Crise et déficit de l'assurance maladie. Faut-il changer de paradigme ?
AbstractThe deficit of health insurance, about 1 percentage point of GDP mainly results from the economic crisis which reduced social contributions. This deficit contributes to the automatic stabilization of the economy and it should disappear with the return of growth. As far as it is not returned, the voluntary reduction of the deficit, rising levies or lower spending, would be counter-cyclical and must be rejected. But part of the deficit, we evaluate between 0.35 and 0.7 percent of GDP, results from the existence of a structural gap between growth in health spending and growth in GDP. For a good long-term management of health insurance, it is necessary eliminate the structural deficit, evaluated between 1.4 and 2.8 percent of GDP in 2020 without structural evolution. Hitherto it has been contend by a combination of taxes increase and reduction of reimbursement rate. The search for a better control of expenditure founded on a change in the organization of care (more collective exercise promoting complementary medicine and alternative between professions, building of a new system integrating best the ambulatory and hospital, ...) and a reform of the modes of financing (with more per capita remuneration for the physicists) for reduce inequalities in access to care would be worth discussed in the context of discussions on the spending trend health and their financing. JEL Classification codes: I18, H12, H51, H68
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Presses de Sciences-Po in its journal Revue de l'OFCE.
Volume (Year): n° 116 (2011)
Issue (Month): 1 ()
Contact details of provider:
Web page: http://www.cairn.info/revue-de-l-ofce.htm
health insurance; health expenditures; public finance;
Find related papers by JEL classification:
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- H12 - Public Economics - - Structure and Scope of Government - - - Crisis Management
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- H68 - Public Economics - - National Budget, Deficit, and Debt - - - Forecasts of Budgets, Deficits, and Debt
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Gerard Cornilleau, 2012. "Crise et dépenses de santé : financement et politiques à court-moyen terme," Sciences Po publications info:hdl:2441/eu4vqp9ompq, Sciences Po.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jean-Baptiste de Vathaire).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.