The "marketing" of health risk in France: a plurality of logics and sequences of change.

Summary This article examines the emergence of a supplementary health insurance market in France over the last twenty years. We develop the idea that, far from having followed a univocal trajectory, this evolution is the result of the encounter of several series of partially independent reforms: the European "insurance" and "Solvency" directives . the development of health care networks, encouraged by the public authorities . and more recently, the obligation for private sector companies to provide supplementary coverage to their employees. While each reform contributes to the strengthening of a health risk market, we emphasize that they respond to specific logics and mobilize specific actors. In this context, the article shows the tensions induced by this plurality of "marketings", which is accompanied by an increase in the complexity of the regulation of complementary health insurance in the French system.