2023-10-24 08:00:08
This is one of the main responses put forward by the government in the face of worsening medical desertification, but it is also the one that is unanimously against it in the ranks of the liberal doctors’ unions. The Valletoux bill aimed at improving access to care through the territorial commitment of professionals arrives in the Senate on Tuesday October 24.
Ask health professionals to take action ” responsibility “ access to care within a “territorial health council”, expand the involvement of clinics in ongoing care (evenings, weekends and public holidays), attach each doctor to a collective organization (a CPTS, for “territorial professional health community”)… The text carried by the MP of Seine-et-Marne Frédéric Valletoux (Horizons), adopted by the National Assembly in June, does not contain coercive measures concerning the installation of professionals. It nonetheless remains a red flag for the profession.
The context, particularly sensitive, undoubtedly contributes to this. The examination begins in parallel with the budgetary debates on the Social Security financing bill (PLFSS), providing for savings on health expenses which are worrying in the sector – the text arrives at the National Assembly the same day . The Ministry of Health has also just relaunched conventional negotiations with private doctors on Tuesday October 17, after the failure of a first round of discussions in February.
“A formidable threat”
Satisfied with this restart, the doctors suspended, after a few days, the movement of hospital closures. cabinets launched on October 13, to which all unions and professional organizations were called. But “vigilance remains absolute and mobilization intact”specifies the press release from the inter-union at the origin of the strike, which targets the Valletoux law as “a formidable threat to liberal practice”. “It makes no sense to ask doctors to participate in conventional negotiations, when behind their backs whole sections of measures are going to be voted on in Parliamentdenounces Jérôme Marty, head of the French Union for Free Medicine. We would like to despise doctors if we could not do better! »
The Minister of Health, Aurélien Rousseau, assured that “discussions around the PLFSS, like other legislative texts, cannot affect the conventional procedure”. But how could he prevent any interference? Several amendments in favor of regulation of the installation will be debated by the senators in session, after having been rejected in the social affairs committee in the Senate, as well as in the first reading in the Assembly.
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