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The future of health insurance

COUR DES COMPTES

The health insurance system created in 1945 has enabled France to show good results in terms of life expectancy. However, the prevalence of practices at risk, a high infant mortality rate and increasing inequalities in access to care, qualify these results, which, moreover, are obtained at the expense of recurrent deficits. France is characterized by high health spending as a proportion of GDP and the large share of supplementary health insurance in its financing. Faced with the structural increase in spending, while the current regulatory tools have reached their limits, quality and equal access to care can only be maintained or strengthened by reforming the organization and the management of the health system.

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