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The Medical Profession and the State in France*

Published online by Cambridge University Press:  28 November 2008

Monika Steffen
Monika Steffen
Affiliation:
Political Science, CERAT, Grenole
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Abstract

French medicine is organised with dialectical relation between the public and private in health and welfare policy; there is also an ideological impact of public/private confrontation. The article retraces the history of the profession and shows how it was set up both with and against the state, emphasising two ideas at once: the idea of the small independent entrepreneur, guarantor of individual liberty, and the idea of the great state servant, guarantor of the public interest. Public/private confrontation is only rhetorical and bears no relation to the real content of the dualistic health system.

Type
Articles
Information
Journal of Public Policy , Volume 7 , Issue 2 , April 1987 , pp. 189 - 208
Copyright
Copyright © Cambridge University Press 1987

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References

BIBLIOGRAPHY

Alemann, U. and Von Heinze, R. eds (1979) Verbände und Staat. Vom Pluralismus zum Korporatismus. Westdeutscher Verlag: Opladen.Google Scholar
Clément, J. M. (1985) Les réformes hospitalières 1981–1984 – Départemenlalisation, statuts des médecins et personnels hospitallers. Ed. Berger-Levrault: Paris.Google Scholar
Dahme, J. H. and Hegner, F. (1982) ‘Wie autonom ist der autonome Sektor? Zum Verhältnis von Staat und freigemeinnütziger Wohlfahrtspflege bei der Umstrukturierung ambulanter Pflegedienste’. Zeitschrift für Soziologie, 11, 1, pp. 28–48.CrossRefGoogle Scholar
Dahme, J. H. and Hegner, F. (1983) ‘Sozialstationen: Eine neue Organisationsform ambulanter Dienste Im Wohnumfeld’. in Medizinische Soziologie (eds. Deppe, H. U., Gerhardt, U. and Novak, P.), Jahrbuch no 3, Campus-Verlag: Frankfurt and New York, pp. 54–82.Google Scholar
Dupeyroux, J. J. (1984) Droit de la sécurité sociale (9th ed.), Dalloz: Paris.Google Scholar
Faure, O. (1984), ‘La médecine gratuite au XlXème siècle: de la charité à I'assistance’. Histoire, Economic, Société, no 4.Google Scholar
Foucault, M. (1973) La naissance de la clinique (3rd ed.), PUF: Paris.Google Scholar
Freidson, E. (1984) La profession médicale, Payot: Paris, (original edition: 1970, Harper and Row: New York).Google Scholar
Hatzfeld, H. (1963) Le grand toumant de la médecine libérate. Eds.Ouvrieres: Paris.Google Scholar
Hatzfeld, H. (1971) Du paupérisme à la sécurité sociale, 1850-1940. Armand-Colin: Paris.Google Scholar
Heidenheimer, A. J., Heclo, H. and Adams, C. T. (1983) Comparative public policy: the politics of social choice in Europe and America. 2nd ed., St. Martin's Press: New York.Google Scholar
Herzlich, C. (1985) ‘Malades et clients dans le discours des syndicats medicaux’. Prevenir, no. 11, 10 pp. 111–19.Google Scholar
Jobert, B. (1981) Le social en plan, Eds. Ouvrieres: ParisCrossRefGoogle Scholar
Jobert, B. (1985) ‘Les politiques sociales et sanitaires’. Traite de Sciences Politiques (directed by Leca, J. and Grawitz, M.), Vol. IV, Presses Universitaires de France: Paris.Google Scholar
Kervasdoué, J. de, Kimberley, J. and Rodwin, V. G. (1981) La santé rationnée, Economica: Paris.Google Scholar
Klein, R.. (1977) ‘The corporate state, the Health service and the professions’, University Quarterly, 31, 2.Google Scholar
Lacronique, J. F. (1982) ‘The French health care system’. The public/private mix for health; the relevance and effects of change (eds. McLachman, G. and Maynard, A.), The Nuffield Provincial Hospital Trust: London.Google Scholar
Le, Grand, and, J.Robinson, R. eds. (1984) Privatisation and the welfare state, George Allan & Unwin: London.Google Scholar
Léonard, J. (1981) La médecine entre les pouvoirs et les savoirs, Aubier: Paris.Google Scholar
Mouton, P. and Tamburi, G. (1986) ‘Problèmes de fronètires entre régimes prives et régimes publics de pensions’. Revue Internationale du Travail, 125, 2, pp. 143–58.Google Scholar
Prévenir, Cahiers d'études et de réflexion de la Vie Mutualiste, Marseille: no. 3 “Exercise médical et santé’ (1981); no. 5 ‘Sécurité sociale et santé’ (1982); no. 11, ‘Les mots et les maux’ (1985); no. 14, ‘Les alternatives a l'hospitalisation’ (1987).Google Scholar
Raoux, F. (1979) Naissance de la corporation médicale, 1789-1943, These de médecine, Faculté de St. Antoine: Paris.Google Scholar
Rodwin, V. G. (1982) ‘The French health care system’, The public/private mix for health; the relevance and effects of change (eds. McLachan, G. and Maynard, A.), The Nuffield Provincial Hospital Trust: London.Google Scholar
Rosen, G. (1974) From medical police to social medecine: essays on the history of health care, Sciences History Publications: New York.Google Scholar
Schmitter, P. C. and G., Lehmbruch eds. (1979) Trends towards Coorporatist Intermediation, Sage: Beverly Hills.Google Scholar
Steffen, M. (1983) Régulation politique et stratégies professionnelles; médecine libérate et émergence des centres de santé’, Thèse d'Etat de Science Politique, Institut d'Etudes Politiques, Université des Sciences Sociales; Grenoble.Google Scholar
Steffen, M., (1985) ‘Langages et stratégies politiques autour de I'exercice médical’, Prévenir, no. 11, pp. 121–31.Google Scholar
Stephan, J. C. (1978) Economie et pouvoir médical, ed. Economica, : Paris.Google Scholar
Steudler, F. (1986), ‘La pratique de groupe’; Prospective et Santé, no. 37, pp. 103–21.Google Scholar
Truchet, D. (1982) ‘L'autorité juridique des principes d'exercise de la médecine’, in Etudes de droit et d'économie de la santé (ed. by Truchet, D.), Economica: Paris, pp. 43–54.Google Scholar