Another point of interest might be how health provision is changing in my country, the UK. We are gradually moving from an almost French system towards an American system as our fascination with privatisation takes a greater and greater hold. Services are suffering as money gets sucked out by private companies.
I won't deny that nationalised industries can suffer from inefficiency and bloat, but equally it is impossible to deny that once something is privatised, the whole purpose switches from quality of service provision to share price and shareholder dividends.
Funny thing is that... Same in France...
We have the best and most efficient healthcare system in the worls, absolutely all studies and associations agree on that, but no we're going full speed towards privatization.
Who gains from this?
I'm sure you can guess.
You could try to argue a rock dropped, in mid air is in fact flying, but trends and time will demonstrate without a doubt it is falling. Just as cutting your own arm off to nourish yourself might work for a short period of time, eventually you run out of limbs to amputate.
"Copayment/Deductibles. 10% to 40% copayments.
Technology. The government does not reimburse new technologies very generously and because of global budgets and fee restrictions, there is little incentive to make capital investments in medical technology.
Waiting Times. France has generally avoided waiting lists, likely due to the fairly high coinsurance charges.
Recent trends towards Increased restrictions, reduced reimbursement rates, and rationing has increased wait times however.Tanner’s summary. “To sum up: the French health care system clearly works better than most national health care systems. Despite some problems, France has generally avoided the rationing inherent in other systems.
However, the program is threatened by increasing costs and may be forced to resort to rationing in the future.”"https://www.healthcare-economist.com/2008/04/14/health-care-around-the-world-france/"Indeed, in a World Health Organisation comparison of 191 different countries, France came out at number one.
It’s important to be clear, however: Beyond legitimate questions about the WHO’s methodology, the ranking itself dates from 2000. That said, France remains on top of the list, because it was the first and last such ranking conducted by the WHO. Since then, France has occupied a number of positions in other rankings, depending on their criteria and definition of what constitutes a “good” health care system.
A July 2017 analysis by the New York–based Commonwealth Fund compared the health care systems of 11 industrialized countries. They put France at number 10, just above the United States, with the United Kingdom at number one. Yet in another ranking – published in May by The Lancet, it looked at 195 countries – the UK was ranked 26th, while France came in 15th. And in the top position, the tiny principality of Andorra. All this demonstrates just how difficult it is to interpret such rankings."
https://theconversation.com/how-healthy-is-the-french-health-system-83329While these systems may function for a time, bureaucratic bloat uninhibited by market forces always takes over.
