The future of health insurance

The health insurance system created in 1945 allows France to perform well in terms of life expectancy. However, the prevalence of risky practices, a high infant mortality rate and growing inequalities in access to care are nuanced by these results, which are also achieved at the cost of recurrent deficits. France is also characterised by high expenditure on health as a proportion of GDP and by the large share of supplementary insurance in its financing. Given the structural increase in expenditure, while the current regulatory tools have reached their limits, the quality and equal access to care can only be maintained or strengthened by reforming the organisation and management of the health system. This report is available on [the Court’s website] (https://www.ccomptes.fr/en/publications/lavenir-de-lassurance-maladie). The published files correspond to the data that served as the basis for the preparation of the report.