Medical franchises, medical deserts, hospitals… At the Ministry of Health, sensitive files, a delicate transition

2024-01-23 15:04:46
The Minister of Labor, Health and Solidarity, Catherine Vautrin, on the occasion of the first council of ministers of the Attal government, at the Elysée, January 12, 2024. JULIEN MUGUET FOR “LE MONDE”

Is there a pilot in health, this sector made as a priority for the five-year term? At the hospital as among private doctors, one observation comes back: “It floats. » Catherine Vautrin was appointed head of a large ministry combining health, work and solidarity on January 11, but her words are still rare. And it will remain so, in terms of the health roadmap, until the general policy speech of the Prime Minister, Gabriel Attal, on January 30, people around him know. On this date the name of a delegate minister should also be announced, a position for which Agnès Pannier-Runacher is anticipated.

However, on two issues, Emmanuel Macron’s positions during his press conference on January 16 pushed the minister to accelerate the pace: the amount of medical franchises and the retention of doctors holding a foreign diploma, as Emmanuel Macron had committed to.

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This Monday, January 22, Ms. Vautrin announced the doubling of medical deductibles, on which the government had been procrastinating for more than six months. The increase in these amounts not reimbursed to patients will take place at the end of March on boxes of medicines and paramedical procedures (from 0.50 euros to 1 euro), as well as on medical transport (from 2 to 4 euros). The amount collected during a consultation with the doctor, on medical biology examinations and analyses, will increase to 2 euros, from June. This controversial measure, affecting the purchasing power of the French, provokes opposition from patients and caregivers, and should allow a saving of 800 million euros.

Attal’s “misstep”

The second subject on which the Ministry of Health was keen to communicate on Monday concerns practitioners with foreign diplomas outside the European Union – the “Padhue”. Time is running out, while some 2,000 to 3,000 of them, according to union sources, find themselves without an administrative solution because they did not validate, in December, the knowledge verification tests, which are now obligatory. Even though they have been working for several years under different statuses at the hospital.

The government has assured that it “will authorize them to continue working for the months to come”, until the implementing texts of the “Valletoux” law of December 27, 2023 are published, which itself provides for the issuance of provisional certificates of practice, before these doctors can take the tests again. Which only « reporter » the problem, their union reacted.

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