April 3, 2020
How French Health Care Compares To The US System

How French Health Care Compares To The US System


Health care is becoming a big issue in the 2020 elections. The Democrats are pushing for a government funded model, while President Trump is campaigning on gutting Obamacare. We repeal the core of the disastrous Obamacare. The individual mandate is now gone. Medicare For All has become a mantra among
left of center Democrats in the presidential race. Health care is a human right not a privilege. I strongly believe that we need to have Medicare for all. I am a strong supporter of Medicare for all. The candidates do have different interpretations of what
Medicare for All actually looks like in America. Those differences aside, it’s essentially a universal single payer system closely modeled after Canada’s health care system. But there’s another national health care system
that gets a lot of attention: France Back in 2000, the World Health Organization ranked it as the best national health care system in the world. A lot has happened since then. But France’s health care system remains a model for universal coverage. Here’s why. Despite spending less on coverage, France has comparable or even better health care outcomes than the United States. The United States has a higher rate of infant mortality. In France nearly four children die out of every 1000 live births. In the U.S. that number is closer to six. France also has a higher average life expectancy
than the United States by four years. And the rate of re-hospitalization in France is 5.3% lower than that of the United States. Lower rates of re-hospitalization in France are likely due to better access to primary care as well
as longer average stays in the hospital. Since France gives every citizen coverage from birth,
this system allows them to get more preventative treatments throughout their lifetimes, which
save on costs and improve outcomes After World War Two French politicians were concerned the country’s private health care system would not be able to handle coverage demands So the country established a model of national health insurance Meant to protect the population against increasing health care costs. The French call their system Social Security but
it is not an example of socialized medicine. It’s not government run, just government financed. It’s very close to being a single payer health care system. This mandatory coverage doesn’t come at the expense
of freedom of choice in medical care. The system is set up to ensure that
doctors are not restricted when making medical decisions. The system covers every doctor every lab every hospital every clinic. They’re all covered and they all have to take the patients. That’s T.R. Reid author of the book “The Healing of America.” He traveled the world exploring different health
care systems and how well they worked. America is the only place where we have what the insurance companies call narrow networks where they dictate which doctors you can go to. No other country does that in every other country. The patient picks the doctor and the system pays. That’s also true for our Medicare system Medicare covers all doctors. So here’s what happens in the United States. Let’s say somebody, a clerk or such at 7-Eleven or
a hotel maid has no insurance or very little insurance and she feels a vague pain on the right side of her abdomen. It would cost your 120 bucks to go to the doctor she’s not going to do that. She’s going to work through it. And three months later she’s in the emergency room with a burst appendix that costs $60,000. And we’ll treat here. We’ll treat her. But if she could have gone to the doctor when she felt that first pain, the doctor could have treated the infection. It would have cost 100 bucks instead of $30,000. The way we do it by definition makes things much more expensive for the U.S. Covering everybody so that people get the care they need when it’s still early and cheap is a much smarter and
a much less expensive way to provide health care. France’s social security reimburses around 70 to 80 percent of medical costs leaving the remaining amount for patients to pay out of pocket. France also has voluntary supplemental health
insurance provided by private insurance companies. In France they want you to know that you’re getting something of value from the health care system so they make you pay and then everybody in France gets about 80 percent of it back from the insurance company. France’s social security also legally requires price transparency. And because the government funded system covers the entire population, it has more bargaining power to keep the prices low. Social Security also has no waiting lists for specialized hospital treatments. There’s also no physician gatekeeping. French patients do not need their general practitioner to
sign off so they can see a specialist. So how does France’s system stack up against America’s? The French health care system is considered one
of the most expensive in the world and yet it’s still half the cost of America’s. In 2017 U.S. spending added up to $10,200 per capita. In France, it was only $4,900. Administrative costs are also much lower in France than in the United States. In France, they’re limited to 5.5 percent of the bill. Whatever the bill is the administrative fee can’t be more than 5.5 percent. In America are private insurance companies have administrative
costs of 20 percent on every bill. And that’s so important to our insurance industry that their lobbyists wrote that into Obamacare, that they’re
allowed to add 20 percent administrative costs. One of the ways the French keep their administrative costs lower is with the carte vitale, a health
insurance card carried by every French citizen. When a person visits a doctor in France, they present their carte vitale so the doctor can look them up in the digital system. The card gives the doctor all the information they need to charge for the visit. French citizens can also opt to have all their medical
records stored on a card for doctors to access and because the system is available all over
the country, it saves time and money. Another way France manages rising health care costs
is by having the government regulate them. Unlike the United States where legislatures are deadlocked
on what to do about health care, the French parliament votes to set new
health care budgets and guidelines every year. But France’s health care system is not perfect. French citizens pay significantly more income tax than Americans. In order to cover government funded programs such as Social Security. Many French employers say high taxes do restrict them from hiring more people. But the United States lower tax bite is countered by the fact that Americans end up paying more in premiums and out-of-pocket expenses each time they require medical care. Additionally doctors in France make less money than those in the United States. French general practitioners make on
average nearly $112,000 a year. In America a general practitioner can expect to make around $218,000. This gap in wages however does not factor in the cost of becoming a doctor in each country. American doctors must take on the cost of medical school while French doctors receive that education free. American doctors also must pay for malpractice insurance whereas such lawsuits are not a big issue in France. A common complaint in France is that certain areas do not have as much access to health care as others. However, France has more doctors per resident than the United States does. For every 1000 residents France has 3.4 doctors whereas the United States only has 2.6. Some French hospitals are also struggling with
the rising costs to care for patients. So what can the United States learn from the French system? France’s social security proves it’s possible to cover every citizen without a government run system regulating
choice and how doctors practice medicine. It also shows that universal health care
coverage can co-exist with private insurance. Basically France has really done it right. As the World Health Organization said very good health outcomes, everybody’s covered – all their citizens, all their elite workers, tourists. And half our costs, so I think they’re doing a lot of things right.

