translate English to French: • Overall, the evidence suggests that duplicate private insurance has added to total health care expenditures and has not significantly reduced public spending.(33) It is, however, unclear whether duplicate private insurance has led to decreased support for the publicly funded health care system.(34) POTENTIAL IMPLICATIONS FOR QUEBEC AND CANADA The Chaoulli decision has opened the door to duplicate private health care insurance, at least from a legal perspective.
Le résultat net est que, en présence d’une assurance duplicative, le secteur public doit ou bien fournir moins de ressources ou bien augmenter le financement afin de maintenir les niveaux antérieurs réels de service(32). • Dans l’ensemble, les faits donnent à penser que les assurances privées duplicatives ajoutent aux dépenses totales consacrées aux soins de santé sans réduire de manière importante le financement public(33).