2024-04-12 02:45:02
The main union of general practitioners, known as reformist, which slams the door on conventional negotiations; a call for an unlimited strike in private clinics… The climate has darkened, in a few days, between liberal actors and their supervisors.
The “emergency plan” against medical deserts defended by the Prime Minister, Gabriel Attal, on Saturday April 6, added fuel to the fire when the context was already tense. “Rabbit tax” to recover unfulfilled appointments, “financial incentive” for doctors who take additional shifts in the evenings and weekends, participation of nurses, midwives and dentists in ongoing care, experimentation with ‘A ” direct access “ to specialist doctors… Nothing concrete yet, no timetable either, and yet, these measures put forward to the press by the head of government have finished undermining the profession.
The MG France union, the majority among general practitioners, announced on April 7 that it would suspend its participation in conventional negotiations, denouncing “measures most often illusory, often demagogic and sometimes dangerous”. Since then, it’s been the status quo. Negotiations were already floundering: on April 4, Health Insurance had canceled the planned plenary session, following the departure of the first unions from the discussion table. A crucial meeting for liberal doctors as well as for the government, in order to define the “medical agreement” supposed to bind them for five years. But at a standstill, therefore, after a first failure in the winter of 2023.
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How did we get here ? One of the measures that Matignon put on the table particularly ignited the powder: “direct access” to specialists without first consulting one’s attending physician, in one department per region – or thirteen departments. “Removing this constraint, as is already the case for gynecologists and psychiatrists, will facilitate the care pathway”we defend in the Prime Minister’s entourage.
The casus belli denounced is this: in the twenty years that the function of attending physician has existed, marking its pivotal role in the healthcare system, such a hitch has never been envisaged, in the memory of a trade unionist. If direct access to paramedical professions is about to be unlocked, under the Rist law – adopted in May 2023 –, not without provoking strong resistance among practitioners, affecting the function of conductor of the attending physician in the care pathway had the effect of an explosion.
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