2024-10-28 04:42:00
Aincrease the co-payment on medical consultations, i.e. the amount remaining to be paid to patients after reimbursement by the Social Security and covered by complementary health insurance. The delicate measure of transferring over 1 billion euros from the health fund to complementary insurance, to contain the growing social security deficit, will have to be discussed in the framework of the Social Security financing bill (PLFSS), whose examination in the Chamber starts Monday 28 October. This “ticket” could go from 30% today to 40% tomorrow, from the doctor or midwife.
The government has therefore chosen to transfer these healthcare costs to supplementary insurance, which will undoubtedly lead to an increase in contributions for the insured. As was done, in 2023, by increasing the user fee oral care.
“I am open to other options, as long as they guarantee the same financial balance”said Geneviève Darrieussecq, Minister of Health, al Sunday in the stands of October 27, saying “very attentive to the impact on the purchasing power of the most modest”. « I also remind you that the increase in user fees does not affect the most vulnerable French, namely the quarter of our fellow citizens who benefit from C2S, the complementary and solidarity health insurance, which covers medical visits. he clarified. Since the announcement of the measure, the government has also repeated it: people with long-term illnesses, i.e. covered 100% by Social Security for their illness, will not see any change in their reimbursements.
A simple set of connecting pots? Among specialists of the social protection system it is emphasized: this option is not trivial. It reopened the debate, almost as old as it is THE « Social Security”, of the sharing of roles between these two historical players in our healthcare system. The deputies were not wrong to speak out unanimously against this transfer during the first budget debates in the Social Affairs Committee of the National Assembly. “It is the universality of health insurance that we are damaging”claimed Philippe Vigier (MoDem, Eure-et-Loir), Thursday 24 October.
The hybrid architecture, which combines compulsory health insurance, within the Social Security, and complementary health insurance, within the market, dates back to the post-war period. However, its main balances have evolved: the share of expenses covered by Social Security, after having decreased slightly between the 1980s and 2010, has increased in the last decade to reach 80% of the total, mainly due to of the increase in the number of people suffering from chronic diseases (ALD), entirely covered by “Secu”. The share financed by complementary health insurance, which brings together a myriad of actors (mutuals, health insurance and social security institutions), has stabilized at around 13%, while the remaining part paid by families is set at 7%.
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