Health care systems are different from country to country and operate in a variety of ways. Countries that have inadequate health care systems will look to other nations that have systems that are working to improve access to care by reducing care fragmentation. Looking at France and Italy, these two countries have medical systems that share some quality but have aspects that are extremely different from each other. France uses a health care system that is paid for by the national insurance program through general taxation. France relies heavily on compulsory employer and employee contributions from payroll taxes for prepaid revenue of health care coverage for approximately 96% of its entire population. France spends roughly 11 percent of its GDP on health care. As Italy 's healthcare system is highly decentralized and financed through regional and national taxation (consumptions tax), the system is fragmented. That is, the taxed participants, geographically based would likely generate more revenue in high-income communities than in low-income areas. In Italy, each region has autonomy over their budgets and is held liable for their deficits.
Historical: France is an industrialized country that has a land area of 545,630 square km and has a population of approximately 95,551,221 of whom 65.19% are between the age of 15 and 64 as cited by the CIA World Factbook, 2009, (Lovett-Scott, Prather 2014). Compared to France, Italy 's is also an industrialized country but has less land area of approximately 244,405 square km. However, the two nations share roughly the same size population, of whom 38% are between the age of 15 and 60 as cited by WHO 2004, (Lovett-Scott, Prather 2014). Overall, the total life expectancy at birth in France is 84.19 years, compared to Italy’s, which is 81.77 years. France 's infant and neonatal mortality rate are estimated to be 4.46 deaths/1,000 lives births whereas Italy 's infant and neonatal mortality rates are estimated to be 3.38 deaths/1,000 live births. Unlike France, Italy 's demographic concerns are a decline in younger age group and a rapidly aging population. France Legislative Act of 1999 refined the national health insurance plan that mandated all residents’ full health insurance coverage. …show more content…
Although France has been forced to reduce its health care coverage and incrementally increase its healthcare taxes, its citizens still enjoy their healthcare service. France 's health care system is considered one of the best in the world. Whereas In Italy 's, the Legislative Act of 1992, progressively shifted administrative power to Italy 's 20 regions, which are self-governing health care systems. Dissimilar to France, Italy 's healthcare system hurdle is a failed compulsory insurance scheme between the state and the regions (Lovett-Scott, Prather, 2014). Italy 's challenge is to ensure equitable distribution of public health services to its citizens. Major Health Issues: The public health issue plaguing both France and Italy is the incidence and prevalence of the top ten diseases because these diseases are usually preventable. In France, Ischaemic heart disease caused 39 million (7.2 %) death in 2012, down from 45 million (9%) in 2002, while in Italy, Ischaemic heart disease caused 75.9 million (13.2%) deaths in 2012, down from 92 million (16%) in 2002. Similarly, in France, trachea, bronchus, and lung cancers caused 33 million (6%) deaths in 2012, up from 26 million (5%)
Historical: France is an industrialized country that has a land area of 545,630 square km and has a population of approximately 95,551,221 of whom 65.19% are between the age of 15 and 64 as cited by the CIA World Factbook, 2009, (Lovett-Scott, Prather 2014). Compared to France, Italy 's is also an industrialized country but has less land area of approximately 244,405 square km. However, the two nations share roughly the same size population, of whom 38% are between the age of 15 and 60 as cited by WHO 2004, (Lovett-Scott, Prather 2014). Overall, the total life expectancy at birth in France is 84.19 years, compared to Italy’s, which is 81.77 years. France 's infant and neonatal mortality rate are estimated to be 4.46 deaths/1,000 lives births whereas Italy 's infant and neonatal mortality rates are estimated to be 3.38 deaths/1,000 live births. Unlike France, Italy 's demographic concerns are a decline in younger age group and a rapidly aging population. France Legislative Act of 1999 refined the national health insurance plan that mandated all residents’ full health insurance coverage. …show more content…
Although France has been forced to reduce its health care coverage and incrementally increase its healthcare taxes, its citizens still enjoy their healthcare service. France 's health care system is considered one of the best in the world. Whereas In Italy 's, the Legislative Act of 1992, progressively shifted administrative power to Italy 's 20 regions, which are self-governing health care systems. Dissimilar to France, Italy 's healthcare system hurdle is a failed compulsory insurance scheme between the state and the regions (Lovett-Scott, Prather, 2014). Italy 's challenge is to ensure equitable distribution of public health services to its citizens. Major Health Issues: The public health issue plaguing both France and Italy is the incidence and prevalence of the top ten diseases because these diseases are usually preventable. In France, Ischaemic heart disease caused 39 million (7.2 %) death in 2012, down from 45 million (9%) in 2002, while in Italy, Ischaemic heart disease caused 75.9 million (13.2%) deaths in 2012, down from 92 million (16%) in 2002. Similarly, in France, trachea, bronchus, and lung cancers caused 33 million (6%) deaths in 2012, up from 26 million (5%)