Documents universal benefit scheme 46 results

"Le système de soins français fait figure de modèle, mais sa pérennité est menacée. Pourquoi ? Et comment changer de direction ?

Si l'on vit en moyenne plus longtemps en France que presque partout ailleurs, les inégalités ne cessent de se creuser. Déserts médicaux et dépassements d'honoraires compromettent l'égal accès de tous aux soins. On ne pourra pas briser cette spirale dans une remise à plat des principes de la médecine libérale !

Les Français ont la chance de bénéficier d'une couverture maladie de base universelle et généreuse. Mais sa cohésion s'effrite silencieusement sous l'effet de l'augmentation des dépenses de santé. Faut-il accepter une assurance à deux vitesses ? Combien sommes-nous prêts à payer pour la Sécurité sociale de demain ?

Afin d'équilibrer les comptes, les pouvoirs publics ont multiplié les mesures de « responsabilisation financière des patients », dont l'efficacité est douteuse et l'iniquité avérée. Ce discours comptable a occulté la nécessité d'agir pour accroître l'efficacité de l'offre de soins. Comment réformer l'hôpital et mieux piloter les différents acteurs de la santé ?

C'est à une révolution de la régulation de la santé qu'appelle ce numéro de Regards croisés sur l'économie, pour préserver un système de soins unique au monde."

"The adoption of the International Labour Organization Recommendation concerning national floors of social protection, 2012 (No. 202) highlights the global importance of the extension of social security coverage. To maximize the positive impacts of coverage extension, not only should benefits and services be provided to the widest number of people and cover the greatest number of risks, but benefits have to be adequate. Whilst not without challenges, the level of coverage can be defined and measured. However, the definition of what is an adequate benefit is often less clear and has often relied on the use of one measure – the replacement ratio – to determine the relative adequacy of cash benefits. Given the multiple aims of social security systems, the use of a broader measure of adequacy that goes beyond cash benefit levels is not only more appropriate but necessary. In a context where financial constraints are arguably greater than ever, this article looks at the importance of adequacy and why such a broader consideration is required to measure the other aspects of benefit and service provision. It highlights how such a multivariable analysis could be constructed and the challenges of doing so. By attempting to measure if other goals of benefit provision are met – including quality of service, labour market aims, security of benefits and interaction with other stakeholders – the article seeks to contribute to widening the debate."

"Despite progress on extending social health protection coverage, most low-income countries are still far from achieving universal health coverage and thus key objectives related to improvements in health, such as those aimed at by the Millennium Development Goals (MDGs), will almost certainly not be realized by 2015. Principally affected are the most vulnerable populations: the rural and urban poor and workers in the informal economy and their families. It is of particular concern that progress might not only remain limited but even be reversed if policies continue to fail to address the root causes of gaps and deficits in health coverage. This article provides evidence that these causes lie both within and beyond the health sector and are strongly related to poverty and other forms of vulnerability. It argues that sustainable progress towards universal health coverage can only be achieved in an adequate time frame when focusing simultaneously on i) extending health coverage and improving access to needed health care; ii) providing income security through income support to those in need; iii) addressing limitations, or the inability to participate, in income generation from work; and iv) implementing coherent policies within and across the social, economic and health sectors that set priorities on poverty alleviation. Such policies can best be implemented in the context of national social protection floors (SPF) that focus on access to at least essential health care and on providing at least basic income security over the life cycle to all in need. Implementing SPFs may result in breaking the mutual linkages between ill health, poverty and other vulnerabilities and achieving sustainable progress towards universal health coverage and other social protection objectives."