title: [Health Care Insurance in France: its impact on income distribution between age and social groups].
abstract: Our study, based on microsimulation models, evaluates the redistributive impact of health care insurance in France on income distribution between age and social groups. This work sheds light on the debate concerning the respective role of the public health care insurance (PHI) and the private supplemental health care insurance (SHI) in France. The analysis points out that the PHI enables the lowest-income households and the pensioners a better access to health care than they would have had under a complete private SHI. Due to the progressivity of taxes, low-income households contribute less to the PHI and get higher benefits because of a weaker health. Pensioners have low contributions to public health care finance but the highest health care expenditures.
authors.affiliation: Direction de la recherche, des études, de l'évaluation et des statistiques (Drees), ministère des Affaires Sociales et de la Santé, 14, avenue Duquesne, 75350 Paris 07 SP, France. nathalie.fourcade@sante.gouv.fr
authors.forename: N
authors.initials: N
authors.lastname: Fourcade
authors.forename: J
authors.initials: J
authors.lastname: Duval
authors.forename: R
authors.initials: R
authors.lastname: Lardellier
mesh_terms: D017677:Age Distribution; D005602:France / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000191:economics* / Q000706:statistics & numerical data; D007349:Insurance, Health, Reimbursement / Q000639:trends; D012923:Social Class; D013660:Taxes / Q000191:economics
keywords: Assurance maladie; Health care insurance; Microsimulation; Redistribution