Michael Peyromaure, head of the urology department at the Cochin hospital in Paris, has published a book entitled "Hôpital, what we never told you".
Invited Monday evening on Europe 1, he delivered an alarmist report of the state of the hospital system and made several shocking proposals.
INTERVIEW
It paints an extremely dark picture of the French hospital system.
Michael Peyromaure, head of the urology service at Cochin hospital in Paris, delivers a particularly pessimistic view in his book
Hôpital, what we never told you
(editions Albin Michel).
"Some French hospitals are worthy of the third world", he even assured, Monday evening on Europe 1. The doctor also made several shock proposals to remedy the crisis in the sector, such as an increase in salaries but also a increase in the working hours of caregivers, or the end of free healthcare.
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"A quarter of French hospitals are lagging behind"
First observation shared by the urologist: "Some French hospitals are worthy of the Third World, since we have not invested for one, two or three decades."
"There are still four-bed rooms in some surgical departments, this is unacceptable if only for reasons of infectious contagion. Health has unfortunately stagnated in our country", he laments.
"Many hospitals, not everywhere, are still lagging behind. A good quarter of French hospitals are late I think, especially in small provincial establishments which could not be renovated", judge Michael Peyromaure.
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He proposes a 20% wage increase, in return for an increase in working time
The doctor also proposes to increase wages by 20% at the hospital.
But he asks, in return, an increase in working hours, a potentially shocking proposition.
"We have to set the record straight. Doctors and executives work a lot. As for caregivers, nurses and orderlies, they work in poor conditions. But we must also recognize that their working time is enough. comfortable compared to other countries, "said the head of the department at Cochin hospital.
"It is true that we very often see staff complaining of having worked overtime, but that only exists for a minority of agents. When they are called upon to do this, they recover," continues- he.
If he shares the observation of nursing staff overwhelmed during the coronavirus crisis, he assures that "what you did not see is that 50% of the hospital was at a standstill and was paid nothing. make."
"Today people count their schedules, which was not the case before. There is a functionalization of the entire system which plagues the hospital", he points out.
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The responsibility of the bureaucracy
Michael Peyromaure also attacks the governance model of the hospital, a criticism regularly voiced in recent months.
"Before, the hospital was in the hands of doctors and caregivers and the patient was at the heart of concerns. We put in place an administrative and rigid governance which created a lot of inertia," he says.
And concerning the Ségur de la Santé, concluded this summer and which resulted in an increase in salaries and investments of several billion euros, he judges that "the announcements have been made, it remains to be seen whether the acts will be joined to the words. "
He wants to put an end to free healthcare
But the most explosive proposition of this book is the end of free healthcare, the foundation of the French social system.
“I don't mean to sound like an anti-social villain but it's the truth. Social security was made in 1945-46 at a time when people would die very soon after they retire. Today people spend just as much. of time in retirement and develop several diseases which do not become lethal but chronic, and whose treatments are more and more expensive ", explains Michael Peyromaure
"As long as we want to reimburse all the daily sores, social security will be in the red and we will no longer be able to invest in hospitals and staff salaries," he judges.
"Inequalities in care already exist. There are 5 million people who have CMU (universal health coverage), and other low salaries who have an out-of-pocket charge."