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Dowlatshahi is the managing director of Leapfrog Properties who are French Property agents specialising in sales across France. The fees they are able to charge for each type of treatment are set by the government. Some of the scale rates have barely increased in the past twenty years and rarely reflect the true cost of providing the treatment. As a result, since the early 1980s, the government has allowed some medical professionals to charge fees in excess of these rates, provided they do so with 'tact and discretion'. The extra charges are known as dépassements d'honoraires. The problem has been that these extra charges have to be paid by the patient either directly, or through their complementary French 'top-up' health insurer.


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