1. French and the United States Health Care Systems H 533 – Fall 2008 Group Project – Critical Comparison Sarah Stark, Joe Fisher

2. 2 French and the United States Health Care Systems Liberté, égalité, fraternité Life, liberty, and the pursuit of happiness Sécurité Sociale Employment based voluntary health insurance

3. 3 World Health Report Rankings for France and the United States World Health Organization, World Health Report 2000, Statistical Annex, pp. 152-155, 21 June 2001. Liberté, égalité, fraternité Life, liberty, and the pursuit of happiness Disability-Adjusted Life Expectancy Distribution of Health in the Population Fairness in Health Care Financing Responsiveness Health Care Spending per capita Overall Rank 324 1232 654 161 41 137 France United States

4. 4 Health Insurance Europe/France Early Years Germany, under Chancellor Bismarck (1883) Other countries (late 1800's, early 1900's) France (1910) – Mutual Aid Societies Britain (1911) World War I (1914 - 1918) Alsace-Lorraine (1919) Social Insurance and Medical Charter (1930) World War II (1939 - 1945)

5. 5 Health Reform USA Early Years American Association of Labor Legislation (1907) The 1915 AALL bill and battle (1918 - 1921) US enters World War I (1917-1918) Great Depression (1929 – 1939) FDR's 2 nd Deal: Social Security Act (1935) World War II (1939 – 1945) Senator Wagner's Health Bill (1939, 1943) Truman's Proposed Health Program (1945)

6. 6 Health Insurance France Recent Years Sécurité Sociale (1945): ~50% Mutual Aid Societies: Supplemental Insurance Charles de Gaulle (1960): ~76% Great reform (1980): ~99% Universal Coverage (2000): ~100% (2005) 11.2% GDP, ~ $0.25 trillion, $3,926 per person

7. 7 Health Reform USA Recent Years Wage Funded and Fraternal Orders Blue Cross (1930) and Blue Shield (1940) Medicare/Medicaid (1965) HMO's (1973) and PPO's EMTALA (1986) and SCHIP (1997) (2005) 15.2% GDP, ~ $2 trillion, $6,347 per person

8. 8 France and the United States Health Care Funding Source: Jean de Kervasdoué, ed., Le Carnet de santé de la France en 2000, note, p. 89; Blue Cross Blue Shield Association, Medical Cost Reference Guide, p. 30. France United States

9. 9 France and the United States Financing Flow Source OECD HEALTH DATA 2008, October 08

10. 10 French and the United States Health Care Systems Liberté, égalité, fraternité Life, liberty, and the pursuit of happiness Sécurité Sociale Employment based voluntary health insurance ?