The French healthcare system is best described as the synergism between national health insurance and the principles of médecine libérale, a feature of the French healthcare system that embraces liberalist views among patients and doctors. The fusion of the latter with French healthcare reform in Sécurité Sociale, the French form of social security, and compulsory health insurance over the course of the twentieth and twenty-first centuries, has created a healthcare system structured fundamentally according to Bismarckian ideas that parallels trends of government-controlled socialist medicine. The basic philosophies that guide the French healthcare system start from their ideal synthesis of solidarity, liberalism and pluralism (Rodwin, Le Pen 2259). These ideas create the framework in decision making that allows medicine to be practiced autonomously and for its regression from privatization into competing markets. The structural component of French health policy and regulatory affairs represents a decentralized and administered flow at regional, local and municipal levels. At the national level, Parliament examines provisions relating to revenue, benefits and regulations and directs its initiatives to the Ministry of Health. We proceed to the National Council for the governance of regional health companies, which is then distributed among the various agencies at regional level. Similar to the flow of US power through the government and its many agencies that follow policies and directives, myriad agencies exist to enable transparency in health policy at the national and regional levels of France. The National Ambulatory Medical Care Survey (NAMCS) , a joint effort with the Centers for Disease Control and the National Center for Health Statistics...... at the heart of the document...... cost containment. The convergence towards state-managed care shows a great deal of flexibility between patients and their “doctor of choice.” Although preferred physicians retain their gatekeeping responsibilities, direct access is still granted to some specialists, with children under 16 years of age having full exemption from the gatekeeping rule (Chevreul et al. 182). Access to healthcare is complete from The French national health insurance guarantees direct access to providers. Approximately two-thirds of practicing healthcare professionals are independent, self-employed fee-for-service providers (Chevreul et al. 112). In addition to fee-for-service providers, healthcare is provided through private, private for-profit hospitals, private non-profit hospitals, public hospitals, and acute care hospitals that are funded through a related group payment to diseases (DRG). system.