Can the French National Health-Care Model Inspire Lessons to put an end to the Epidemic of Chronic Diseases in the United States ?

Can the French National Health Care Model be transposable to the United States in terms of putting in place a new Health Paradigm for the benefit of all AmericansBefore answering this question, a word on what the French National Health care Insurance system is (Section A). In a second section, i will show what elements of the French National Health Care system could help to repair the crippled American Health-Care system. (Section B)

Section A

The French Health-Care Model

  Historical and Constitutional Roots

The French Health-Care system has achieved sudden notoriety since it was ranked No. 1 by the World Health Organization in 2000.(1) Among others, the principle of equal access of the laws is fundamental to the French Republic One of these is the right to enjoy equal access to a national health care system. This right is incorporated within the Constitution of the Fifth Republic’s. Thus, all  resident in France have the right to benefit from equal access to health care, including Americans when they settled there. 

To be consistent with most of the European laws as well as with the European human rights Strasbourg Court’s dicktats on health freedoms, the French Administration system recognizes a wide array of alternative medicine, as we will see below.

Text still under construction

Althernative and Holistic Therapies

Today, over half of all French pharmacies are homeopathic pharmacies and close to half of the allopathic (mainstream) medical doctors are also homeopaths. Which means that they are sensitive to anthroposophic and humanist values, including, but not limted to organic and biodynamic grown healthy nutrition, herbology, aromatherapy, wine medicine, energy medicine, phytotherapy and  much more.

“Alternative therapies are being covered, like acupuncture and homeopathy, you can even get a thermal cure to treat depression, paid by Social Security! Psychotherapist? Covered. Want to stop smoking? Covered. And so on.” (Source)

The Government’s Paid  Health Spa Vacations

All residents in France have the right to benefit fom a “cure” of three weeks spa health vacation, (  ) provided they are diagnosed with depression or some other inflammatory-based condition. Most allopathic medical doctor will  readily sign the Government’s forms for his or her patient. The idea that Medicine should be fun and injected with  happiness is instilled in the French Joie de Vivre Consciousness (ie, meme. (   )

 Thus, for a free yearly three weeks health vacation in France’s, just about any Resident can have access to spa and thermal medicine where modern medicine is associated with homeopathy, thermal medicine, massage, herbology, essential oils and many other holistic tools.   (1)

If the patient’s is suffering from serous disease, even terminal disease, the French National Health System and its private insurance partners will usually improve coverage, in In contrast to Medicare and private insurance in the United States, where severe illness usually results in increasing out-of-pocket costs (  )

.9  (  )

The Government’s General Social Support Services

In France, healthcare is universal. Everyone has access to social security, whether you have a job, are looking for one, or are homeless. If you have a job, a % of your salary goes to fund the Social Security. If you don’t, a % of your benefits above a certain minimum goes to fund SS as well. If you are homeless or earn under $10K per year, you can apply for universal health insurance, called CMU that will cover ALL your medical bills, the amount of which are much lower and reasonable than in the US. (   )

On a regular basis, French residents are also entitled to a full checkup for hearing, eye and teeth exams, scan of your lungs if you smoke, blood test, etc. Whatever they find out during that checkup will be taken care of for free.

Maid Service under certain Conditions

If you are pregnant, since there aren’t enough beds in public hospitals, you can choose a fancy private clinic to have your baby, courtesy of Social Security. Natural birth big.  Cell phone out etc

The fixed prices of medical act

Section B

Lessons from France Procdure

lessons from the French experience for health care reform in the United States., I set forth 5 propositions to provoke further debate.

First, the French experience demonstrates that it is possible to achieve universal coverage without a “single-payer” system. To do this, however, will still require a statutory framework and an active state that regulates NHI financing and provider reimbursement. Of course, French NHI was not designed from scratch as a pluralistic, multipayer system providing universal coverage on the basis of occupational status. It is the outcome of sociopolitical struggles and clashes among trade unions, employers, physicians associations, and the state. This suggests that NHI in the United States could similarly emerge from our patchwork accumulation of federal, state, and employer-sponsored plans so long as we recognize the legitimate role of government in overseeing the rules and framework within which these actors operate.

Second, the evolution of French NHI demonstrates that it is possible to achieve universal coverage without a “big bang” reform, since this was accomplished in incremental stages beginning in 1928, with big extensions in 1945, 1961, 1966, 1978, and finally in 2000. Of course, the extension of health insurance involved political battles at every stage.13,38 In the United States, since it is unlikely that we will pass NHI with one sweeping reform, we may first have to reject what Fuchs calls the “extreme actuarial approach” of our private health insurance system60 and then accept piecemeal efforts that extend social insurance coverage to categorical groups beyond current beneficiaries of public programs.

