Éditorial : La généralisation de l’assurance maladie complémentaire. Comment faire rimer inefficacité avec inégalité

Abécassis, Philippe; Batifoulier, Philippe; Coutinet, Nathalie; Domin, Jean-Paul

doi:10.3917/rfse.018.0013

Cited by 12 publications

(5 citation statements)

References 7 publications

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“…It also imposed budget controls in public hospitals and changed their payment systems. Several studies criticize the detrimental impacts these reforms brought to the population, fostering gaps in public coverage, shifting costs onto patients, and deepening inequalities of access according to income (Abecassis et al, 2017;Batifoulier et al, 2011Batifoulier et al, , 2018Domin, 2015).…”

Section: Public Health Care In Francementioning

confidence: 99%

Public health systems in the age of financialization: lessons from the French case

Cordilha

2021

Review of Social Economy

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Public Health Systems (PHS) are under continuous transformation in line with economic, political, and ideological changes in capitalist economies. The current stage of capitalism is underpinned by the process of financialization, meaning an increasing dominance of financial actors, markets, practices, measurements, and narratives over other agents, including the State. This article examines how financialization has been reshaping PHS, with an in-depth study of the French case. First, we suggest how to incorporate the concept of financialization into the research on PHS transformation. We then apply this concept to reassess the trajectory of the French system from the 1990s onwards. We show the increasing participation of financial capital for long-term, short-term, and infrastructure financing, occupying roles previously fulfilled by the public sector. We then discuss how the adoption of financialized strategies led to shifts in how public actors behave, and the potentially adverse effects for solidarity, stability, and democratic participation.

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Section: Public Health Care In Francementioning

confidence: 99%

Public health systems in the age of financialization: lessons from the French case

Cordilha

2021

Review of Social Economy

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“…La déconnexion juridique des paniers de soins, c'est-à-dire l'organisation d'une séparation entre les soins pris en charge par l'AMO et ceux couverts par l'AMC (Abecassis et al, 2017 ;Ginon, 2014) La segmentation des risques renforce ainsi le besoin d'une éducation du marché à la solidarité. Si l'AMC obtient de plus en plus le monopole sur le financement de certains soins ou services, il devient impératif de chercher à en limiter ses effets, spécialement les plus pervers.…”

Section: Ii2 Le Cas Français : De La Segmentation Des Risques Au « Ma...unclassified

La construction d’un « marché éduqué » de l’assurance santé : une réorientation de la solidarité ?

Batifoulier¹,

Duchesne²,

Ginon³

2021

La Revue De l'Ires

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La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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“…De 2006 a 2011, a participação da Seguridade Social no financiamento das despesas de saúde diminuiu gradativamente, mantendo-se agora estável, principalmente por uma reorientação na natureza dos gastos: maior foco na cobertura de tratamentos e serviços de custo elevado (hospitalização, médicamentos onerosos) e nos pacientes com "doenças de longa duração" -casos que apresentam riscos financeiros e de saúde mais elevados 20 . O aumento dos copagamentos, das condicionalidades e das restrições de desembolso acarretam maiores "restos a pagar'' para diferentes grupos de pacientes e tipos de serviços, além de estimular a demanda por seguros complementares e sobrecomplementares 21,22 .…”

Section: Reformas E Regulação Do Estadounclassified

Transformações dos sistemas de saúde na era da financeirização. Lições da França e do Brasil

Cordilha

Lavinas

2018

Ciênc. saúde coletiva

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Since the post-War period, social protection systems have experienced continuous reforms, either extending or, more often, reducing the scope and the scale of public provision. This paper seeks to present how healthcare systems have evolved both in France and in Brazil recently, in order to comprehend mechanisms through which financialization has been reshaping public care provision. This comparative analysis unveils distinct financialization dynamics of healthcare systems, built upon universalism principles. After featuring both systems, underlying their private dimension - either complementary or supplementary - the article points out how the financial sector is broadening its share in the supply of healthcare services. In what follows, the sector's process of internationalization/centralization is analyzed and lastly the regulatory role of the State in strengthening private provision is defined. Despite radically different institutional paths, the findings corroborate that in both cases finance is a driving force in reshaping the healthcare sector.

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Éditorial : La généralisation de l’assurance maladie complémentaire. Comment faire rimer inefficacité avec inégalité

Cited by 12 publications

References 7 publications

Public health systems in the age of financialization: lessons from the French case

Public health systems in the age of financialization: lessons from the French case

La construction d’un « marché éduqué » de l’assurance santé : une réorientation de la solidarité ?

Transformações dos sistemas de saúde na era da financeirização. Lições da França e do Brasil

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