Social safety hole is eighteen billion! (analyze)

2024-05-31 10:40:16

analyze Philippe Leducdoctor and well being journalist, initially revealed On the Suppose Tank Financial Well being web site.

The Court docket of Auditors didn’t deliver all of the dangerous information. Along with warning that “accounts proceed to deteriorate, with no prospects for stability, and fewer more likely to return to steadiness,” the company additionally warned in its 2024 Social Safety Reportcalculating the (big) shortfall in social safety as exemptions solely enhance and hurting the account as compensation is woefully insufficient.

As everyone knows, remuneration for work have to be paid by employers and workers by means of social contributions, which finance the necessary fundamental social safety scheme, supplementary pension scheme and unemployment insurance coverage. Don’t overlook CSG and CRDS (Contribution to Serve Social Debt). Complete taxes and contributions account for 64% of complete wages.

An increasing number of exemptions

Dr. Philippe Leduc, physician, well being journalist and writer of the weblog Suppose Tank Economie santé, Les Echos group.

Nevertheless, the quantity of the wage subsidy will solely enhance, deviating from this precept and making social safety contributions and even, for some, CSG and CRDS exempt. The intention to extend the buying energy of workers is laudable if shortfalls in social safety are compensated and this impacts all workers equitably. However this isn’t the case.

Within the personal sector, the court docket mentioned that wage subsidies amounted to 87.5 billion euros in 2022, equal to 13.2% of fundamental wages. This represents an estimated web lack of social safety income of €18 billion (ie a rise of €8.1 billion in comparison with 2018). Making an allowance for compensation of 8.9 billion euros following tax.

The Court docket of Auditors playfully identified that this loss is equal to the 6.6 billion euro enhance within the Social Safety deficit excluding the coronavirus pandemic, thereby delaying the restoration of the Social Safety monetary steadiness.

Compensation is getting much less and fewer

These wage subsidies embrace: firm worth sharing (involving solely 46% of workers within the personal sector), employer contribution to supplementary social safety funds, meal vouchers, vacation vouchers, cultural and sports activities help, transportation value reimbursement, ETC.

Over the 5 years from 2028 to 2023, Social Safety’s compensation charge for misplaced earnings dropped from 43.5% to 35.6%. compensate.

no fairness

As well as, the equity of social safety contributions between enterprises and workers has not been revered. It isn’t necessary for employers to allocate wage subsidies, however there are some exceptions, and the quantity of the subsidy varies extensively between firms, relying on the dimensions and exercise of the corporate.

consistency

The court docket due to this fact really useful reform and higher administration of those particular preparations and known as for “consistency” to restrict the lack of Social Safety earnings. There’s certainly no level in bemoaning the social safety deficit if the nation itself is courageous sufficient to extend it.

Well being Insurance coverage: Deficit worsens

That’s, identical to yearly Report on the applying of the Social Safety Financing LegislationThe rue Cambon company took into consideration the truth that the deficit in medical health insurance will proceed to worsen till it reaches 10.8 billion euros in 2027, with out the general public authorities taking steps to revive the accounts.

This time, the main focus is on: The price of compensation for work stoppages and fraud requires tighter controls on doctor prescribing, analysis procedures for progressive medication ought to be based mostly on medical research-independent economics, and stronger hospital oversight of contract medical doctors The growing variety of frames diminishes the attraction of a hospitalist place that advantages from fewer benefits. Lastly, within the face of an getting old inhabitants, a brand new technique is proposed to restrict hospitalization by means of “simplifying medical entry.” »

Earlier evaluation by Philippe Leduc

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