100 thoughts on “How French Health Care Compares To The US System

  1. Well this isn't really a fair comparison since France has 18 times less land mass and 295 million less people. It's like comparing the service you get at a mom and pop compared to a chain restaurant.

  2. I’m Australian health care system is great except if u need to have surgery if covered by Medicare is free there is a waiting list I can go private which sometimes can be better especially if urgent

  3. America America America oh my beloved country, when would we stop monetizing everything? Any thing that exist, America and it’s politicians, lobbyists and billionaires will cash in on it 🤦‍♂️

  4. on reconnait un pays civilisé à la manière dont le gouvernement s'occupe de la santé de son peuple.certaines personnes peuvent penser que les français passent leur temps à faire des grèves mais en réalité nous sommes un peuple rebel conscient que certains politiques et lobbystes veulent nous utiliser pour s'enrichir et même si cela nous coûte cher on se sent humain et utile pour celles et ceux qui on besoin de soins sans avoir les moyens "Français ou étrangers"…Alors je dis à nos frères et sœurs américains"faites comme nous battez vous pour votre santé votre vie et celles de vos enfants vous n’êtes pas des marchandises.Et pour info beaucoup de pays on copié le système français avec leurs spécificitées bien sur et tant mieux

  5. Healthcare systems in the United States including hospitals of all kinds are burdened by layer upon layer of management for every department. MBAs and MSN level employees at the administrative level are killing the system. Way too much waste and non-essential jobs.

  6. france also has like 1/5 of our population though which probably should have been mentioned in this video somewhere . it's a lot easier for the government to insure 66 million people than 330 million

  7. We have +300 million people relax
    Also it is hard to take care of a million let alone 300.

  8. It's because the French have always had a bureaucratic culture , so doing more paperwork is not going to be "expensive" to them. Here in Canada, the French-speaking parts of the country operate not much differently than in France (although hospital stays in Quebec are very short).

