ABSTRACT

The physicians' Union movement and the Public Assistance Council were remarkably successful in promoting the Landais system of medical assistance. In many departments the physicians' syndicats were well prepared before the Medical Assistance Law was passed to force the Landais system upon their departmental council. The systems which could have had immediate impact in relocating doctors, the cantonal and dispensary systems, were everywhere opposed by doctors. In Morbihan doctors struggled for nearly ten years with the departmental council over medical assistance. The doctors' concern over fees indicates that medical assistance programs could make an important impact on their economic situations. The inspectors and control commissions took a variety of measures in order to deal with what was seen as the excessive costs of medical assistance programs. Several departments amended their programs so that abusive doctors and pharmacists could be excluded from participating.