{"id":12175,"date":"2020-06-15T00:00:00","date_gmt":"2020-06-14T22:00:00","guid":{"rendered":"https:\/\/libinst.detail-digital.ch\/denkanstoesse\/sante\/"},"modified":"2020-06-15T00:00:00","modified_gmt":"2020-06-14T22:00:00","slug":"sante","status":"publish","type":"denkanstoesse","link":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/","title":{"rendered":"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9"},"content":{"rendered":"<p class=\"first\"><span class=\"first-letter\">D<\/span>epuis les ann\u00e9es 1960, les \u00e9conomistes n\u00e9oclassiques l\u00e9gitiment la r\u00e9glementation et la collectivisation du secteur de la sant\u00e9 en pointant du doigt une pr\u00e9tendue d\u00e9faillance du march\u00e9. Leur analyse est bas\u00e9e sur un mod\u00e8le de march\u00e9 id\u00e9al, pour lequel certaines conditions doivent exister afin de fonctionner de mani\u00e8re optimale et efficace. Il s&rsquo;agit notamment de l&rsquo;existence d&rsquo;une information parfaite, de biens homog\u00e8nes, de la souverainet\u00e9 des consommateurs, de l&rsquo;absence d&rsquo;externalit\u00e9s et du libre acc\u00e8s au march\u00e9.<\/p>\n<p>Contrairement aux hypoth\u00e8ses n\u00e9oclassiques, les march\u00e9s ne sont jamais parfaits, mais \u00e0 la recherche d&rsquo;un optimum. Un \u00e9quilibre est un instantan\u00e9, le march\u00e9, lui, est un processus. La question est donc la suivante: l&rsquo;absence de march\u00e9, c&rsquo;est-\u00e0-dire un syst\u00e8me de sant\u00e9 organis\u00e9 par l&rsquo;\u00c9tat, est-elle pr\u00e9f\u00e9rable \u00e0 un march\u00e9 libre avec ses incertitudes? L&rsquo;abandon g\u00e9n\u00e9ralis\u00e9 des m\u00e9canismes de march\u00e9 conduit in\u00e9vitablement \u00e0 de mauvaises incitations, \u00e0 des structures rigides et \u00e0 une bureaucratisation rampante. La spirale r\u00e9glementaire, le lobbying et une augmentation des co\u00fbts sont les cons\u00e9quences naturelles de ce genre de syst\u00e8me. Il s&rsquo;ensuit des tentatives de contr\u00f4le centralis\u00e9es qui aboutissent finalement \u00e0 un rationnement arbitraire.<\/p>\n<p>Les services de soins de sant\u00e9 constituent un ensemble h\u00e9t\u00e9rog\u00e8ne, disponibles en quantit\u00e9s, en qualit\u00e9s et en combinaisons variables. Au lieu de s&rsquo;attarder sur la r\u00e9glementation et l&rsquo;\u00e9quit\u00e9 d&rsquo;acc\u00e8s \u00e0 une vision imaginaire de la sant\u00e9, il faudrait donc s&rsquo;int\u00e9resser aux services et aux besoins sp\u00e9cifiques des patients, en sortant de l&rsquo;approche collectiviste des prestations et de leur financement.<\/p>\n<p class=\"center\"><strong><a href=\"http:\/\/www.libinst.ch\/publications\/IL-Fouradoulas-Sante.pdf\" rel=\"external\">Lire le rapport<\/a><br \/>\n(9 pages, PDF)<\/strong><\/p>\n","protected":false},"featured_media":10529,"template":"","tag":[186,182,169],"class_list":["post-12175","denkanstoesse","type-denkanstoesse","status-publish","has-post-thumbnail","hentry","tags-diversite-politique","tags-liberte-economique-et-croissance","tags-systeme-de-sante"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.libinst.ch\/fr\/publications\/sante\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral\" \/>\n<meta property=\"og:description\" content=\"Depuis les ann\u00e9es 1960, les \u00e9conomistes n\u00e9oclassiques l\u00e9gitiment la r\u00e9glementation et la collectivisation du secteur de la sant\u00e9 en pointant du doigt une pr\u00e9tendue d\u00e9faillance du march\u00e9. Leur analyse est bas\u00e9e sur un mod\u00e8le de march\u00e9 id\u00e9al, pour lequel certaines conditions doivent exister afin de fonctionner de mani\u00e8re optimale et efficace. Il s&rsquo;agit notamment de [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.libinst.ch\/fr\/publications\/sante\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Lib\u00e9ral\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/05\/sante-marche-echec-article.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/\",\"url\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/\",\"name\":\"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral\",\"isPartOf\":{\"@id\":\"\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.libinst.ch\\\/wp-content\\\/uploads\\\/2023\\\/05\\\/sante-marche-echec-article.jpg\",\"datePublished\":\"2020-06-14T22:00:00+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.libinst.ch\\\/wp-content\\\/uploads\\\/2023\\\/05\\\/sante-marche-echec-article.jpg\",\"contentUrl\":\"https:\\\/\\\/www.libinst.ch\\\/wp-content\\\/uploads\\\/2023\\\/05\\\/sante-marche-echec-article.jpg\",\"width\":1920,\"height\":1280,\"caption\":\"Light bulb with coins beside and young plant on top concept put on the soil in soft green nature background.