ranked 37thth in the in the samesame
equivocal survey equivocal survey
French Health Care SystemFrench Health Care System
SOCIALIZED MEDICINE (terme SOCIALIZED MEDICINE (terme stupide)stupide)
The French don’t truly consider their The French don’t truly consider their system as “socialized medicine”system as “socialized medicine”
Sécurité SocialeSécurité Sociale
The publicly-funded health insurance The publicly-funded health insurance system in the country of Francesystem in the country of France
CompulsoryCompulsory
SolidaritySolidarity
FREE HEALTH CARE???!!!FREE HEALTH CARE???!!!
Not exactly…Not exactly…
Paycheck deductions- up to 20% Paycheck deductions- up to 20%
High taxation- Alcohol, tobacco, High taxation- Alcohol, tobacco, gasoline,gasoline,
etc.etc.
““We, not me”We, not me”
““The healthy should pay for the sick”The healthy should pay for the sick”
The sicker you get, the more care The sicker you get, the more care you receive with less payyou receive with less pay
Assurance supplémentaireAssurance supplémentaire
This insurance covers all co-pays and This insurance covers all co-pays and additional medical feesadditional medical fees
Usually occupationally-basedUsually occupationally-based
HôpitauxHôpitaux
Freedom to chooseFreedom to choose
Public/Private hospitals are closely Public/Private hospitals are closely locatedlocated
Éducation médicaleÉducation médicale 6 year program6 year program
Grades dictate where one will specializeGrades dictate where one will specialize
However, the tuition is outrageous…However, the tuition is outrageous…
JUST KIDDINGJUST KIDDING
““If it’s free it’s for me”If it’s free it’s for me”
The French government completely The French government completely funds all medical students educationfunds all medical students education
French PracticeFrench Practice
Private-practicePrivate-practice
HospitalsHospitals
House-callsHouse-calls
Service d'Aide Médicale d'UrgenceService d'Aide Médicale d'Urgence (SAMU)(SAMU)
Is it abused?Is it abused?
Oui!!!Oui!!!
Many French citizens go to the Many French citizens go to the Doctor too much while others may Doctor too much while others may never go at allnever go at all
Mauvais citoyenMauvais citoyen
Many file false incomes so they don’t Many file false incomes so they don’t have to contribute to the national have to contribute to the national fundsfunds
OU EST DE L’ARGENT?OU EST DE L’ARGENT?
The current French Health Care The current French Health Care System deficit:System deficit:
13+ BILLION 13+ BILLION DOLLARSDOLLARS
French learn from the U.S.French learn from the U.S.
They are learning from our very own They are learning from our very own systemsystem
Electronic funds Electronic funds
Health techniques that reduce Health techniques that reduce expensive testingexpensive testing
OVERALL POSITIVESOVERALL POSITIVES
UNIVERSAL coverage for all citizensUNIVERSAL coverage for all citizens
Security- regardless of work/health Security- regardless of work/health risksrisks
OVERALL NEGATIVESOVERALL NEGATIVES
Too much freedom for the doctors?Too much freedom for the doctors?
People will overuse/abuse the systemPeople will overuse/abuse the system
Que pensent-ils ?Que pensent-ils ?
65% satisfaction rate was polled65% satisfaction rate was polled
The highest in Europe!The highest in Europe!
