The share of health expenditure paid by households has fallen further.
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ALLILI MOURAD / SIPA
The "remainder to charge" continues its slow erosion: from 9.2% in 2009, it fell to 6.9% last year, or all the same 14.3 billion euros out of a little more than 208 billion of "medical care and goods," writes Drees, the statistical service of the health and social ministries in its annual report on "health accounts".
This reflux remains mainly linked to the aging of the population, which is accompanied by a constant increase in the number of chronically ill patients fully covered by the Social Security, the share of which rose to 78.2%, while that of complementary health stagnated at 13.4%.
Dental care on the rise
A long-term trend supplemented in 2019 by a "sharp decline in the consumption of non-reimbursable drugs", or even "a slowdown in excess fees among (doctors) specialists".
On the other hand, the "100% Health" reform, translation of the "zero charge remaining" promised by Emmanuel Macron, had "a paradoxical effect": the price cuts for dental prostheses have created "a windfall effect" pushing some to seek treatment even if it means paying part of the costs.
The “remainder of the charge” for dental care therefore increases by nearly one point to 21.1%, still ahead of the perspective (22.6%) where the reform came into force at the start of 2020. Taking into account other “current health expenditure” (dependency, disability, work stoppages, prevention, research, etc.) the remaining charge remained stable at 9% out of a total of 265.8 billion euros in 2018, France retaining the rate “Most limited” of the OECD member countries.
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