The responsibility of thehealthcare system is taken at a national level. The budget is presentedannually, as well as the financing details for the healthcare system for thefollowing year. The ministry of health is responsible for the health policies,overseas management of resources and is the one responsible for setting thetargets for the health care expenditure. Over the last decades, health careexpenditure in France rose rapidly in comparison with the economy as a whole.More specifically, the gross domestic product (GDP) per capita is $38.
000 andthe expenditure on health was 11.5% of GDP in 2014(WHO, 2017) in comparisonwith 10.4% in 1995. Since 1996, there is in place one main resource allocationmechanism ONDAM which controls the SHI expenditures in health care. Since 2010ONDAM the cost-containment measures have been more intense and consequently thetargets have been underspent.
France has been ranked by WHO third amongEuropean countries for health care expenditure as a proportion of GDP (Chevreulet al 2015). The pooling of the fundsare arranged in a national level. The allocation of the national budges isvoted every year by the Parliament and it is allocated in 4 sections: thepublic and non-profit hospitals, for-profit hospitals, out-of-hospital care andgeriatric care (The Commonwealth Fund, 2013) .
The main body responsible forcollecting compulsory funds is the Union for the recovery of Social SecurityContributions and Family Allowances. All the revenue collection flows into asingle pool run by the Central Social Security Agency and then they areallocated among different national branches like SHI; family allowance etc. Throughemployees and employers contributions, as well as through specific taxation (e.g.tobacco), taxes on pharmaceutical companies, General Social Contribution (CGS) therevenue collection is achieved (Chevreul et al 2015).