DIRECT COMPARISONDIRECT COMPARISON
USAUSA
16% GDP on health 16% GDP on health carecare
Will decline citizens Will decline citizens on insurance on insurance policiespolicies
FRANCEFRANCE
10.7% GDP on 10.7% GDP on health carehealth care
Generous to ALLGenerous to ALL
citizenscitizens
DIRECT COMPARISONDIRECT COMPARISON
USAUSA
Life expectancy: Life expectancy: 77.577.5
Private, public or Private, public or employee-based employee-based insurancesinsurances
$5,771 per capita$5,771 per capita
FRANCEFRANCE
Life expectancy: Life expectancy: 79.479.4
UNIVERSAL health UNIVERSAL health carecare
$3,048 per capita$3,048 per capita
RévisionRévision
France has a Universal Health Care France has a Universal Health Care System that is publicly financed System that is publicly financed
The insurance fund is Securite SocialeThe insurance fund is Securite Sociale
High taxation contributes to the systemHigh taxation contributes to the system
Could the U.S. do it? That’s up to you Could the U.S. do it? That’s up to you
Works CitedWorks Cited
Davidson, Lynn. Davidson, Lynn. French Health Care Expert: France’s French Health Care Expert: France’s System Broken, Should Copy US; Media YawnSystem Broken, Should Copy US; Media Yawn. 27 Aug. . 27 Aug. 2007. NewsBusters. 10 Mar. 2009 2007. NewsBusters. 10 Mar. 2009 <http://newsbusters.org>.<http://newsbusters.org>.
Laredo, Jo. Laredo, Jo. French healthcare systemFrench healthcare system. 2009. Parisvoice. 10 . 2009. Parisvoice. 10 Mar. 2009 <http://www.parisvoice.com/index.php?Mar. 2009 <http://www.parisvoice.com/index.php?option=com_content&task=view&id=472&Itemid=28>.option=com_content&task=view&id=472&Itemid=28>.
Warden, Christian G. “Pros and Cons of US and French Warden, Christian G. “Pros and Cons of US and French Health Care Systems.” Online posting. 20 Mar. 2007. 10 Health Care Systems.” Online posting. 20 Mar. 2007. 10 Mar. 2009 Mar. 2009 <http://xn.pinkhamster.net/blog/school/health_care_in_us_a<http://xn.pinkhamster.net/blog/school/health_care_in_us_and_frace.html>.nd_frace.html>.
The French Healthcare SystemThe French Healthcare System. 2008. Get Sick Around The . 2008. Get Sick Around The World. 10 Mar. 2009 World. 10 Mar. 2009 <http://getsickaroundtheworld.org/france.html>.<http://getsickaroundtheworld.org/france.html>.
Dutton, Paul V. Dutton, Paul V. France’s model healthcare systemFrance’s model healthcare system. 11 Aug. . 11 Aug. 2007. The Boston Globe. 10 Mar. 2009 2007. The Boston Globe. 10 Mar. 2009 <http://www.boston.com/news/globe/editorial_opinion/oped<http://www.boston.com/news/globe/editorial_opinion/oped/articles/2007/08/11/frances_model_healthcare_system/>./articles/2007/08/11/frances_model_healthcare_system/>.
The French Health Care SystemThe French Health Care System. 27 Jun. 2004. Medical . 27 Jun. 2004. Medical News Today. 10 Mar. 2009 News Today. 10 Mar. 2009 <http://www.medicalnewstoday.com/printerfriendlynews.ph<http://www.medicalnewstoday.com/printerfriendlynews.php?newsid=9994>.p?newsid=9994>.
The French Lesson In Health CareThe French Lesson In Health Care. 9 Jul. 2007. Business Week. . 9 Jul. 2007. Business Week.
10 Mar. 2009 10 Mar. 2009 <http://www.businessweek.com/magazine/content/07_28/b40<http://www.businessweek.com/magazine/content/07_28/b4042070.htm>.42070.htm>.
Dutton, Paul V. Dutton, Paul V. Differential Diagnoses: A Comparative History Differential Diagnoses: A Comparative History of Health Care Problems and Solutions in the United States of Health Care Problems and Solutions in the United States and Franceand France. New York: Cornell University Press, 2007.. New York: Cornell University Press, 2007.
SickoSicko. Dir. Michael Moore. Dog Eat Dog Films, 2007.. Dir. Michael Moore. Dog Eat Dog Films, 2007.
Cavalcante, Gaetane. Online interview. 11 Mar. 2009.Cavalcante, Gaetane. Online interview. 11 Mar. 2009.
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