Abstract
Since the beginning of the 80s, national health systems have, in all countries, been subjected to quite radical changes. In most major OECD countries — except for the US and France — , the growth of health expenditures has been moderated; the modes of compensation for doctors and hospitals have been modified; competition and more appropriate pecuniary incentives have been introduced. In Eastern Europe, the issue is still debated: what kind of system should be put in place? In the USSR, experiments similar to what has been done in the US and the UK are being conducted. So far, France has mostly remained untouched by these reforms.
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