The organizational structure of France’s health care system is divided between the state, the statutory health insurance (SHI) funds, and the local communities (Sandier, Paris, & Polton, 2004).  All SHI insurers are incorporated into a single national exchange.  France’s public system is financed by employers’ and employees’ income and payroll tax.  France’s private insurance provides cost-sharing and some non-covered benefits.  90% of France’s population buys or receives a government voucher for complementary coverage (Mossialos, Wenzl, Osborn & Anderson, 2015).