It is a unanimous dismissal addressed by the six representative unions of city doctors to Medicare. Around thirty bilateral meetings since November 2022, four plenaries and ninety hours of negotiations have resulted in a failure to reach an agreement on the new medical convention redefining, for the next five years, the conditions of exercise and remuneration for the profession.
The two main unions of liberal doctors, MG France, for general practitioners, and the union Avenir Spé-Le Bloc, for specialists, announced, Sunday evening February 26, their refusal to sign the project carried by the Assurance- illness and supported by the government, from which they only obtained the 300-page text overnight from Friday to Saturday, following final meetings.
Largely compromised by the decision of these two organizations, the hopes of finding common ground before the end of the legal deadline for initialling the text, set for Tuesday February 28, midnight, were definitively buried on Monday when the Federation of Physicians of France (FMF) and the Union of Liberal Physicians (SML) followed suit, while the French Union for Free Medicine (UFML) had already expressed its opposition. The Confederation of French Medical Unions (CSMF) is awaiting the end of the vote of its members, scheduled for March 12, before formalizing its position, but it anticipates a majority rejection.
For the first time since 2010, it will therefore be necessary to go through an “arbitral settlement”, a minimum agreement drawn up in the event of an impasse by an “arbitrator”: in this case the former inspector general of social affairs, Annick Morel.
” An insult “
The representatives of the liberal doctors did not mince their words to denounce the spirit and the content of the agreement which was submitted to them: a text which is not “not up to par” for Avenir-Spé, ” all false “ for the CSMF, is “anti-liberal medicine” for SML and FMF. “Hearing the minister say that he wants doctors to get involved and that it’s a give and take, it’s an insult that is addressed to us collectively”denounced for her part Agnès Giannotti, president of MG France, during a press conference on Sunday evening.
The government wanted to create a lever to facilitate access to care in a country with declining medical demography: the “territorial commitment contract”, giving rise to increased consultation rates (at least 30 euros for general practitioners and 35 euros for specialists) in exchange for compensation for the reception of new patients, the permanence of care, participation in call duty in the evenings, on weekends, etc.
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