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French and the United States Health Care Systems

French and the United States Health Care Systems. H 533 – Fall 2008 Group Project – Critical Comparison Sarah Stark, Joe Fisher. French and the United States Health Care Systems. Liberté, égalité, fraternité Life, liberty, and the pursuit of happiness. Sécurité Sociale

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French and the United States Health Care Systems

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  1. French and the United States Health Care Systems • H 533 – Fall 2008 • Group Project – Critical Comparison • Sarah Stark, Joe Fisher

  2. French and the United States Health Care Systems • Liberté, égalité, fraternité • Life, liberty, and the pursuit of happiness • Sécurité Sociale • Employment based voluntary health insurance

  3. World Health Report Rankings for France and the United States • Liberté, égalité, fraternité • Life, liberty, and the pursuit of happiness France United States Disability-Adjusted Life Expectancy Distribution of Health in the Population Fairness in Health Care Financing Responsiveness Health Care Spending per capita Overall Rank 3 24 12 32 6 54 16 1 4 1 1 37 World Health Organization, World Health Report 2000, Statistical Annex, pp. 152-155, 21 June 2001.

  4. Health Insurance Europe/FranceEarly Years • Germany, under Chancellor Bismarck (1883) • Other countries (late 1800's, early 1900's) • France (1910) – Mutual Aid Societies • Britain (1911) • World War I (1914 - 1918) • Alsace-Lorraine (1919) • Social Insurance and Medical Charter (1930) • World War II (1939 - 1945)

  5. Health Reform USAEarly Years • American Association of Labor Legislation (1907) • The 1915 AALL bill and battle (1918 - 1921) • US enters World War I (1917-1918) • Great Depression (1929 – 1939) • FDR's 2nd Deal: Social Security Act (1935) • World War II (1939 – 1945) • Senator Wagner's Health Bill (1939, 1943) • Truman's Proposed Health Program (1945)

  6. Health Insurance FranceRecent Years • Sécurité Sociale (1945): ~50% • Mutual Aid Societies: Supplemental Insurance • Charles de Gaulle (1960): ~76% • Great reform (1980): ~99% • Universal Coverage (2000): ~100% • (2005) 11.2% GDP, ~ $0.25 trillion, $3,926 per person

  7. Health Reform USARecent Years • Wage Funded and Fraternal Orders • Blue Cross (1930) and Blue Shield (1940) • Medicare/Medicaid (1965) • HMO's (1973) and PPO's • EMTALA (1986) and SCHIP (1997) • (2005) 15.2% GDP, ~ $2 trillion, $6,347 per person

  8. France and the United StatesHealth Care Funding France United States Source: Jean de Kervasdoué, ed., Le Carnet de santé de la France en 2000, note, p. 89; Blue Cross Blue Shield Association, Medical Cost Reference Guide, p. 30.

  9. France and the United StatesFinancing Flow Source OECD HEALTH DATA 2008, October 08

  10. French and the United States Health Care Systems • Liberté, égalité, fraternité • Life, liberty, and the pursuit of happiness • Sécurité Sociale • Employment based voluntary health insurance ?

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