Assurance maladie : Financement collectif et régulation par le marché ? Journal Articles uri icon

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abstract

  • Health insurance system : collective funding and market regulation ? This article argues in favour of collective, compulsory healthcare funding, with reference to the basic principles of the system (efficiency and fairness) and by addressing the three trends currently aimed at curtailing it (re-definition of the benefit basket, managed competition) if not throwing it entirely into question (medical savings accounts). The author then develops the idea that some form of market could use these collective resources. He tries to show how and why this could improve healthcare management. This is an ideal, but he is unsure whether the cost of the exercise would exceed the gains of moving from our current situation to the optimal one. Finally, privatising healthcare would be a way of avoiding the fundamental questions : how do patients relate to healthcare professionals ? How do they see their profession ? JEL classification : H51, I11, I18

publication date

  • 2004