The Cour des comptes is publishing its annual report on the application of the Social Security Financing Acts. The reduction of the social security deficit continued in 2015. However, the deficit is still high and its persistence remains a singular anomaly with regard to most of our neighbours. The recovery in the social accounts is expected to continue in 2016, but with no certainties on the schedule of the necessary return to break-even. That recovery is justified not simply on financial grounds but also with a view to bringing an end to the long-running erosion in the protection ensured by public healthcare insurance, which undermines equal access to care. From this standpoint, the Cour des comptes has reviewed the changes – a source of concern in many respects – in the funding arrangements for healthcare spending over the last decade.