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Health Care: France & the U.S., Social Security and the Single-Payer Model


A good friend of mine, Brigitte Marti, a French scholar living in the US, is married to a French doctor who works both at Johns Hopkins and in a French hospital, and has been organizing meetings with concerned citizens and the US Congress for some time to discuss the future Health Care in the United States.

She recently sent me the following information, which was timely considering the visit to the Normandy Beaches by President Obama. I always think of the story Obama tells of his mother's last months, while she was sick from cancer, worried about her medical bills because of canceled insurance coverage. We have experienced things like this in my own family. We all know it has to change, but what will be the new (or already existing) model? Here Brigitte offers up an alternative:

"France enjoys the benefit of a National Health Program or 'assurance maladie' that is inscribed into a large organization called 'securite sociale.' The term securite sociale, or social security, was first coined by FDR in 1935 and the French used it to express those social risks such as work accidents, unemployment, retirement and health care, which had to be covered in order to protect the economic security of individuals. Typically, social protection and health care work in combination and that is a concept widely accepted in Europe.

At the time of the visit of the American president to France to remember the sacrifice made by many to liberate Europe from the tyranny of fascism, it is interesting to reflect on the different path that the two continents took in terms of social protection and health care. After WWII, many leaders felt compelled to take action to put human dignity back at the center of discussion. The Universal Declaration of Human Rights was ratified in 1948, thanks to the effort of Eleanor Roosevelt.

The European governments followed this approach and put universal access to health care as part of necessary elements to fight poverty and restore human dignity. Every European country, with different types of single payer systems and even some private involvement, made access to health care a national responsibility. Generally speaking, the countries that have the best health care outcomes in Europe are the ones with single payer systems. France has the lowest preventable death rate and is ranked number one for its health care system.

Everyone is covered the same way and there is very little health disparity compared to the United States. Moreover, the efficiency of the system comes from its coordination in terms of care and the limitation put on paper work with an electronic system that manages most of the medical system. President Obama recently met with President Sarkozy in Normandy for the celebration of the landing and one can hope that he took note on how the veterans from both continents experience health security."

A good friend of mine, Brigitte Marti, a French scholar living in the US, is married to a French doctor who works both at Johns Hopkins and in a French hospital, and has been organizing meetings with ...
A good friend of mine, Brigitte Marti, a French scholar living in the US, is married to a French doctor who works both at Johns Hopkins and in a French hospital, and has been organizing meetings with ...
 
 
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12:46 PM on 06/30/2009
Many of you are misinformed. The greatest health innovations have been made where? IN THE UNITED STATES. Why? Are we smarter than the rest of the world? No. Because of the ability to earn a profit. Profit drives innovation. I dare you to compare the number of innovations in just about any industry with the United States vs. the rest of the world. The US wins hands down for one reason....PROFIT.

So Italy has such a great health care system? Then why did President Berlusconi come to the United States for Heart Surgery? Because he wanted the best care he could get and that is here, not in Italy. BTW Berlusconi had surgery at the Cleveland Clinic and fantastic hospital - one of the best in the WORLD.

Don't believe me here is the article:
http://query.nytimes.com/gst/fullpage.html?res=980CE3D61331F93AA25751C1A9609C8B63

