Moving back to Europe

I would never have expected that - - like many Americans, I know very little about the health care over there but just assumed that all you had to do was show some proof of citizenship and you'd be all set. Oh well! Sounds like very little hassle, overall, to get retiree health care.
The intention of the French system is that everyone should be covered. You can see this in how the billing is set up; someone who turns up at a hospital with no insurance is a rarity, and causes the admin people to go "Errr, OK, well, let's treat the patient first and we'll sort out the billing later". This happened to a friend of mine, visiting from England, who was injured in a cricket game: I took him to the ER where they stitched him up, and he gave them his address and showed ID, but no bill ever arrived.

The rack rate for a hospital stay (bed, board, and basic nursing) is around €1,000 per day, although most people never see the bill. A short visit to the general practitioner is about €25, a bit more in some big cities. Half an hour with a specialist costs €50-100.

However, the administration of the insurance is based around employee and employer payroll deductions (the latter being notoriously high in France, up to 70%), rather than general taxation as is the case in, say, the UK or (I believe) Canada. (OK, in the UK there is notionally a deduction called "National Insurance", but there is barely any hypothecation.)

When the OP gets to pensionable age, he will get free lifetime cover (with some deductibles) by virtue of having a French retirement pension, provided he paid contributions for just three financial quarters in his entire working life. But early retirement doesn't really exist in France; until at least age 62 (unless you're in a specific job, like law enforcement or firefighting), you are assumed to be working. If the OP hadn't started his little company, he would probably need to claim unemployment benefits, whereupon he would be covered that way.

I also have one of these mini-companies (I presume the OP is an "auto-entrepreneur" like me). Amazingly for France, where starting a regular business is a major PITA, this type of company is incredibly easy to set up. I can bill up to €32,000 per year for professional services. Once a quarter, I fill in an online form (this takes less than one minute; there is only one number to enter!) to declare how much I made in the last three months, and they then take a total of 24% of that amount from my bank account for social insurance and income tax (which is great, as my marginal tax rate is 30% with my pension!).

Even more amazingly, there is no minimum declaration or payment; in fact I can declare zero income for up to two years and still remain covered. The downside is that I can't deduct *any* expenses (partial rent for office space, car mileage, VAT, etc), but for part-time consulting and other intellectual services it's a fabulous model.
 
I expect it is the same with all European countries. In the UK citizenship does not get you NHS healthcare, only legal permanent residence. When I went for my heart surgery last year I had to bring proof of the right to be legally in the country plus proof that I was a resident. In my case I took along my British passport and a recent utility bill.

Alan, not sure if this still works the same, would be interested if it does:

As you know, I'm a UK-Expat, but I've been stateside long enough that I'm usually considered foreign when back home ;)

In 2002 I was in the UK, had an accident requiring "ambulance" trip to the A&E, bed for several hours, tetanus shot, stitches. No one ever asked me for anything. Not ID, address, nothing. No bill, no paperwork. Was patched up and sent off on my way.
Was that a fluke or is it different now?
 
Alan, not sure if this still works the same, would be interested if it does:

As you know, I'm a UK-Expat, but I've been stateside long enough that I'm usually considered foreign when back home ;)

In 2002 I was in the UK, had an accident requiring "ambulance" trip to the A&E, bed for several hours, tetanus shot, stitches. No one ever asked me for anything. Not ID, address, nothing. No bill, no paperwork. Was patched up and sent off on my way.
Was that a fluke or is it different now?

Nope, it is still the same. Emergency care is still free to all, including visitors and non-citizens.

accident and emergency services, including all A&E services provided at an NHS hospital, for example, those provided at an A&E department, walk-in centre, minor injuries unit or urgent care centre. This does not include those emergency services provided after being admitted as an inpatient, or at a follow-up outpatient appointment, for which charges must be levied unless the overseas visitor is exempt from charge in their own right
 
Nope, it is still the same. Emergency care is still free to all, including visitors and non-citizens.

Even outside the EU, Europe tends to be reasonable. When I needed emergency room care in Norway a couple of months ago it cost me less than $50.
 
I expect it is the same with all European countries. In the UK citizenship does not get you NHS healthcare, only legal permanent residence. When I went for my heart surgery last year I had to bring proof of the right to be legally in the country plus proof that I was a resident. In my case I took along my British passport and a recent utility bill.

In France, we get a "Carte Vitale" when eligible. It looks like a chip credit card and serves as proof of insurance. Patients have to present their card whenever they seek medical care and providers have card readers. The card also helps to streamline payments to healthcare providers.
 
In France, we get a "Carte Vitale" when eligible. It looks like a chip credit card and serves as proof of insurance. Patients have to present their card whenever they seek medical care and providers have card readers. The card also helps to streamline payments to healthcare providers.

That looks to be very slick.
 
In France, we get a "Carte Vitale" when eligible. It looks like a chip credit card and serves as proof of insurance. Patients have to present their card whenever they seek medical care and providers have card readers. The card also helps to streamline payments to healthcare providers.

It sounds pretty well thought out. As an aside, I had to stop myself when our friends at dinner the other night started a heated discussion with me about how good our USA health care is compared to other countries. Not for the first time I heard the old line "And Canadian citizens needing serious health care even come to the USA."

Wish our government would stop reinventing the wheel and just do what works elsewhere, but maybe I'm naive.
 
