caa a22 4500 386356084 CHVBK 20180307111853.0 cr unu---uuuuu 161130e198901 xx s 000 0 eng 10.1017/S0266462300006036 doi S0266462300006036 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300006036 The Assessment of Medical Technology: The Case of France [Elektronische Daten] The French health system is a complex organization that has developed since 1945 as the result of a subtle combination of two fundamental principles: liberal medicine — the freedom of both the consumers and the producers of care, and solidarity — universal access to health care — embodied in a quasi-generalized system of health insurance (4). Today, this balance, to which the French are uncontestably dedicated, appears to be precarious. It has gradually become apparent that the financing system—80% of which is based on mandatory deductions and is intended to guarantee the balance between freedom of choice and universal access — is not consistent with the dynamic of health expenditures. The growing costs of care, as witnessed by the increase of health expenses as a percentage of total household expenses from 4.5% in 1950 to 13.3 in 1985, has led to increased state control over the health care system since 1975. Copyright © Cambridge University Press 1989 Weill Caroline INSERM Fagnani Francis INSERM LeFaure Christian INSERM International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 144-150 0266-4623 5:1<144 1989 5 THC https://doi.org/10.1017/S0266462300006036 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300006036 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Weill Caroline INSERM NATIONALLICENCE 700 1- Fagnani Francis INSERM NATIONALLICENCE 700 1- LeFaure Christian INSERM NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 144-150 0266-4623 5:1<144 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge