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France Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

0.6%

Health spending (% of GDP) 11.5 6.7% 9.8%

Health expenditure per capita (US$) 4,263 Public Out-of-pocket Public spending on health per capita (US$) 3,534 Voluntary prepayment External Other GDP per capita (US$) 36,946 82.9%

Life expectancy, both sexes (years) 83

RICHER COUNTRIES SPEND MORE ON HEALTH… …BUT NOT NECESSARILY AS A SHARE OF GDP

10,000 25

20

1,000 15

10 100

Health spending % of GDP 5

Health spending per capita (US$, log scale) 10 0 100 1,000 10,000 100,000 100 1,000 10,000 100,000 GDP per capita (US$, log scale) GDP per capita (US$, log scale)

MORE ON HEALTH IS ASSOCIATED WITH LOWER OUT-OF-POCKET SPENDING DOES GOVERNMENT SPEND ENOUGH ON HEALTH?

100 6,000 18

80

4,000 12 60 % US$ 40 2,000 6

20

Out-of-pocket spending % of health 0 0 0 0 2 4 6 8 10 12 14 2006 2008 2010 2012 2014 2016 Public spending on health % of GDP Health spending per capita (US$, bars) Government health spending % of total government spending (line)

PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE

25

20

15

10

5 Government health spending % of total government spending 0 SpainMalta Palau AustriaIceland France Ireland Monaco SlovakiaAndorra NorwaySweden ArgentinaSingapore BahamasDenmarkAustralia San Marino Republic of Korea Darussalam UnitedSaint Arab Kitts Emirates and Nevis Antigua and Barbuda

IS RELIANCE ON OUT-OF-POCKET SPENDING DECREASING OVER TIME?

100

80

60

40

20

0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Public External Other Voluntary prepayment Out-of-pocket

WHEN PUBLIC SOURCES SPEND MORE ON HEALTH, DO HOUSEHOLDS SPEND LESS?

50,000 10

40,000 8

30,000 6

20,000 4

10,000 2 % of GDP (lines)

GDP per capita (US$, bars) 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

GDP per capita (US$, bars) Public spending on health (% of GDP) Out-of-pocket spending (% of GDP)

HOW IS PUBLIC FUNDING CHANNELED?

GOVERNMENT SCHEMES COMPULSORY HEALTH INSURANCE 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006

4,000 3,000 2,000 1,000 0 0 1,000 2,000 3,000 4,000 Per capita (US$) Per capita (US$) Contributions Government transfers

Source: Global Health Expenditure Database. Data are for 2016 unless otherwise specified.