Medical deserts, medical franchises, foreign doctors… Emmanuel Macron’s announcements on health

by time news

2024-01-17 00:02:06

“Health is at the heart of my concerns” reaffirmed Emmanuel Macron during his press conference Tuesday evening. CHRISTIAN HARTMANN / REUTERS

While Gabriel Attal mentioned on Saturday an additional 32 billion for health which had in fact already been voted on, the President returned to several areas of his strategy.

Recalling that he himself comes “of a family of doctors » and ironic about the fact that he was the only one not to have succeeded in this direction, Emmanuel Macron spent a long time during his press conference on Tuesday evening answering questions about health. Asked about medical deserts, while the left is multiplying legislative proposals to impose coercive measures on doctors and put an end to freedom of installation, the President of the Republic reiterated his opposition to such a measure. “Constraint on installation is not the solution. After running the hospital as interns for 5 years, young people will leave the profession if constraints are imposed on them.», explained the Head of State. On the other hand, he pleaded for initiating an organizational revolution, implementing a remuneration reform favoring fixed rates rather than the rate per procedure, making the city and hospital work more together, or even delegating actions to paramedics. in line with the Rist law passed last spring.

Emmanuel Macron also said on Tuesday that he wished “regularize a number of foreign doctors who sometimes keep our healthcare services at arm’s length», in order to fight against medical deserts. These doctors are today left “in an administrative precariousness which is completely ineffective“, he pleaded. A few thousand practitioners qualified outside the European Union (Padhue) work in French public hospitals, as non-permanent, with lower salaries than European practitioners.


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The President of the Republic also removed the vagueness on the doubling of medical deductibles from 0.50 to 1 euro per box of medicines, a project which was to be included in the Social Security budget last fall and was postponed until decisions by decree. This measure, which should bring 800 million euros to Social Security, whose deficit is growing dangerously, will be adopted. “ We are a country that provides good care, but does not warn enough. We must ward off the fatality that causes us to consume too much medicine, explained the Head of State. Going from 0.50 to 1 € will make patients more responsible. This is a good measure and a fair measure because we will cap the system at €50 per year for people who often use medication, that is to say people with long-term illnesses (ALD).», specified Emmanuel Macron. The President even justified his decision clearly: “When I see what our compatriots can spend on their telephone plans, going from 50 cents to one euro per box of medicine, it’s not a terrible crime. We must take responsibility”he insisted.

Finally, since the appointment of Catherine Vautrin at the head of a sprawling ministry – encompassing occupational health and solidarity – the world of health is worried about not having a dedicated minister and the fact that prevention has disappeared from the title of his position. The Head of State reiterated the importance of prevention, which remains a central axis of his health policy. On the other hand, the Head of State did not return to the state of the hospital, and did not address the malaise of city medicine. In the end, few new announcements, rather the reaffirmation of convictions already stated several times.


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