  9. Why does the world health association and/or advocates attribute longer lifespan on average seemingly exclusively to the health care system. First off the current policies, spenditures and programs are not over 82 years old since implementation, the cultures and habits in between populations over the period of a century differ. And a lot of other things might dilute the statistics and the narrative presented. (…)

  10. The White Flag warriors need free healthcare. God knows they have been getting their asses kicked since 1940

  11. This seems to be a reasonably good objective comparison, but when presenting facts about morality it's equally if not more important to consider demographics, genetics, and lifestyle, not just health care options.

  12. In america capitalism rules, and it definitely get's in the way of progress and actually solving the problem. Mix greed with healthcare( an infinite field of complications) you can see how much room for opportunity the insurance companies have to take advantage. It'll never sort out unless our system changes, that is fact.

    "Another way the French deal with healthcare cost is by the government regulations". It's not just another way, it is undeniably the best bottom line way.

  13. When I was in England about 10 years ago on a trip with a US community choir, I developed an earache and had to go to an emergency room near Stratford-on-Avon during the middle of the night. I was seen, diagnosed, treated and prescribed medication, then offered to pay, showed my Blue Cross card (I had the “Cadillac” plan) but they told me that there was no fee, I was a guest in their country and covered under their NHS. Why can’t we have that kind of plan here in the US.

  14. I still prefer the Singapore's system based on Mandatory Medical Savings Accounts and Co-pays. It achieves the same results as France's, but for less than 5% of GDP.

  15. Didn't I watch a video about France's healthcare collapse recently? Jun 14, 2019 

    https://www.youtube.com/watch?v=FqQY7mjFMsg

  16. French are elitist, they believe they are the great thing just by having the best food, lovers, poetry, music, clothes and medical system in the world. 😉

  17. Something you unforthunately didn't point out: every EU country takes part of a big system of "medicare for all" with some small differences in each one. You can use your healthcare card in all of the 28 EU states! For Free!! Even if you're an immigrant or homeless!!

  18. Did not spend the time watching, but the protests were because the people could not afford to live anymore because the government is taking 60% in taxes and keeps raising them on gas and pollution and air. Not to mention they had 1/5th our population, same as the numerous comparisons to the Nordic countries whom have 1/10th of our population and are used for comparsion by the new socialists aka Dems.

    My other point, our government barely takes care of our vets healthcare through the VA, now take the below stats and multiply times 40 to make it equal to the general population.

    The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,255 health care facilities, including 170 VA Medical Centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program.

  19. You Folks That Have just DON'T GET IT! Decade after Decade we have Heard the Promises and Policies AT 63 I'VE HEARD ENOUGH! BERNIE SANDERS IS THE ONLY ONE WHO HAS THE INTEGRITY AND STRENGTH TO DO IT !! HEALTHCARE and EDUCATION as a HUMAN RIGHT is an INVESTMENT IN AMERICA'S FUTURE >>>Period!! Before everything got out of hand we had begun to head in that direction and Healthcare and Innovation took off / but / with the greed squeezing out so many intelligent POOR we are losing our LEAD AS A MAJOR COUNTRY Not to mention around the world AMERICA IS KNOWN TO BE BARBARIC FOR OUR GREEDY HEALTHCARE SYSTEM!!

  20. People get caught up in the semantics, they will get upset when you mention single payer in America because the insurance companies have spent large amounts of money to convince American people that any effort to modify Healthcare in America will end up in death panels, and Government controlling what Doctor you see. Even when it's explained to American's that no, the Government just handles the bills and you can choose your Doctors and spend less out of pocket, retaining more of your income. People say, 'well my taxes will go up' You pay a private tax now, it's called "Premiums, Deductibles, Coinsurance and Co- Payment's" The amount you'd pay in tax increases compared to the amount you'd save from the elimination of the private healthcare tax would be a net positive for your bottom line. But unless somebody articulate this in a one liner sentience easy for most people to digest, you won't convince the majority of Americans they'll be better off.

