2024-05-18 03:30:02
Physician Nicolas Vojinovitch welcomes a affected person on the Sainte-Croix-Volvestre public well being middle (Ariège), February 3, 2023. CHARLY TRIBALLEAU / AFP
Will they signal? Is not going to signal? After two marathon days of discussions on the Well being Insurance coverage headquarters in Paris, the six unions representing unbiased medical doctors left the Porte de Montreuil constructing on Friday, Might 17 within the night, with the sensation of getting been usually heard. However, after six months of typically stormy standard negotiations, they’ve for the second been cautious to not decide to their future signature.
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And for good purpose: they don’t but have the ultimate draft of the medical settlement, this contract which should repair, for 5 years, the circumstances of observe and remuneration of all the career. “Just a few components nonetheless have to be clarified, we’ll ship the ultimate textual content on the very starting of the week”, most likely from Monday, promised, Friday night, the director common of Well being Insurance coverage, Thomas Fatôme. Every union will then seek the advice of its base, earlier than expressing its official place. Well being Insurance coverage hopes to finish the traditional collection round Might 27.
Among the many unresolved components, one, a little bit technical, is something however a element, because it opposes generalists and specialists: will a specialist have the ability, tomorrow, to fee a “one-off marketing consultant opinion” (an “APC ”, in medical jargon), on the request of one other specialist, with out going by means of the attending doctor? In different phrases, will a pulmonologist have the ability to refer his affected person to a heart specialist, for instance, with out asking him to first return to his common practitioner?
A “crimson line”
The query is vital, not solely as a result of the worth of this act, if the brand new settlement is signed, will improve, in December, from 56.50 euros to 60 euros: the MG France union, the bulk amongst common practitioners, has conditioned its signature to the withdrawal of this path of evolution. “The position of the attending doctor, the consistency of the care pathway have to be revereddefends Agnès Giannotti, its president. It isn’t attainable, in a single sentence, to erase them on this manner. That is our crimson line. » Similar positioning of the CSMF, or the UFML, which makes it a “blocking issue”, whereas Avenir Spé-Le Bloc, the bulk union amongst specialists, appears to help the choice. The signatures of MG and Avenir Spé-Le Bloc, within the majority for his or her faculty, could be sufficient to validate the settlement.
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Past this sticking level, a type of settlement was discovered on the timetable for tariff will increase. By lastly asserting probably the most emblematic value will increase for December – such because the 30 euro session with a common practitioner (in comparison with 26.50 euros right this moment), or the APC, due to this fact, at 60 euros – Well being Insurance coverage appears having scored factors. The day earlier than, quite the opposite, she had aroused annoyance by proposing both to distribute these revaluations in two phases between 2024 and 2025, or by contemplating all of them collectively, however in 2025.
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