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Dr. Discontent.

Physicians are angry, that that's bad news for hospitals. Increasingly, doctors are unable to pay soaring liability insurance premiuyms, are refusing to accept new Medicaid and Medicare patients, and are balking at taking ED calls. What's more, many physicians are setting up niche facilities that compete directly with hospitals in the most lucrative service lines.

Attitude of Health Personnel↗

Law No. 88-16, 5 January 1988.

Among other things, this Law extends the scope of social protection granted to mothers In France. It seeks to ensure that women who stay at home to bring up their families are not penalized in any way and to encourage such women to have a third child. The following are among measures of the Law: 1) entitlement to receive benefits in kind from the sickness insurance scheme in the event of divorce or the death of the spouse was previously restricted to a limited period (one year, extended until the date of the third birthday of the last child); it is now granted without limit of time and without charge, in the event of either contingency, to single parents aged 45 or over who have, or have had, three or more dependent children; 2) the possibility for any parent with dependent children residing in France and not engaging in any occupational activity to join the voluntary old-age pension scheme has now been extended to cover invalidity; the contributions payable (which may be deducted from family allowances) will be calculated on the basis of the minimum guaranteed wage (SMIC); 3) reversionary pensions of widows between ages 55 and 65 who have dependent children are to be increased by a uniform amount, set at 400 francs per month and adjustable; and 4) periods of maternity leave will be taken into account in the determination of seniority rights within an enterprise, particularly in the context of notice of dismissal (half of all periods of parental educational leave were already taken into account).

Aid to Families with Dependent Children↗

The health and medical system in Japan.

This has been a brief sketch of the health and medical system in Japan. While many health indices have improved since the end of World War II, the health system still has many problems to be solved. The shortage of professional personnel remains a glaring one. And especially detrimental to the effective functioning of a good system is the fragmentation of various institutions, schemes and functions. It is necessary to integrate all of these things into a comprehensive health care system, and to establish a comprehensive plan for health and medical services.

Community Participation↗

[Analysis of different aspects of the health systems in Tunisia].

The health care system in Tunisia is composed of two sectors, public and private. Given the social and economic development level of the country, it can be said that the hospitals, health centers and workforce devoted to health are not severely limited. However, these structures are under-equipped and finance management is not relevant. The establishment of a National Health Service would render all the system more efficient.

Delivery of Health Care↗