  21. Why are the people harassing and manipulating the government into giving free health Care??
    Personal health is a personal responsibility.
    However we the people should establish a community program where people donate into a publicly funded program to help the less fortunate

  22. The same operation in france cost 3 times less that in usa. But in france doctor health professionnal are less paid also in usa and they work a lot. And all is do for be efficient and controlled by state trhough the ''securité sociale'' agency.

  23. i"m french. in 2016, I was seriously sick. I spent one month in the hospital. Doctors and nurses saved My life. I did not paid a dime. 80% was paid for social security and the other 20%, by my private insurance. We now receive the bill just for information in France. They send us the bill to show us the cost and to inform us how expensive it is, and how we should take car of our wonderful system. by the way, the bill was 55 000 €. Out of the hostpial, the doctors told me not to go to work before two month in order to recover 100% and not to take any risk with my health. Our social security system pays also our salary during this period of time. In many countries, I should have been dead.

  24. Wait so people in other places can pick their own doctor?
    I literally had to go on my insurance website and pick a provider. I was only able to find 3 near me that was covered under my expensive insurance. 😪😪😪

  25. US healthcare system is based on profits. It doesn't care if people physically suffer from a serious desease if they don't have money to cure this desease.

  26. Medicare does not cover all drs many drs don’t accept Medicare. Also you can only use drs in your region nothing across state lines in most cases

  27. As a brit whose never been hospitalised I really think someone needs to explain what the term 'copay' even is. I hear Americans talking about it so much and I have no idea what they're on about

  28. French living in the US for almost 10 years, I really miss the French health care system, in the US I avoid going to the doctor or hospital even if for major injuries because I know the bill is going to be in the 1000's of dollar right away. Same medication by the same laboratories cost from 200 to 5000% more in the US, I'm almost 40 years old and I start thinking about going back to France even if my life is here just because of the cost of the health care and how it will affect my life getting older…
    Also it didn't help to see 2 member of my wife's family let themself die of cancer to not put their families in financial danger…

  29. How is it that malpractice costs aren't an issue in france? Does the french system limit people from suing for malpractice? That would be a big issue here.

  30. To be fair also, France doesn't have 20 million undocumented immigrants from other countries. I'm curious how the influx of immigrants from other countries in recent years has effected the french system.

  31. It's more complicated in France : it's free for very poor people, the others pays an amont based to their income level. It's the same for education. But the system is collapsing due to 20/30 years of liberal economy government: they continue to all privatisate. Rich people are more selfish and don't want to contribute to make everybody have a common good health and education basis. When they get rich, they forget that a part of this is due to free education/healthcare… We just follow anglo-saxon system with a 20 years late and it's make me Mad… My wife has 50 000 of debdt due to english educationnal system… How it's possible in rich country?

  32. France doesn’t reimburse medical cost, as a tax payer you still paying it the other way around whatever the politicians says, there is nothing free in life. The country debt is therefore huge and uncontrollable.
    France always try to “solve” problem by taxing individuals, at the end everyone lose.
    What they don’t say is the system is mandatory, someone who wants a private healthcare will go to jail by doing this.

  33. Nice ad video to try to get people to accept socialism. But that’s never happening with it’s many flaws.
    Just look at Venezuela and try to say the same thing plebs

  34. What this report doesn't tell you is that it takes months to see a specialist or schedule a surgery, that emergency rooms are over packed, also with foreigners being cured free of charge, and no beds available for all, – and that violence in many clinics in underprivileged areas is so common that nurses go on strike for poor wages and work conditions, and finally, the french state takes 50% of your income, and many more taxes are levied like heritage transmission taxes, etc… to pay for the bankrupt social security. I have a private insurance in Europe, it costs less than what the states charges, and far more effective.

  35. france doesnt have mid levels (nurse practitioners and physician assistance ) who act as doctors. its easier to become nurse practitioner than hair stylist in USA.

