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>There is little evaluation of physician so picking a hospital is very much a lottery, unless you know insiders who will tell you where to go and not to go. Th

by simias 10y ago

>There is little evaluation of physician so picking a hospital is very much a lottery, unless you know insiders who will tell you where to go and not to go. There are always variations, obviously but in general we have pretty good doctors AFAIK. If anything we don't have enough of them. I'm not sure how it relates to the article though, would a more liberal system improve the average quality of hospitals? Are US hospitals and doctors offer better service that the french ones? I'm really asking, I honestly don't know about that. >The system runs a massive financial deficit. It's still pretty massive but it's steadily shrinking these past few years, although parts of it might be caused by degrading the service slightly. The government plans for a balanced budget in 2017, although the opposition says it's not completely true: http://www.publicsenat.fr/lcp/politique/budget-securite-sociale-quasi-l-equilibre-arrive-senat-1562864 http://www.publicsenat.fr/lcp/politique/budget-securite-soci... This article gives a good overview of the situation as far as I can tell: http://www.lemonde.fr/financement-de-la-sante/article/2016/09/22/le-deficit-de-la-securite-sociale-reduit-a-son-plus-bas-niveau-depuis-2002_5002108_1655421.html http://www.lemonde.fr/financement-de-la-sante/article/2016/0... >Like many centralised etatic system (and particularly in France), friends in the right places, political affiliation and freemasonry are more important drivers for a career than medecine. What does that even mean? You went full tinfoil here. Whose career are you talking about anyway? Do you have any source?

cm2187 10y ago
> would a more liberal system improve the average quality of hospitals? Are US hospitals and doctors offer better service that the french ones? I am not sure it is a liberal vs non liberal. But doctors like any profession need to have a way to be evaluated. It is a fact that there are good, average and bad doctors (like any other profession). I understand that in the US, insurance companies play this role. They are maintaining detailed statistics of acceptable success rates and will apply pressure when they see physicians underperforming. On careers, I come from a family of doctors, so it's rather a long succession of first hand anecdotes than articles. Careers in public hospitals are very much driven by these things at a more senior level. I'm afraid no tinfoil there.

by simias 10y ago

cm2187 10y ago

> would a more liberal system improve the average quality of hospitals? Are US hospitals and doctors offer better service that the french ones? I am not sure it is a liberal vs non liberal. But doctors like any profession need to have a way to be evaluated. It is a fact that there are good, average and bad doctors (like any other profession). I understand that in the US, insurance companies play this role. They are maintaining detailed statistics of acceptable success rates and will apply pressure when they see physicians underperforming. On careers, I come from a family of doctors, so it's rather a long succession of first hand anecdotes than articles. Careers in public hospitals are very much driven by these things at a more senior level. I'm afraid no tinfoil there.