The Cour des comptes hereby publishes its annual report on the implementation of the Social Security Finance Acts. The social security deficit has decreased further, falling from - €10.3 billion in 2015 to - €7 billion in 2016. This was achieved through a structural effort and with no additional increase in revenues. The decline in social security debt that began in 2015 continued.
These positive findings show that the actions undertaken are coming to fruition. They are coupled, however, with persistently high deficits in health insurance and public pensions. The repayment of a portion of the social security debt has still not been settled. Moreover, the return of the social security system to equilibrium has been postponed by one year, from 2019 to 2020.
Reforms are not only necessary but possible, to ensure a sustainable financial balance of the social security accounts, in particular for health insurance. Improved access to healthcare and increased quality and safety have been coupled with better control of health insurance expenditure, as shown by the Cour des comptes’ findings.