Paris Journal 2009 – Barbara Joy Cooley                  Home: barbarajoycooley.com

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I’m still sleeping way too much since the Great Stepstool Fall, and one of my arms is hurting more instead of less, so I may soon experience the French health care system.  Tom has already experienced it in the past.

While I have certainly written about the imperfections of the public hospitals here, I have nothing but respect for the total French health system which absolutely will not allow French families to go bankrupt due to health care costs.

I subscribe to an e-mail newsletter called Americans in France.  Its editor wrote the following in the edition that I received today.  Note that the coverage provided by the French government-run insurance INCREASES for chronic, expensive diseases like cancer.  So instead of running up against coverage limits during a serious illness and then going bankrupt, as many American families do, the French families have the most coverage in the times of the greatest medical need.  And there is no pre-existing condition exclusion.  That would be un-French and probably illegal.

French Healthcare

I recently spent a three week vacation in the US. The debate about healthcare reform was going strong. France came up a few times, mostly by those opposed to the reforms being offered. I thought I’d put my two cents in about how French healthcare works, based upon personal experience.
French healthcare isn’t really socialized: the French state doesn’t run everything. What you have is government insurance (Assurance Maladie) on one side that covers about 70% of any given treatment. On the other side is a mix of private/public hospitals, doctors (most of whom are in private practice), nurses (many are independent and like doctors in private practice) and private (but heavily regulated) labs and pharmacies.

The government insurance is financed through taxes. Looking at my last pay slip about 13.5% of what I made (gross) was paid into the Assurance Maladie Fund. The accounting is to the advantage of the worker I paid .75% of my gross income to Assurance Maladie, whereas my employer paid a 12.8% tax on my gross income.

The 70% reimbursement figure is generally the lower end of coverage; long-term illness (like cancer) are covered at 100%. Many French have private top up insurance that covers whatever the French state doesn’t. From experience what seems to fall below 70% are things like medication and eye glasses. But I’ve noticed that medication in France seems to be cheaper than in the US even if you have to pay the full cost. e don’t have private top up insurance but when we looked into buying some, monthly premiums looked to be about 100-150 euros per month for a family of three. Coverage varied but because Assurance Maladie covered anything long-term there aren’t any preexisting conditions. In fact I believe an insurer only has a right to minimal health information like age and sex.

To give you an idea of some everyday healthcare costs in France; it costs 22€ to see a doctor (it’s more to see specialist), 70% would be paid by Assurance Maladie. The patient cost is 6.60€. In November of last year my son had an appendicitis and spent fives days in the hospital. Our total bill (it was just one page) came to 98€.

That’s not to say that French healthcare is all roses. The Assurance Maladie’s general fund is in debt to the tune of billions of euros, has been for many years. I like the healthcare I’ve received in France but finding the money to pay for it isn’t easy. Also some areas have a shortage of doctors and nurses.

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Jeff Steiner
Copyright
Americans in France
Resource for people that would like to live or travel in France.
Jeff Steiner, 282, rue du Buisson, La Roche sur Foron, 74800, France

Yesterday, we decided to go to the market at St. Germain instead of the Carrefour grocery store.  It is more expensive to buy food at the market, but the quality is generally much higher.  We’re tired of saving money, I guess.  We demand the good stuff.

We bought brie, blue cheese from the Auvergne, goat cheese (a crottin), non-sterilized milk, orange juice, bananas, country pate, ham, country bread, and small strawberries.  It is all very, very good.

The market is closed in the afternoon until 4PM, when it reopens so it can sell good things to working people until 8PM.  When we started out, it was a bit before 4PM so we went to Muji to check it out first.

We were disappointed.  This store, which was once so interesting, is now very blah.  I hate it when this happens; I can think of so many retailers in my lifetime who’ve gone from interesting to blah.  I cannot stand this trend!

But the market is not blah.  It is still interesting.  We strolled from there to buy newspapers in the tiniest of newsstands, a kiosque near the entrance to the Mabillon metro station.  Somehow, two men were squeezed into the little kiosque.  They were smiling and preparing small fold-up umbrellas for sale; the sky was threatening to rain.

Last night we had a lovely stroll through the Luxembourg Gardens, all the way down through the Marco Polo Garden and along the boulevard Montparnasse to L’Abri Cotier, my favorite Corsican restaurant.  It specializes in seafood, and features a large tank with live lobsters in the front/side window.

I had a craving for sole meunière, so that’s what I had, and it was a soul-fulfilling experience.  Tom had the three-course menu at 27 euros (prices have dropped a tiny bit since the menu was posted on their web site).  His starter course was a tartare courgettes tomates à la brousse de brebis.  I had several bites of it.  Very yummy and fresh, with chopped tomatoes, zucchini, herbs, a super light vinaigrette, and goat cheese.

Tom’s main course, a chateau de boeuf roti, is not on the web site menu. Over the starter course, we had a discussion about what his main course would be like.  He thought it would literally be roast beef.  I said I thought it would be more like a thick steak, so thick that the French consider the cut to be a roast, but it would be cooked like a steak.  Like chateaubriand.

I was right.  The steak was excellent, and it came with a superb little potato pancake as well as carrot rings topped with wedges of zucchini and broccoli.

Dessert was pain perdu with pears and caramel sauce.  Absolutely delish.

After dinner we walked in the rain.  We left the boulevard Montparnasse and took the rue Bréa then the rue Vavin to reach the edge of the Luxembourg Gardens where we followed the sidewalk along the park’s border to come home to the rue Férou and rue Canivet.  I thought this was no doubt the route that Hemingway would walk when he was coming home from Le Select to the rue Férou.

We were charmed by the rue Bréa, which I don’t think we’d walked along before.  We’ll have to go back there during the daylight sometime.

The street is named for Jean Baptiste Fidèle Bréa, a brigadier general, born in 1790, and killed by insurgents in a public spectacle on the avenue d’Italie on June 25, 1848, during what is known as the June Uprising, a French workers’ revolt.  Specifically, he’d been put in charge of anti-insurgency operations on the left bank, and he succeeded in pushing the insurgents outside the city limits.  Then, in the hope of leading them back in peacefully, he went out to talk with them.  That’s when the insurgents seized him and later killed him.

Earlier in 1848, the French government created National Workshops to help the unemployed.  The workshops only lasted a few months, and then were closed because of expenses.  This enraged the workers, who revolted.  The revolt was harshly repressed; 1500 workers were killed, and 15,000 were deported to Algeria.  The final act of repression was the passing of a law severely restricting the activities of political clubs, and forbidding the participation of women and children in the club activities.

All of this occurred not long before the outbreak of the American Civil War.  It is very interesting, indeed.

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Thursday, September 3, 2009

 

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No, this heron is not in Sanibel.  This is the Parc Bercy in Paris.

 

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The Six Huit Café boat on the Seine.

 

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Another interesting café on the Seine, near the Mitterand Library.

 

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A light boat near the Pont de Tolbiac.

 

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Ballroom dancers in the Square Tino Rossi on the Seine.