The intention of the French system is that everyone should be covered. You can see this in how the billing is set up; someone who turns up at a hospital with no insurance is a rarity, and causes the admin people to go "Errr, OK, well, let's treat the patient first and we'll sort out the billing later". This happened to a friend of mine, visiting from England, who was injured in a cricket game: I took him to the ER where they stitched him up, and he gave them his address and showed ID, but no bill ever arrived.

The rack rate for a hospital stay (bed, board, and basic nursing) is around €1,000 per day, although most people never see the bill. A short visit to the general practitioner is about €25, a bit more in some big cities. Half an hour with a specialist costs €50-100.

However, the administration of the insurance is based around employee and employer payroll deductions (the latter being notoriously high in France, up to 70%), rather than general taxation as is the case in, say, the UK or (I believe) Canada. (OK, in the UK there is notionally a deduction called "National Insurance", but there is barely any hypothecation.)

When the OP gets to pensionable age, he will get free lifetime cover (with some deductibles) by virtue of having a French retirement pension, provided he paid contributions for just three financial quarters in his entire working life. But early retirement doesn't really exist in France; until at least age 62 (unless you're in a specific job, like law enforcement or firefighting), you are assumed to be working. If the OP hadn't started his little company, he would probably need to claim unemployment benefits, whereupon he would be covered that way.

I also have one of these mini-companies (I presume the OP is an "auto-entrepreneur" like me). Amazingly for France, where starting a regular business is a major PITA, this type of company is incredibly easy to set up. I can bill up to €32,000 per year for professional services. Once a quarter, I fill in an online form (this takes less than one minute; there is only one number to enter!) to declare how much I made in the last three months, and they then take a total of 24% of that amount from my bank account for social insurance and income tax (which is great, as my marginal tax rate is 30% with my pension!).

Even more amazingly, there is no minimum declaration or payment; in fact I can declare zero income for up to two years and still remain covered. The downside is that I can't deduct *any* expenses (partial rent for office space, car mileage, VAT, etc), but for part-time consulting and other intellectual services it's a fabulous model.

Very good summary. I indeed am now an "auto-entrepreneur".
 
Wish our government would stop reinventing the wheel and just do what works elsewhere, but maybe I'm naive.

Not to get back on the HC discussion, but some folks in the USA already "perceive" that they get free or very cheap HC. Whether it be from their employer (even though they pay for it), the VA who have earnt it, or Medicaid, and they resent having to pay extra taxes to pay for others HC.
 
I expect it is the same with all European countries. In the UK citizenship does not get you NHS healthcare, only legal permanent residence. When I went for my heart surgery last year I had to bring proof of the right to be legally in the country plus proof that I was a resident. In my case I took along my British passport and a recent utility bill.
Yep. I read about a Jamaican lady, a British national, who retired in Jamaica. She went back to get cancer treatment and they charged her because she was not a resident, but a visitor, even though she worked for decades in the UK previously. It would be free if she would have moved there. Now they are checking residency.
 
Update:

The renovation of my condo is well underway now. I have completed the demolition work and I put a downpayment on a new kitchen this morning (see the 3D drawing of my proposed new kitchen below).

The contractors are now all lined up. In July, a mason will build a laundry closet in the hallway. Then hardwood floors will be installed throughout. Then electric, remote-controlled rolling shutters will be put in (I'll be able to open and close the shutters without getting off my bed or sofa, :cool:). August should be quiet (around here, most everyone is on vacation during that month). Then, in September, the painter will completely refinish the walls. In October, the new kitchen should be going in. I am also having an armored front door put in (the front door is the only entry point into the condo and there are quite a few burglaries around this nicer neighborhood). Finally, probably in November, the suspended ceiling and recessed lighting will be installed throughout.

So what will I be able to fit in just 540sqft of space (see floor plan below)?

- A full kitchen with: 1 dining table for 4-6 people, 1 full-size fridge/freezer combo, 1 full-size stovetop and oven, 1 oversize kitchen sink, and 1 dishwasher (could have fitted a full-size DW but went for a compact one).

- A laundry closet with a washer (could have fitted a full size stacked washer and dryer, but went for a compact washer instead - no dryer as most people here air dry their clothes and I will too)

- A bathroom with a soaking bathtub

- A bedroom with: 1 queen-size bed and bedside tables, 1 large desk with desk chair, 1 wardrobe (5 ft wide), 1 armchair

- A walk-in closet with 30 linear feet of shelves and a small coat rack

- A living room with: one 96" sofa + ottoman + coffee table, 2 armchairs and a side table, 1 large display bookcase

All the furniture is full-size and there is still plenty of room to move about.
 

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You haven't wasted an inch. That's a great floor plan. Will you show us pictures of the work in progress?

Will the door be steel with state of the art locks? I'm surprised by your comment about burglary..

Many times in the US this would be caused by addicts looking for money or something they can pawn to buy drugs. Is this a problem in your area?

I hope you stay on schedule and on budget!
 
Looks like a nice floor plan. Are you building new walls and rearranging the space?

I try to picture 540 sq.ft. and it helps to know it's about the size of a double-car garage. Surely, one can live in that space. Americans are just too spoiled with big homes that take a lot to cool and to heat.
 
Excellent design! Look forward to updates with photos along the way. Hope all goes smoothly with the contractors.
 
Very nice!

If it was me, I'd figure out a way to fit in a full sized non-stacked washer and dryer. But if you are already used to air drying your clothing, then I suppose it won't bother you to continue doing that.

So glad to see that everything is coming together just as you wished. :D
 
I visited several friends and relatives in Europe last April, as well as Airbnb - none has dryer machine.
 
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