The object of strong dissension, with oppositions from the right and the left united on certain key points, the heavy 2022 budget for Social Security was adopted at first reading in the National Assembly by 344 votes in favor, 202 against and seven abstentions.
It still has to be considered by the Senate in the week of November 8 to 14, and this will undoubtedly be an opportunity to introduce several amendments.
The LR deputy Jean-Pierre Door thus castigates a majority "in the countryside without saying it", when the socialist Boris Vallaud points to "gaping holes" with regard to the promise of a great law on autonomy and dependence initially displayed for this five-year term. It is this question of the elderly with loss of autonomy that occupied most of the debates at the Palais Bourbon.
Some 400 million euros are earmarked in this budget to better finance home help services, as well as for nursing homes a presence of caregivers and increased recruitments. The devices must increase in load, up to 1.3 billion in 2025, giving shape to the fifth branch of the Social Security dedicated to autonomy, created last year. For "link professions", such as life support workers, private companies providing services to the elderly and disabled, i.e. around 45% of the sector, have not, however, guaranteed wage increases, despite a "quality allocation. Supplement adopted during the meeting. A set of measures presented by the Deputy Minister Brigitte Bourguignon as a "systemic reform" with a "domiciliary shift".
Other themes posed much less problem on this global budget of 500 billion euros.
The deputies thus found themselves during a moment of harmony, voting unanimously to broaden the leave criteria for the benefit of caregivers, and to compensate them at the minimum wage.
Thus, more people should be able to support an elderly, sick or disabled loved one.
The parliamentarians also voted unanimously for other provisions, such as the extension to women aged 18 to 25 of full coverage of contraception.
Zapped ophthalmos debate
Emmanuel Macron's announcement on mental health was also included in the text: eight sessions with the psychologist could be covered by Health Insurance from the start of 2022. Direct access to orthoptists, who will be able in particular prescribing glasses, without consultation with an ophthalmologist, has on the other hand been debated. This article is at the origin of a strike until October 31 of the ophthalmologists against what they see as a "degradation of the quality of care" with direct access to these paramedical professionals.
Among the other figures to remember, a deficit of 21.6 billion euros, much less than the two previous years, five billion provisioned for the Covid-19 crisis and the commitments of the Ségur de la Santé which continue at the height of 2.7 billion.
"No savings will be made on the back of the public hospital", promised the Minister of Health Olivier Véran, which doubts the left.
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Olivier Véran
Social Security
The elderly
Government
Society
Budget