Abstract
<titre>Trompes-l’œil in the “Governance” of Health Insurance French-German Contrasts </titre> The authors judge the relevance of the term governance — now the accepted term for the transformation of the regulation mode of the health insurance system — in relation to two basic issues : the horizontal relationships between state and non-state actors, and the importance given to negotiation between multiple actors. These two aspects of the system are then discussed in the framework of an analysis of the recent reforms in the French health insurance system. Finally, a comparison with Germany shows the limits of a governance unable to question the validity of the two essential elements constituting the identity of the French health system : the patient‘s freedom and the freedom of liberal practitioners (doctors practising outside the state healthcare system).
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