Third, French experience demonstrates that universal coverage can be achieved without excluding private insurers from the supplementary insurance market. The thriving nonprofit insurance sector (mutuelles) as well as commercial companies (e.g., Axa) are evidence in support of this proposition. Of course, it is easier to achieve this model before the emergence of a powerful commercial health insurance industry such as exists in the United States today. Nevertheless, so long as NHI covers the insurance functions, why prevent the private insurance industry from providing useful services, on a contractual basis, under a NHI program?

Fourth, coverage of the remaining 1% of the uninsured in France suggests that national responsibility for entitlement is more equitable than delegating these decisions to local authorities. This lesson is consistent with the experience of Medicare versus Medicaid in the United States, as exemplified by the differences among states and counties in dealing with the uninsured.

Finally, and perhaps most important for the United States, the French experience suggests that it is possible to solve the problem of financing universal coverage before meeting the challenge of modernizing and reorganizing the health care system for the 21st century. The Clintons’ plan attempted to do both and failed. France may be more prepared and willing to implement the Clintons’ plan than the United States. The United States would do better to follow the French example in solving the tough entitlement issues before restructuring the entire health care system.

In contrast to Great Britain and Canada, there is no public perception in France that health services are “rationed” to patients. In terms of consumer satisfaction (Table 1), a Louis Harris poll placed France above the United Kingdom, the United States, Japan, and Sweden.7 A more recent European study reports that two thirds of the population is “fairly satisfied” with the system.

Section C

On the Merits

Health care….spa. shelter,  UBI  6 weeks… joie de vivre…

bread, wine,

DNA 18th

Discussion

The Answer is yes, provided the US Federal Government’ decision making agents decide to implement the US Constitution. In the Preamble of the Constitution, it provides that We the People shall have the right to liberty, Justice and welfare.  Check Pus, in the 14th Amendment, there’s the equal protection clause.

THE FRENCH HEALTH CARE system has achieved sudden notoriety since it was ranked No. 1 by the World Health Organization in 2000.1

1. World Health Report 2000. Available at: http://www.who.int/whr/2001/archives/2000/en/index.htm. Accessed October 18, 2002.

It is too early to assess the consequences that these new regulations will bring about, but it can be anticipated that it might well be a case of plus ça change, plus c’est la même chose, as both the French government and the physicians have always played a major role in the healthcare decision-making process. Thirdly, the French system offers a mix of explicit regulation for ambulatory care, pharmaceuticals and medical devices, dental care, etc., with benefit catalogues and positive lists and of implicit regulation for a large part of inpatient care [9]. Altogether the package of health care services covered

The most commonly prescribed stock was ‘Arnica montana’, followed by ‘Influenzinum’, Ignatia amara’ and ‘Gelsemium sempervirens’.

Sadly, in Paris homeopathy is ubiquitous. If there is a pharmacy that does not stock homeopathy of some description, I have yet to find it. Virtually everywhere, oscillococcinum is displayed right in the centre of the cold remedy displays behind the counter. The words “Homéopathie” and “Phytothérapie” are displyed in most pharmacy windows and it’s not uncommon to see them in large illuminated letters on the store front, right next to “Pharmacie”.

Fortunately at no point in 15 years has anyone ever http://apps.who.int/medicinedocs/en/d/Jh2943e/7.19.html

The most commonly prescribed stock was ‘Arnica montana’, followed by ‘Influenzinum’, Ignatia amara’ and ‘Gelsemium sempervirens’.

Sadly, in Paris homeopathy is ubiquitous. If there is a pharmacy that does not stock homeopathy of some description, I have yet to find it. Virtually everywhere, oscillococcinum is displayed right in the centre of the cold remedy displays behind the counter. The words “Homéopathie” and “Phytothérapie” are displyed in most pharmacy windows and it’s not uncommon to see them in large illuminated letters on the store front, right next to “Pharmacie”.

Fortunately at no point in 15 years has anyone ever

http://apps.who.int/medicinedocs/en/d/Jh2943e/7.19.html

Starting in the 1950s, it was clear that smoking was linked to lung cancer. But even a decade later, Rogers said, “when you went to the doctor’s office, the doctor would have an ashtray. And very often, if you appeared nervous, he would offer you a cigarette.

