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I agree with you on the French system, it is about the best. Their costs are far lower, and from everything I've ever read, their results better. But not perfect, they struggle with rising money woes as well. As is common in French Socialist culture, they definitely pushed luxury to the limits. We need more common sense here, not French socialist excesses.

I'm not suggesting we copy it exactly. Adopting the French system and adapting it to U.S. wants and needs seems to me a no brainer.

Again, I implicitly agree. If Obamacare had not been so secretive, more people would have know earlier about just how poorly designed it is. If someone really wants to better a system, they need to look at how others do it. France has some issues now which have been brewing since the recession started. For one thing, they simply allow too many things to be covered.

But looking at the bigger picture, their access is extraordinary, and their preventative care is a wet dream for GP's. (remember them?)

As always, many of the differences reside in control and funding. The system in France has extremely broad access without rationing, and it's for everybody. I dare say the French have far more freedom to choose doctors and care than we ever did in the USA, especially now with Obamacare.

France spends about 11% of GDP on their system, which is far more comprehensive than what many Americans have. Last I looked, our costs are around 20%, or near it. Per-capita spending on healthcare in France is one half of the US. Why is their better system so much cheaper? Well, the natural place to start was single-payer, which France really isn't. France has many non-profit insurance funds that pay for most of the care, many people also have supplemental coverage.

But France has been trying to control their growing costs as well. Now they are pushing for more generic drug use, which has been fought by everyone. The French perceive it to be a Right that they get what they want. Another huge difference is that French doctors earn a third of what they would in the USA. In the US, those payments are about 20% of costs, take a third of that and do the math.
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