  36. everywhere in the world doctors can attend medical school without having bachelors. significant debt will be accumulated by the end of residency which can be 16-20 years after graduating from high school.

  37. I have to disagree with Mr. Reid's example on appendix surgery case. Even if you had gone to primary care doctor for right side abdominal pain/discomfort, the eventual outcome is similar if not the same. Only difference would be the emergency department use for appendectomy. And no, you cannot treat appendicitis with outpatient setting/oral medications. It's an inflamed/infected appendix that's causing problem, so it's a surgical necessity. The appendectomy cost is not a few hundred dollars, it's usually in the similar ballpark with what could happen at ER/surgery.

  38. As long as we have the GOP controlling the Senate, the WH and the Supreme Court, there is no hope to fix America's broken system.

  39. I guess most of those calling for Health Care for all is called Communist the Pharmacy Industries is very powerful in this country politicians respond to the lobbies the one that gives them million dollars to be elected! I guess in France is different.
    Felix

  40. The US is great in so many fields, but it sucks in the health insurance part. We need a better system. An all inclusive plan…

  41. the irony is you would think that Americans would strive to live a healthier life so to minimize the medical expense that they would incur, but they don't. Americans are some of the most unhealthy people I've seen comparing to their Canadian neighbor and their European cousins. I think there is something wrong with their diet or the produce they consume.

  42. Crowder already showed the problem with infant mortality and life expectancy. We count still born deaths as being born because we have a higher standard than other countries but other countries don't. This gives us a higher rate than other countries. We are also an obese country this means people are more likely to die. You can't force someone to live at a healthy weight. France is not the richest country in the world. France doesn't produce 70% of all new drugs and research papers.

  43. There is no perfect solution , but meny European (public or heavily regulated) health systems focus on healing patients or prevent the disease, american commercialize model focus on treatment as long as possible because when they heal you they will loose the business.
    Nothing will change until USA fix that problem

  44. America is ruled by ignorant racist rural citizens who vote for politicians who will work AGAINST their interest, and they gladly accept it. These Fox News viewers are the reason America is going backward.

  45. There has never been a dumbing down of France like the dumbing down of America. The Republican party is anti education. They refer to me as an educated liberal elitist as they don't know the definition of words and think they are insulting me. True story.

  46. watched several of these and it seems the solution boils down to a few things. 1. Mandatory universal coverage
    2. Public option funding or insurance for preventative care and necessary medical procedures
    3.A highly regulated private to coverage for the rest along with elective care
    4. Universal access to doctors regardless if hospital or location in country.
    Why is this so hard?

  47. hospital under threats because of liberal policy macron is killing french healthcare system we dont to be like usa2500 dollards ambulance calling?10000 dollards for bith wha is that sh????its called health mafia

  48. France controls 85% of the national reserves of 14 African countries. They are all forced to pay colonial tax to France. We are talking about 450 billion dollars yearly. France has a good haalt u system because it is spending others GOPs evert year. The system in america is not perfect but without the almost 500 billion dollars every year France would not have a health system like that.

  49. The US healthcare system is a joke and only there to make money.

    My Cousin has an Autoimmune disease and Trumps changes to the healthcare insurance has now rendered his insurance worthless, now my Auntie has mortgaged the house for $100,000 to pay the medical bills for my cousin, she is 74 years old and shouldn't have to get a mortgage to pay for healthcare and now they dont have any money for the drugs he needs and the insurance wont pay with 100k in mortgage debt to boot…..money money money.

    Hopefully they are going to sell up and move to England and then we can get him into the NHS and get him fixed properly and not left to rot. 🤞🏼

  50. The French system and European system at large is so good that even as an American tourist visiting Europe, you are probably safer here than in your own country.
    If you get hurt or sick you will be prioritized based on need, not money. Because it is a human right.
    You could even exploit our system, and some smart Americans do it, to go visit Europe when you are sick, so that you can then report to our doctors and benefit from cheap healthcare.

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