This Thursday, candidate president Emmanuel Macron presented his electoral program.
When he was a candidate for the Elysee Palace five years ago, Emmanuel Macron placed prevention at the top of his health program.
Three weeks before the first round of the ballot, "20 Minutes" takes stock of the five-year term of the Head of State in terms of health prevention.
Three weeks before the first round of the presidential election, Emmanuel Macron presented his program on Thursday.
The one who now wears his double hat of candidate president thus defended his balance sheet and detailed the axes of his presidential project, in particular in terms of health.
"The French system treats well, but it prevents less well than many others," he said.
We must succeed in going much further, faster and stronger on what we have started” to “strengthen a prevention policy”, recalling “the cancer strategy” and pleading for the “early detection of [disorders] DYS” or even “the prevention of obesity”.
A 2022 health program that takes up the one presented five years ago.
In 2017, Emmanuel Macron, then just a candidate, promised to lead "the prevention revolution".
So, five years later, has he kept his commitments?
A health service for health students for preventive actions
“I want to create a 3-month health service for health students,” chanted Emmanuel Macron five years ago during a meeting in Nevers.
They “will intervene in schools, businesses, for preventive actions”, provided for its program.
A measure that has indeed seen the light of day.
“The health service has been launched since the start of the 2018 school year for the 47,000 students” in medicine, pharmacy, odontology, maieutics, nursing care and masseur-physiotherapist, indicates the Regional Health Agency (ARS).
On the other hand, it does not last three months, but provides for "three stages, spread over a total duration of six weeks", with "a time for theoretical and practical training, a time for concrete intervention with predefined audiences, and a time for 'assessment of action'.
The students are thus trained “in pedagogy, in sharing their knowledge to make citizens aware of behaviors conducive to health”.
See the birth of “the first tobacco-free generation”
“Prevention also means avoiding the massive excess mortality linked to tobacco, which kills 73,000 people each year.
We are setting the goal for the generation born today to be the first generation without tobacco,” candidate Macron proposed in 2017. total average increase of about three euros in the price of the package, which now exceeds ten euros.
"It is part of the continuity of this dissuasive policy deployed during previous mandates within the framework of cancer and tobacco control plans, based on the recommendations of the WHO, explains Karine Gallopel-Morvan, professor from universities in social marketing to the School of Advanced Studies in Public Health (EHESP).
For public health purposes:
the tariff increase, when it is repeated, regular, and of more than 10%, works”.
A measure provided for by the Social Security financing bill (PLFSS) of 2018 and which has allowed the "reduction of 1,600,000 daily smokers in less than two years", figures the Institut Montaigne, which took stock of the quinquennium in terms of health.
But “apart from the continuation of the measures launched before he came to power, such as the month without tobacco or the reimbursement of nicotine substitutes, there is not much to put to the credit of the head of state.
His government could have promoted tobacco-free places, including schools and universities, but it did not.
Nor has it launched a national plan against smoking, nor deployed the necessary means to already enforce the existing texts, she continues.
Thus, concerning the ban on the sale of tobacco to minors, the latest surveys demonstrate the lack of control and adherence, which means that in practice, today, a minor can very easily buy cigarettes, whereas 'is illegal'.
Prevent cancer, cardiovascular and metabolic diseases
“While we have one of the best health care systems in the world (…), we are not good at preventing disease and combating the risk factors of smoking, alcoholism, obesity, sedentary lifestyle” , observed Emmanuel Macron in 2017. And “from 2018, we tried to strengthen the prevention policy, (…) and tried to develop early diagnoses”, he assured this Thursday.
However, “during his five-year term, in the field of prevention in general, the results are very weak, estimates Karine Gallopin-Morvan.
Worse, when it comes to the fight against alcoholism, apart from the “zero alcohol during pregnancy” pictogram – which is unsatisfactory because it is too small on alcohol bottles to have a deterrent effect – nothing has been done to prevent alcoholism.
However, "alcohol and tobacco are the two main factors of cancer and the first preventable causes of death, and Inserm has shown that excessive alcohol consumption triples the risk of developing dementia, insists. she.
But once elected, Emmanuel Macron did not invest enough for his health prevention policy to show its effectiveness.
A severe observation also established by the Court of Auditors, which in its report on the prevention of cancers, neurocardiovascular diseases and diabetes published last December judges that "the results obtained are generally mediocre, and this, despite a financial effort comparable to that of neighboring countries.
In question, "medicalized prevention programs (vaccination and screening),
and health promotion actions that suffer from too little buy-in and insufficient deployment to produce significant effects”.
As proof: “organized screenings for the three cancers concerned (cervical, colorectal and breast), which have participation rates much lower than that of our European neighbors”.
Politics
Presidential 2022: Emmanuel Macron presents his project, sweeping away any dodging of the democratic debate
Health
Cervical cancer: Screening and vaccination still need to progress
Cancer
Alcohol
Tobacco
Emmanuel Macron
Health
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