Access to Physician Services: Does Supplemental Insurance Matter? Evidence from France

In France, public health insurance is universal but incomplete, with private payments accounting for roughly 25 percent of all spending. As a result, most people have supplemental private health insurance. We investigate the effects of such insurance on the utilization of physician services using data from the 1998 Enquˆte Sant‚ Protection Sociale, a nationally representative survey of the French population. Our results indicate that insurance has a strong and significant effect on the utilization of physician services. Individuals with supplemental coverage have substantially more physician visits than those without. In a context where patients are free to choose their provider, we find no evidence that adults with supplemental insurance are more likely to visit a specialist than a general practitioner.

Development of a front end ASIC for Dark Matter directional detection with MIMAC

A front end ASIC (BiCMOS-SiGe 0.35 \mum) has been developed within the framework of the MIMAC detector project, which aims at directional detection of non-baryonic Dark Matter. This search strategy requires 3D reconstruction of low energy (a few keV) tracks with a gaseous \muTPC. The development of this front end ASIC is a key point of the project, allowing the 3D track reconstruction. Each ASIC monitors 16 strips of pixels with charge preamplifiers and their time over threshold is provided in real time by current discriminators via two serializing LVDS links working at 320 MHz. The charge is summed over the 16 strips and provided via a shaper. These specifications have been chosen in order to build an auto triggered electronics. An acquisition board and the related software were developed in order to validate this methodology on a prototype chamber. The prototype detector presents an anode where 2 x 96 strips of pixels are monitored.Comment: 12 pages, 10 figure

Dark matter directional detection with MIMAC

MiMac is a project of micro-TPC matrix of gaseous (He3, CF4) chambers for direct detection of non-baryonic dark matter. Measurement of both track and ionization energy will allow the electron-recoil discrimination, while access to the directionnality of the tracks will open a unique way to distinguish a geniune WIMP signal from any background. First reconstructed tracks of 5.9 keV electrons are presented as a proof of concept.Comment: 4 pages, proc. of the 44th Rencontres De Moriond: Electroweak Interactions And Unified Theories, 7-14 Mar 2009, La Thuile, Ital

MIMAC : A micro-tpc matrix for directional detection of dark matter

Directional detection of non-baryonic Dark Matter is a promising search strategy for discriminating WIMP events from background. However, this strategy requires both a precise measurement of the energy down to a few keV and 3D reconstruction of tracks down to a few mm. To achieve this goal, the MIMAC project has been developed. It is based on a gaseous micro-TPC matrix, filled with CF4 and CHF3. The first results on low energy nuclear recoils (H, F) obtained with a low mono-energetic neutron field are presented. The discovery potential of this search strategy is discussed and illustrated by a realistic case accessible to MIMAC.Comment: 6 pages, Proc. of the fifth international symposium on large TPCs for low energy rare event detection, Paris, France, Dec. 2010. To appear in Journal of Physic

Simulation and evaluation of a new PET system based on liquid xenon as detection medium

présenté par J.P. CussoneauDue to its intrinsic physical properties, high density and atomic number, fast scintillation, high scintillation light yield and low ionization potential, liquid xenon is an excellent medium for the tracking and the accurate energy measurement of γ-rays in the MeV energy domain. The use of liquid xenon associated to a micro gap structure device[1] to measure 511 keV γ-rays in PET system is under investigation at Subatech. A Geant3 simulation of a full PET design made of lXe-TPC modules has been developed and the first estimations of the performances from a realistic detector are very promising: good overall sensitivity to 511 keV γ's (~ 93% for a 9 cm lXe module), good three-dimensional spatial resolution (250 µm FWHM, for first interaction vertex localization). The measurement of the 3 coordinates of the interaction vertices and the energy loss associated allow to reconstruct the correct Compton sequence of correlated annihilation γ-rays. Hence the capability to identify the first interaction vertex leads to major progresses in PET imaging: a parallax free PET tomograph with high detection sensitivity and spatial resolution. Moreover, such lXe-PET camera have an excellent rejection power on scattered events in 3D reconstruction mode