In the battle for access to care, the government faces the anger of doctors

The political message is relayed at all levels of the State: in the face of the medical deserts which are spreading, there can be no “status quo” in the organization of health care. It is still necessary to find, with health professionals, an agreement on the levers to be activated, when there is no “miracle cure”, as François Braun, the Minister of Health, is used to reminding us. At the end of a winter punctuated by arrests from the hospital world, it is with city medicine that the former emergency doctor scraps.

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Between two days of mobilization against the pension reform, a call for a strike was launched by all the liberal unions (Confederation of French medical unions, MG France, etc.), for Tuesday February 14, the day of the exam at Senate of a controversial bill (PPL) brought by the deputy (Renaissance) of Loiret Stéphanie Rist – and supported by the government – aimed at introducing a ” direct access “ to certain paramedical professionals, without first going through a doctor. A ” Red line “.

City doctors are not their first mobilization, but it is hardening, a few days before the end of negotiations between their unions and Medicare to set the framework for a new agreement. After negotiations: they stumble, at this stage, around a “territorial commitment contract” which remains to be clarified and a revaluation of the basic consultation to 26.50 euros (against 25 euros today), welcomed as a « provocation ».

“Unprecedented” front

The “PPL Rist” sees its declared opponents grow: the order of doctors has made it known that it supports – and will come to swell on Tuesday – the processions; a first. The College of General Medicine has also taken a stand. Ditto for SOS-Doctors. Calls to mobilize also resonate within organizations of hospital practitioners. A forehead “unpublished”say its promoters, in an eruptive social context.

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The anger mounted over the weeks. Addressing his wishes to health actors, on January 6, Emmanuel Macron was firm: “The doctor must be the front door, but not the lock of the system”he hammered, explaining that he wanted “build a new pact of rights and duties” with liberal medicine. To meet the health needs of the French people, 6 million of whom (650,000 with long-term illnesses) have no attending physician, the Head of State pleaded for the establishment of health coalitions”, d’“treatment teams” or a delegation of tasks “simplified” – in line with the bill arriving in the Senate.

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