““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

Nos amis françaisNos amis français

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

Merci pour l’ecouteMerci pour l’ecoute

la Fin la Fin

Works CitedWorks Cited

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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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