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Slide 1

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A case study: France
Sécurité Sociale
· Named by the WHO as the best
performing healthcare system in the
· This is partly because of its availability;
there are lots of healthcare providers
which patients can choose from.
· Patients pay for their healthcare upfront
to the provider and are later reimbursed
by the government.
· Funded indirectly through taxes.…read more

Slide 2

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However, recently the government has been paying
consistently more each year because of its ageing
population ­ France currently pays about 10% of its
GDP for this healthcare system.
· Reimbursements are on average of: 95% for major
surgery, 80%for minor surgery.
· They are usually made up to 10 days after the
· If a person has an underlying health problem they
can be eligible for full reimbursement.…read more

Slide 3

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People coming to live in France do not get covered
by the system if they do not intend to work. They
have to live there for 5 years before they are
eligible for it.
· You have to have your "carte vitale" (green card)
with you when you see a doctor or go to a
hospital, which proves you are covered by the
· To qualify for it, you have to register with a GP
· There are set prices for all the public health
services, private hospitals can charge what they
· 65% of the hospitals are owned by the
· To cover the cost between what they pay and
what the government reimburses, a lot of people
take out an insurance policy.…read more

Slide 4

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· If you can't afford private healthcare, you are covered if
you are injured or need urgent treatment, as if your income
is below a certain amount you get full healthcare coverage.
· If you would like better treatment you can have it if you
can afford it, although the quality may not be that much
· The government does not have to pay so much as with a
fully public system.
· Is seen as the most effective healthcare system.
· The government has control over how much it reimburses
people, and for what services.…read more

Slide 5

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· Costs will increase with an ageing population.
· As the costs rise, the government is cutting down on how
much it reimburses people, forcing some people to turn to
private healthcare and more people to take out insurance.
· The government has also pushed up the amount people
have to pay in tax for the system, with the rate now at 20%
of a person's gross salary.
· You still have to pay upfront for the services, so you have
to have the money available.…read more


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