I have (too) often railed about the French bureaucratic morass that can make the simplest transaction an interminable nightmare, so it is only fair to report on the most positive development of my time here: I have received my social security number, my entry ticket to the national health insurance program. I am not a French citizen, but I am living in a country which believes that every resident is entitled to health care, and has a government able to pass legislation to make it happen. Amazing.
First order of business was to designate a primary care physician, so I went to see Docteur Mathilde Lemoine, whom I had seen once before. Dr. Lemoine was recommended by my friend, Carrie Sumner, and I went to her several months ago to ask her if she could write prescriptions for the medications I’ve been taking since the stent was implanted a couple of years ago. She did, and I had them filled at the local pharmacy. When I told the pharmacist that I was not yet on the insurance program, he apologized for the cost and said he would give me a facture. I wasn’t sure what it was for but was pleasantly surprised that the cost of the medications was approximately equal to the co-pay under my Kaiser plan. I filed the factures and forgot about them until I received my social security number which came with instructions for reimbursement of any medical expenses incurred while living in France before I entered the plan.
I was stunned by the generosity of this program, but, wait, there’s more. When I proudly gave Dr. Lemoine my new number, she asked if I understood how the French system works. I said I knew that 70% of medical expenses were covered and that I would have to buy a top-up plan that would pay the remainder. She said: Yes, that’s true, but…” Here it comes I thought, there’s always a catch. She explained that because I had a stent, 100% of any expense related to the heart would be covered. I had to ask her to repeat that, thinking my French comprehension had failed me. She said it again, a little more slowly, and I just sat there shaking my head in disbelief and thinking I must learn the words to the Marseillaise.
In other words, and this is directed at almost every U.S. Republican lawmaker out there, in a system that actually benefits people, pre-existing conditions generate more comprehensive and generous coverage. People who are sick need help. This is not a radical concept, it is government by and for the people.
Dr. Lemoine then told me that she would file the necessary papers with the insurance office and call me next week to schedule an appointment with a cardiologist. She printed out her facture and I reached for my checkbook but she said: “Non. I only need your signature.”
Compassionate governance is possible.
©2017 Ron Scherl