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April 22, 1939


JAMA. 1939;112(16):1606. doi:10.1001/jama.1939.02800160070021

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CASH INSURANCE IN FRANCE  According to a report of the French delegate to the recent meeting of the International Medical Association, the existence of a partial cash indemnity provision in the French system has enabled it to pass through a recent crisis without resorting to that deterioration of quality of medical service and consequent deception of the patient that invariably characterize such crises in systems based on service benefits.According to the report, which appears in the Revue internationale de médecine professionnelle et sociale (11:133 [Nov.] 1938), the fall in the value of the franc led to an increase in the income limits for the insured and compelled the physicians to raise their fees as measured in the falling franc. The French system of sickness insurance provides that the insured shall pay approximately 20 per cent of a legal reimbursement fee schedule. The physician may charge whatever fee he

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