In 1963, Samuel A. Levine, a highly respected cardiologist at Harvard medical school, asserted in The Atlantic that exercise was harmful for patients with heart disease. His argument was based on the large numbers of people who had heart attacks while shoveling snow. (He also noted approvingly that some people might prefer to simply “sit back, smoke a pipe, and just muse” in their spare time.)

https://cdn.theatlantic.com/assets/media/files/exercise-and-heart-disease.pdf

Years later, studies would show that heart patients who get regular aerobic exercise are less likely to have heart attacks brought on by physical exertion.

www.cdc.gov/physicalactivity/everyone/health/

One response was to develop drugs like statins, beta blockers, ACE inhibitors, and, very recently, a class of drugs called PSCK9 inhibitors. Each of these drugs works by suppressing some process—keeping a particular protein from being formed or stopping a certain stress hormone from entering a receptor. Statins, for example, inhibit an enzyme that plays a crucial role in producing cholesterol. These medications are prescribed widely: About a quarter of all Americans over 45 are currently taking statins.

But he thinks it’s the wrong way to address a problem like heart disease, which develops over time and is so complex that doctors still don’t understand exactly what causes it.

“The goal should be to enhance and optimize the body’s natural function,” he said. “Let’s say a patient comes to me with high blood pressure, irritable bowel syndrome, and eczema. I do not treat each of these separately. Instead, I try to figure out how they might they be connected and identify the root causes. These are all inflammatory disorders. Once we realize this, all the medical boundaries start to break down and we’re able to focus on restoring balance.”

The question is how integrative doctors try to restore balance—and the answer varies. Many of them focus on diet to a degree that goes far beyond the usual guidelines about avoiding salt or trans fat. They’ll look for undiagnosed food sensitivities or hormonal imbalances, with the idea that these problems account for many chronic health complaints and cause even more serious breakdowns over time. There’s a lot of emphasis on intestinal bacteria. “We now know that so many separate things are linked to what’s going on in the gut,” Hyman told me, alluding to a growing body of literature linking the microbiome to everything from cancer to mood disorders.

“Most physicians are not taught about stress-reduction techniques for health.”

Guarneri, the cardiologist who founded the integrative center at Scripps, told me integrative health is highly personalized. At her own La Jolla practice, she prides herself on offering in-depth lab workups and unhurried consultations where she asks patients about everything from environmental exposures to personal relationships. “These are the things that interact with your genes and determine whether or not you stay healthy,” she says. Each patient who comes for one of her comprehensive assessments leaves with a detailed three-to-12-month health plan.

It largely depends on who you are as a practitioner.”

Aside from these variations, there’s another reason it’s hard to define integrative health: It doesn’t exist in a vacuum. Its practitioners are part of the same medical establishment as other doctors, going to the same conferences and publishing in the same journals. They’ve influenced and been influenced by major trends in medicine—for instance, the movement toward patient-centered medicine, or the backlash against the overuse of drugs and surgery that the New Yorker writer Atul Gawande calls “the epidemic of unnecessary care.”

www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande

She cited recent research from the American Heart Association journal Circulation. “There’s a five-year study on Transcendental Meditation that’s well controlled and shows a 48 percent reduction for heart attack, stroke, and sudden death. To me that’s medicine. Meditation is medicine.”

www.ncbi.nlm.nih.gov/pubmed/23149426

At a time when one in two American adults has at least one chronic disease, it’s safe to say there are a lot of things medicine still hasn’t figured out.

www.cdc.gov/pcd/issues/2014/13_0389.htm

There are drugs for all kinds of ills and public-health guidelines about food, fitness, and smoking. But when individual patients complain about ongoing headaches, indigestion, or joint pain, doctors often have little to offer.

Medicine is a highly adaptable profession, with new studies constantly challenging the conventional wisdom. But some of the most important changes—from Abraham Flexner’s medical-school reforms to the evidence-based medicine movement of the 1990s—have been cultural ones, based on moments of self-reflection that led the medical community to think differently about its role. Integrative health could prove to be one of those moments. When doctors talk about treating the patient’s “body, mind, and spirit,” it can sound like a feel-good catchphrase. But in fact, there may be no other way to treat diseases that take years to develop and are intimately tied to the ways people think, feel, and live their everyday lives.

and need each other to be consistent with international norms and the exigencies of evolution, eco-civilization and Science.

Conclusion

“Medicine is a collection of uncertain prescriptions, the results of which taken collectively, are more fatal than useful to mankind. Water, air and cleanliness are the chief articles in my pharmacopeia”. Napoleon Bonaparte

To sum up: France’s Government has the constitutional obligation to guarantee equal access to  diversified modalities of medicine to all residents. For example, since the end of the Second World War in 1945, holistic modalities of medicine like acupuncture, homeopathy and thermal medicine have been continuously reimbursed by the State.

 

 

1. World Health Report 2000. Available at: http://www.who.int/whr/2001/archives/2000/en/index.htm. Accessed October 18, 2002.

