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Du grand soir au clair-obscur : Expertise économique et privatisation bureaucratique de l’assurance maladie

Abstract : The reimbursement of health care expenses by the Social Security is slightly dwindling in France. In recent years, a significant level of health expenditures has been transferred to private insurance companies or to patients. This article explores the growing role of French private health insurance in two different contexts: In the 1980s, the role of insurance companies in this sector was highly topical, while their actual expansion in the 2000s was much more discrete. This paradox is explained by the positions of key actors. Between these two periods, both public and private insurers on one side, and the economic experts on the other, came closer together in a set of new institutions built for this purpose. The social proximity between these key actors limited the potential for controversy. Nurtured by administrative actors within a public institutional framework, the soaring role of private actors finally appears as a rather bureaucratic from of privatization, the effects of which remain unclear: would the bureaucratic aspect of such a privatization in health care eventually ease or contain its consequences?
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Submitted on : Sunday, February 12, 2017 - 6:57:58 PM
Last modification on : Friday, October 15, 2021 - 5:20:02 PM

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Daniel Benamouzig. Du grand soir au clair-obscur : Expertise économique et privatisation bureaucratique de l’assurance maladie. Actes de la Recherche en Sciences Sociales, Editions du Seuil, 2012, pp.56 - 73. ⟨hal-01465533⟩

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