\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.libinst.ch\\\/fr\\\/publications\\\/sante\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.libinst.ch\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9\"}]},{\"@type\":\"WebSite\",\"@id\":\"\\\/#website\",\"url\":\"\\\/\",\"name\":\"Institut Lib\u00e9ral\",\"description\":\"\",\"publisher\":{\"@id\":\"\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"\\\/#organization\",\"name\":\"Institut Lib\u00e9ral\",\"url\":\"\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.libinst.ch\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/logo-institut-liberal.png\",\"contentUrl\":\"https:\\\/\\\/www.libinst.ch\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/logo-institut-liberal.png\",\"width\":2935,\"height\":458,\"caption\":\"Institut Lib\u00e9ral\"},\"image\":{\"@id\":\"\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/","og_locale":"fr_FR","og_type":"article","og_title":"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral","og_description":"Depuis les ann\u00e9es 1960, les \u00e9conomistes n\u00e9oclassiques l\u00e9gitiment la r\u00e9glementation et la collectivisation du secteur de la sant\u00e9 en pointant du doigt une pr\u00e9tendue d\u00e9faillance du march\u00e9. Leur analyse est bas\u00e9e sur un mod\u00e8le de march\u00e9 id\u00e9al, pour lequel certaines conditions doivent exister afin de fonctionner de mani\u00e8re optimale et efficace. Il s&rsquo;agit notamment de [&hellip;]","og_url":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/","og_site_name":"Institut Lib\u00e9ral","og_image":[{"width":1920,"height":1280,"url":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/05\/sante-marche-echec-article.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/","url":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/","name":"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9 - Institut Lib\u00e9ral","isPartOf":{"@id":"\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/#primaryimage"},"image":{"@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/#primaryimage"},"thumbnailUrl":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/05\/sante-marche-echec-article.jpg","datePublished":"2020-06-14T22:00:00+00:00","breadcrumb":{"@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.libinst.ch\/fr\/publications\/sante\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/#primaryimage","url":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/05\/sante-marche-echec-article.jpg","contentUrl":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/05\/sante-marche-echec-article.jpg","width":1920,"height":1280,"caption":"Light bulb with coins beside and young plant on top concept put on the soil in soft green nature background."},{"@type":"BreadcrumbList","@id":"https:\/\/www.libinst.ch\/fr\/publications\/sante\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.libinst.ch\/"},{"@type":"ListItem","position":2,"name":"La l\u00e9gende de la d\u00e9faillance du march\u00e9 dans la sant\u00e9"}]},{"@type":"WebSite","@id":"\/#website","url":"\/","name":"Institut Lib\u00e9ral","description":"","publisher":{"@id":"\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"\/#organization","name":"Institut Lib\u00e9ral","url":"\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"\/#\/schema\/logo\/image\/","url":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/08\/logo-institut-liberal.png","contentUrl":"https:\/\/www.libinst.ch\/wp-content\/uploads\/2023\/08\/logo-institut-liberal.png","width":2935,"height":458,"caption":"Institut Lib\u00e9ral"},"image":{"@id":"\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/denkanstoesse\/12175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/denkanstoesse"}],"about":[{"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/types\/denkanstoesse"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/media\/10529"}],"wp:attachment":[{"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/media?parent=12175"}],"wp:term":[{"taxonomy":"tags","embeddable":true,"href":"https:\/\/www.libinst.ch\/fr\/wp-json\/wp\/v2\/tag?post=12175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}