Health
The French health care system is one of universal health care largely financed by government national health insurance. In its 2000 assessment of world health care systems, the World Health Organization found that France provided the "close to best overall health care" in the world.[277] The French health care system was ranked first worldwide by the World Health Organization in 1997.[278][279] In 2011, France spent 11.6% of its GDP on health care, or US$4,086 per capita,[280] a figure much higher than the average spent by countries in Europe. Approximately 77% of health expenditures are covered by government-funded agencies.[281]
Care is generally free for people affected by chronic diseases such as cancer, AIDS or cystic fibrosis. The life expectancy at birth is 78 years for men and 85 years for women.[282][283] There are 3.22 physicians for every 1000 inhabitants,[284] and average health care spending per capita was US$4,719 in 2008.[285] As of 2007, approximately 140,000 inhabitants (0.4%) of France are living with HIV/AIDS.[82]
Education
In 1802, Napoleon created the lycée, the second and final stage of secondary education that prepares students for higher education studies or a profession.[287] Jules Ferry is considered the father of the French modern school, leading reforms in the late 19th century that established free, secular and compulsory education (currently mandatory until the age of 16).[288][289]
French education is centralised and divided into three stages: primary, secondary, and higher education. The Programme for International Student Assessment, coordinated by the OECD, ranked France's education as near the OECD average in 2018.[290][291] Schoolchildren in France reported greater concern about the disciplinary climate and behaviour in classrooms compared to other OECD countries.[291]
Higher education is divided between public universities and the prestigious and selective Grandes écoles, such as Sciences Po Paris for political studies, HEC Paris for economics, Polytechnique, the École des hautes études en sciences sociales for social studies and the École nationale supérieure des mines de Paris that produce high-profile engineers, or the École nationale d'administration for careers in the Grands Corps of the state. The Grandes écoles have been criticised for alleged elitism, producing many if not most of France's high-ranking civil servants, CEOs and politicians.[292]