Résumé :
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[BDSP. Notice produite par INIST-CNRS NR0xZ7Se. Diffusion soumise à autorisation]. The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high ; its expenditures, as a share of gross domestic product, are far lower than in the United States ; and patients have an extraordinary degree of choice among providers. Lessons for the United States include the importance of government's role in providing a statutory framework for universal health insurance ; recognition that piecemeal reform can broaden a partial program (like Medicare) to cover, eventually, the entire population ; and understanding that universal coverage can be achieved without excluding private insurers from the supplementary insurance market.
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