Know your facts before you talk.
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HUFFPOST SUPER USER
Happyexpat
Reality doesn't care what you believe.
03:12 PM on 06/21/2009
Six years ago I moved from the States to Italy. I am now a citizen and am part of the national health system. Unless the USA changes to a single payer health system they will never come remotely close to what we have here in Europe. And to all those who claim that the medical care here is inferior to that which is "enjoyed" in the States I say you have no idea what you are talking about. None, Only ignorance could create such misguided statements. I grew up in a medical family, hanging around and working in hospitals all through my youth. The doctors offices here may not be fancy, and the hospitals may appear as less than state of the art, but the care is top notch. And one more thing: All those who carry on about the long lines and long waits are also misinformed. Even here in Italy, not heralded for its bureaucratic efficiency, I have found the system to be extremely efficient, Not once have I ever had to wait 2 hours in an doctor's office after
having arrived on time for an appointment as happens frequently in the States. Either provide every US citizen with same insurance policy that protects Congress or switch to single payer. Anything less is unacceptable.
09:57 PM on 06/20/2009
Viva la France. And their wonderful healthcare system of dignity and compassion. If only we could be so brave.
03:46 PM on 06/19/2009
"At the time of the visit of the American president to France to remember the sacrifice made by many to liberate Europe from the tyranny of fascism, it is interesting to reflect on the different path that the two continents took in terms of social protection and health care. After WWII, many leaders felt compelled to take action to put human dignity back at the center of discussion."

Here in the US our singular bi-polar political party decided after WWII to dismiss entirely the concept of human dignity in exchange for bribes from the collective healthcare industry. All who have tried to break this cycle have failed, and I have no doubt that whatever comes out of congress will be a half-measure that is no better than a failure.

To have taken notes from Sarkozy would have been laudable if Obama was indeed serious about this issue--he didn't because he isn't.

BUT, what we can take notes on--from the Iranians as we as the French--is how to get off of our butts and get serious about putting the FEAR OF REVOLT into congress.

We will take this lying down only if we fail to stand up.
12:40 PM on 06/19/2009
Each year, more than 18,000 Americans die due to lack of health care. That is more than a disgrace. It is an avoidable national tragedy. A national single payer system, such as that contained in Rep. John Conyers' H.R. 676 and Sen. Bernie Sanders' S. 703, would end that tragedy and provide health care for all Americans.

Contrary to misleading Republican and conservative propaganda, single payer is NOT "Socialized Medicine", where the government tells patients which hospitals and doctors to go to. Single payer health care is when there is only one payer of doctors, the government, but patients can go to any doctor and hospital they choose.

By cutting out the profit-only insurance middlemen, single payer will save the insurance industry's wasteful administrative costs and doctors' and hospitals' time and expenses wasted on insurance paperwork. In fact, single-payer national health insurance would save enough on administrative paperwork -- more than $350 billion per year -- to provide comprehensive coverage to all Americans, including those refused insurance coverage now due to pre-existing medical conditions as well as those who have lost their jobs. It would give us truly universal healthcare and still cost us all less than we all pay now as a society.

This is why most Americans, including doctors, favor single payer health care, not socialized medicine, and not insurance industry profit-care.

This is also why insurance companies and members of Congress who depend on insurance industry contributions are furiously opposing single payer health care.
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HUFFPOST SUPER USER
BarryS
12:32 PM on 06/19/2009
and, the lawmakers have gold-plated socialized medicine already with no problems such as denial of service [imagine- a senator's child is denied service. immediate congressional investigation. ] so they don't care about us. we are just "votes" to them. sub-human. actually in the way of their greed and self-importance. And, they can always hire their co-adulterers and give them the best insurance public money can buy. so what the....

even the politburo under stalin wasn't so provided for.
12:21 PM on 06/19/2009
Good article but do facts really matter to Washington. It's not a secret that Europe and Canada have the better health care systems and that the WHO ranks the USA health care system down somewhere around #27 in the world just ahead of Cuba. I'm positive that all the politicans and private health insurers know this. They also know why costs are high in the USA and how they can be lowered. But none of this matters. Why? Because the strong lobby for the health care insurers are paid to buy Senators and Congressmen to maintain the status quo which delivers huge profits to the industry. Why should they change when they are well rewarded for denying heath care and lying to Americans at the same time slamming all the single payer systems.. Introducing a single payer heath system puts them out-of-business where they belong. They add no value only costs. But hey the capitallist beast must be fed greedily. They don't care who gets bitten in the feeding frenzy. Universal affordable health care!!! That's for those socialist countries not the US.