France Proposes Charges for Non-EU Retirees Accessing Public Healthcare

France is considering a policy change that would require non-European Union retirees currently benefiting from its public healthcare system to contribute financially. This adjustment primarily impacts American retirees who have moved to France, attracted by its generous welfare benefits, including access to nearly free healthcare under the French carte vitale system. Presently, non-working non-EU citizens with sufficient pension or capital income and private health insurance can apply for the carte vitale after three months of residence, allowing them to cancel private insurance and access state-funded healthcare. The proposed legislation, supported by a majority in the French parliament and the government, aims to introduce a minimum contribution for these retirees who do not pay other social taxes or welfare contributions in France. This measure is framed around equity principles, noting the lack of reciprocity for French citizens residing abroad in countries like the U.S., where they do not receive free social security benefits. Although the contribution amount is yet to be determined, estimates suggest it will be less expensive than maintaining private health insurance options, which can range from €300 to €500 monthly. The policy shift is part of broader efforts to manage France's public spending and reduce the budget deficit to 5% of GDP, though lawmakers acknowledge the potential revenue from this change is unlikely to significantly impact the overall social security budget. The debate reflects ongoing fiscal challenges as France balances social equity and financial sustainability amid evolving retirement migration trends and international reciprocity issues.