2. Coyne JS, Hilsenrath P. The World Health Report 2000: can health care systems be compared using a single measure of performance? Am J Public Health. 2002;92:30, 32–33. [PMC free article] [PubMed]

3. Navarro V. The World Health Report 2000: can health care systems be compared using a single measure of performance? Am J Public Health. 2002;92:31, 33–34. [PMC free article] [PubMed]

4. Murray C, Frenk J. World Health Report 2000: a step towards evidence-based health policy. Lancet. 2001;357:1698–1700. [PubMed]

5. Navarro V. World Health Report 2000: a response to Murray and Frenk. Lancet. 2001;357:1701–1702. [PubMed]

6. A Caring World: The New Social Policy Agenda. Paris: Organization for Economic Cooperation and Development; 1999:27.

7. Blendon R, Leitman R, Morrison I, Donelan K. Satisfaction with health systems in ten nations. Health Aff(Millwood). 1990;9(2):185–192. [PubMed]

8. Mossialos E. Citizens’ views on health care systems in the 15 member states of the European Union. Health Econ. 1997;6:109–116. [PubMed]

9. de Kervasdoué J. Pour une Révolution sans Réforme. Paris, France: Gallimard; 1999.

References

(1).  To benefit from France’s public health-care insurance coverage, a recognized pathology must be ascertained. Being stressed out, stripped of Joie de vivre is a condition that qualifies to benefit from a three weeks health vacation in one of France’s many spa centers where thermal medicine, kinésithérapie and many other forms of holistic restoration and repair techniques are offered to everyone, whatever their social status.

 

(  )   When we go for a routine checkup with a GP, prices are fixed, at the moment at 23 euros ($30) a visit. 70% is refunded by Social Security, so you have to pay 6.9 euros ($9) to see a doctor, unless you have health insurance, which would cover that, or you earn under $10K, then you pay nothing. Same for prescription drugs and anything your GP refers you to. Now you always need to get the GP to determine if you need more tests, scans or to see a specialist. If you go straight to a specialist (except dentist, ob/gyn and ophthalmologist), you will have to pay 100% of the fee. For other private treatments, you will be covered at 70% of the public rate, and will have to cover the other 30% and private care premium. Say a private GP charges 50 euros, you would have to cover the 27 euros premium for private care, and the usual 30% of 23 euros like any visit

 

 

 

 

Am J Public Health. 2003 January; 93(1): 31–37.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447687/

PMCID: PMC1447687

The Health Care System Under French National Health Insurance: Lessons for Health Reform in the United States

Victor G. Rodwin, PhD, MPH

Author information ► Article notes ►

(1).  Sheldrake and Henri Bergson would characterize this “inspiration” as exogenous “memory” coming from what Jung called the “collective sub-conscience”. Western Medicine is convinced that memory is solely anchored in the brain, but there is an emergence of evidence that shows that Consciousness and memory are connected to exogenous frequency fields.

(2). While most educated Americans acknowledge that without the financial and military assitance of the French during the decisive Yorktown battle in 1781 against Cornwallis and King George the Vth (who was suffering from dementia), the United States as a sovereign Nation would not have emerged, many educated Americans forget Pierre L’enfant’s key role in designing Washington D.C., Montesquieu’s key influence in the separation of the three branches of Government and public policy, the French philosophes strong influence in educating America’s spiritual father, Ben Franklin and other American rebels, l’abbé Grégoire’s key impact on freeing slaves and human rights and many other inputs.

(3). Thanks to which workshopees have been able to learn the fundamental principles of holistic health while improving most of their biological functions, telomeres and genome through an improved Mediterreanean diet in association with meditation, detoxification, herbs, heliotherapy, exercises, balneotherapy, chanting, breathing and many other evidence-based holistic techniques.

(4). Where the standards of care would be more holistic than allopathic and technocratic. See the Intitute’s take on this via  click here.

 

 

 

 

 

 

 

During the French Revolution Era, the French People fought hard to force the Government to transfer a bundle of unalienable rights back to the People’s sovereignty,  including the

Reference and Precsion Notes

1. World Health Report 2000. Available at: http://www.who.int/whr/2001/archives/2000/en/index.htm. Accessed October 18, 2002.

 

Disclaimer: Nothing in this Educational Site should be construed as medical advise.

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Professor Joubert teaches how to extend a healthy cancer-free Lifespan to 122 years thanks to safe, efficient and cost friendly breakthrough protocols. Working on a documentary and book that redefines Medicine in light of new discoveries, ancient wisdoms, innovative research and holistic science, he can be nonetheless available to coach patients back to homeostasis, wellbeing & Joie de Vivre. On occasion, Pr. Joubert can also coach health professionals to better protect their holistic practice when they must deviate from outdated and-or irrational mainstream “standards of care” in order to genuinely serve their patients, evidence-strong Science and internationally recognized human rights. For details, see the links called “Contact” and “Mission” (under the “About” link).

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