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4<br />

Health systems in transition <br />

<strong>France</strong><br />

<strong>France</strong> is ethnically heterogeneous, counting more than a hundred different<br />

ethnic groups within its territory. The government does not gather data<br />

on ethnicity, although ad hoc surveys may be used to estimate the level of<br />

discrimination in access to schools, housing or the labour market. A 2008<br />

survey found that approximately 15% of the French population (10 million)<br />

had an origin other than French (INED, 2010).<br />

While the government does not maintain statistics on religious adherence,<br />

a 2008 demographic survey showed <strong>France</strong> to be multidenominational: 43%<br />

Roman Catholic, 8% Muslim, 2% Protestant, 0.5% Orthodox, 0.5% Jewish,<br />

0.5% Buddhist and 0.5% other (INED, 2010). Nearly 45% of the population<br />

aged 18–50 years declared themselves agnostic or atheist.<br />

Among the EU Member States as of 2013, <strong>France</strong> has the second highest<br />

fertility rate (2.02 births per woman in 2010 and 1.97 in 2013) (see Table 1.1).<br />

The French population is ageing because of increasing life expectancy but not<br />

because of declining fertility rates as in other European countries. The baby<br />

boom after the Second World War will exacerbate this trend in the medium<br />

term, and people aged over 75 years are expected to constitute 15.6% of the<br />

population by 2050, compared with 9.2% in 2011 (Vasselle, 2011).<br />

Just over 70% of the French population has attained upper secondary<br />

education (INSEE, 2013a). In 2011, nearly 60% of the population in the five-year<br />

age group following secondary school was enrolled in higher education<br />

(Table 1.1).<br />

1.2 Economic context<br />

<strong>France</strong> is the fifth largest economy in the world and the second largest in<br />

Europe. Thanks to its overseas departments and territories, <strong>France</strong> has the<br />

second largest exclusive economic zone in the world in terms of area, second<br />

only to that of the United States.<br />

In 2014, the GDP of <strong>France</strong> exceeded €2 trillion (Table 1.2). The per capita<br />

GDP was €27 643 in 2012, ranking 11th among EU27 countries. The budget<br />

deficit was 4.8% of GDP in 2012 compared with 5.3% in 2011 and 7.1% in 2010.

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