2024-09-25 12:30:04
“Cost of health care”: the expression may sound technical. However, today it points to one of the major concerns in the world of health, has seen new private actors investing in the care sector, at the risk of market abuses.
To shed light on the current movement, an information service from the Social Committee of the Senate, led by three groups of parliamentarians – Bernard Jomier (Place publique, Paris), Corinne Imbert (Les Républicains, Charente-Maritime) and Olivier Henno (Union of Democrats and Liberals, North) -, has made public, Wednesday September 25, a report providing the first important inventory on the subject. The title, though formulated in a questionable way, sets the tone: “Acceptance level for health? »
In the arms, the “change” has had a lot of work, observe the authors in this 256-page report: this is the case of for-profit hospitals, where four large groups control almost half of the French market (Ramsay Santé, Elsan, Vivalto and Almaviva). The same thing for biological companies, known as “Most profitable sector” in the public health group, around a few large groups (six of which currently account for two-thirds of the sites). A private sector in full swing “arm wrestling” With Health Insurance: many medical biology laboratories went on strike from September 20 to 23 to contest the application of low prices.
“Black box” for city authorities
In other areas, this movement started more recently, but it is faster. Medical imaging, which experiences active capabilities, will be “financed” to the extent of 20% to 30% of the sector, but also health centers, mainly dental and ophthalmological, pharmacies, and even the primary care company (those that bring together general practitioners), for which interest from investors (Ramsay Santé, Ipso) has recently developed.
The rapporteurs placed their magnifying glass on this transformation of a “called professional capitalism”in which doctors, pharmacists, scientists, etc. retain control of the production methods of practices and hospitals, to a certain extent “Money Capitalism”where outside investors receive money and strategic control of companies.
And after? If the report mentions an investment “rent” etc “on” for private parties, with prices that can reach, for example in the art sector, thirteen to fifteen times the performance surplus, he mentioned, about the payment of these artists, a “Black Box” for the public authorities. And many questions the power of the supervisory authorities, regional health centers (ARS) and Medicare, to manage this process, “Compliance with the requirements of access, quality and relevance of care”.
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