"Free" access: maximum supply can never reach infinite demand

A simple explanation of the exhaustion of the offer by an unlimited demand due to the free access to the healthcare system (France).



https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3185-8

France with the lowest OOP/capita and the lowest growth of this amount during the last 10 years is in an overdemand state which leads to a highly dysfunctioning healthcare system.

The first place, where infinite demand kills by crowding out some true urgent patients, is the ER. The second is general practice. The third is risky practices because in this setting physicians tend to avoid risk at all costs.
Solutions:
1/ Convenience should never be mutualised. A demand for emergency care which is based on convenience (aka 80% of ER venues) must be paid out of the pocket. Who will decide? The insurer on a medical base and after the initial payment of a share. How can I pay if I haven't any cash or economic power to pay? It will be subtracted to your next welfare subsidy.
2/ Sport, wellness, certificates and other issues which are engorging GP practice must be paid out of the pocket and out of mutualisation.
3/ Unnecessary, convenient exams either lab analysis or imaging or anything else must be paid out of the pocket. It is also the case for complementary medicines, thermalism, other goods inappropriately labelled as medical,  and transports.

Une explication simple de l'épuisement de l'offre par une demande illimitée en raison de la gratuité de tout accès au système de soins (France).

Le premier endroit, où la demande infinie tue en évinçant certains vrais patients urgents, est la salle d'urgence. Le second est la pratique générale. Le troisième est celui des pratiques à risque, car dans ce contexte, les médecins ont tendance à éviter le risque à tout prix.