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The Social Security System in 2020


The health crisis has led to an unprecedented widening in the social security deficit, resulting from a fall in revenue and an increase in expenditure in response to the emergency. The result has been a considerable increase in social debt. In order to safeguard the social security system over the long term and to avoid further increases in its debt, it seems essential to rebuild a new pathway to facilitate a return to a balanced financial position from now on.
To this end, the Cour des comptes recommends acting on the structural drivers of health insurance expenditure without reducing the quality of care of patients, to better target some of the solidarity benefits in order to better protect the most disadvantaged and to continue efforts to improve the management of social security bodies.

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