Health and medicine in France: Macron's plan to get out of an "endless crisis"
Emmanuel Macron during the presentation of his wishes to health professionals in Corbeil-Essonnes, January 6, 2023. © REUTERS / Pool
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This Friday, January 6, French President Emmanuel Macron unveiled his answers to “
get out of this day of endless crisis
” in which the French health system has settled.
The key is a reorganization of work in the hospital by June 2023 and an acceleration in the recruitment of medical assistants.
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In front of caregivers gathered at the South Francilien Hospital Center (CHSF) in Corbeil-Essonnes, in the Paris suburbs, President Macron assured that he wanted to "
go much faster, much stronger and make radical decisions
" to try to get out of the health system. French from the crisis in which it has settled for a long time.
First measures
First of all, the French president recalled the measures of his first five-year term, such as the abolition of the
numerus clausus
which capped the number of medical students, decided in his 2018 plan. Or the "Ségur de la santé" which, after the outbreak of the Covid-19 pandemic in 2020, had made it possible to inject 12 billion euros annually to better pay caregivers and 19 billion to invest in hospitals.
But, from his campaign for his re-election in the spring, he had recognized that these efforts remained insufficient.
Then, recalling that the training of new doctors was going to take time and that it would therefore take "
a decade
" to "
change
" the system, he warned that we would have to "
live in the years to come
" with this shortage of caregivers .
He therefore announced solutions to overcome this lack by other means, by freeing up "
doctor's time in front of patients
(...)
our collective challenge in the short term
".
President Macron has thus promised to “
accelerate the recruitment of medical assistants
” created in 2018 to bring them from “
nearly 4,000
” currently to “
10,000
by the end of 2024. From the end of 2023, all patients with a chronic disease without a treating doctor will be offered one.
Reorganize
In addition, the Head of State also wanted to reorganize work at the hospital “
by June 1
”, and this to make it more attractive.
“
We must do everything to keep caregivers
” in the hospital, he stressed.
"
Which means that we must work together on a better organization of working time
", he added, deploring a "
hyper-rigidity
" in the application of the 35 hours and a system which "
only works 'with overtime
'.
Finally, to put caregivers back in control, he explained that an “
administrative and medical tandem
”, “
on the basis of a project
”, would be set up at the head of each hospital.
And he announced the “
exit from fee-for-service pricing
” in hospitals from the next Social Security budget, in favor of funding for “
public health objectives
”.
The president having at the same time asked "
that we can continue to remove all unnecessary tasks
" assigned to caregivers.
“
Better pay
”
With regard to liberal medicine, Emmanuel Macron said on Friday that he wanted to "
better remunerate
" practitioners who "
ensure the permanence of care
".
The Minister of Health had said, Thursday, January 5, "
ready to increase this consultation
", but in exchange for efforts to allow the French to have easier access to a doctor, and certainly not up to the 50 euros requested .
(
With
AFP)
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