Healthcare Crisis: The Battle over Medical-Mutualist Agreement in the Belgian Government

2024-01-05 05:33:35

It all starts on December 22. This is the last kern of the year 2023. A formality, normally. Except that a stumbling block arises. The Minister of Health, the Flemish socialist Frank Vandenbroucke, wishes to have the medical-mutualist agreement approved within the restricted ministerial government. This text, fiercely negotiated between mutual funds and doctors’ unions, proposed to prohibit any additional fees for patients benefiting from the increased intervention (BIM). But the MR (Reform Movement), represented around the table by David Clarinval, does not see it that way and is obstructing, believing that it is relaying the real fears of specialists and general practitioners on this subject. A heated discussion and “blackmail” followed, according to several participants in the meeting. His text not being adopted, Frank Vandenbroucke then decided to go all out and blocked the nomination of Pierre Wunsch. Let us remember that initially, this appointment did not pose a problem to anyone in theory. It had also been proposed by Prime Minister De Croo and Deputy Prime Minister Vincent Van Peteghem.

A totally lunar situation

What is happening is quite scandalous. We pair files that have nothing to do with each other. Vandenbroucke wants to force his way and crush doctors’ opinions on fee supplements. This text should not even come to the Council of Ministers“, says vice-premier David Clarinval. “The blockage is mainly between the Liberals and Frank“, confirms another vice-premier. “The Blues questioned the entire proposed system. And faced with this somewhat harsh and harsh, if not completely abnormal, position, Vandenbroucke simply adopted the same attitude. There is a lot of drama in this matter but the BNB is not going to stop turning“, we confide among the Reds. Translation: everyone sticks to their positions and their version.

Contacted, Frank Vandenbroucke’s office simply stated the following: “On the followingnoon of December 22, during a meeting including numerous files and proposals from various ministers, Frank Vandenbroucke put on the table a compromise regarding the additional fees for the beneficiaries of the intervention. increased. This balanced compromise had previously been developed and approved within the consultation bodies (Médicomut and Dentomut), then validated by the Insurance Committee and by the General Council of INAMI. This compromise has been called into question, with the MR even demanding a whole new negotiation. This led to the end of the meeting, without the last item (nominations) being discussed. Furthermore, it was a Kern meeting with a whole series of issues for which solutions had to be found, this was not the only problem, but an agreement must be a global agreement. So there was no agreement.”

The pressure is now maximum on this issue which is ultimately the submerged tip of the iceberg.

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