I certainly do not intend to give a rebuttal to the discussants' comments, since they are both pertinent and relevant, and I am thus tempted to reiterate them. However, I will merely highlight a few points to avoid redundancy. I thought it would be interesting to organize my remarks as clues to answers or treatment of the questions raised by Yunes concerning the applicability of the French experience, so as to form a preliminary list of ingredients in a basic recipe for Institutionalization.