“We, former health ministers, join together to recall the importance of maintaining state medical aid”

2024-09-26 15:55:34

We, former health ministers from different schools of thought, join together to recall the importance of maintaining State medical aid (AME).

AME does not constitute an incentive for immigration to our country, which would be at the expense of the French. This is a fantasy contrary to the facts, again clearly established in two solid reports drawn up in 2019 and 2023.

AME does not concern comfort care, which is likely to attract immigration whose causes are obviously more diverse and complex. The system is limited to a specific scope of care, already revised in 2019 following the recommendations of the report, which allows for the early management of pathologies whose deterioration has tenfold repercussions.

Weakening AME means exposing our health system to increased pressure from later and therefore more serious and more costly care.

A public health risk

Restricting the conditions of access to AME would in fact force beneficiaries to consult later, with a deteriorated state of health, and therefore requiring more serious care. This shift in care constitutes a trap for our hospitals and our public finances. It must be remembered: the care of a beneficiary costs seven times more in hospital than in community medicine. AME is also the social benefit monitored by Health Insurance with the highest control rate, and is the subject of very special attention.

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Concretely, weakening the AME means disinvesting in the field of prevention, whether it is vaccination or screening. In fact, such a step backwards creates a risk to the public health of all our fellow citizens, particularly infectious ones. In the same territory, the health of some contributes to that of others.

Touching state medical aid goes against the very logic of the public health policies that we have put in place.

Without reducing illegal immigration, calling into question state medical aid would have unacceptable health, human, social and economic consequences.

Roselyne Bachelot, Minister of Health from 2007 to 2010; François Braun, Minister of Health, from 2022 to 2023; Agnes Buzyn, Minister of Health from 2017 to 2020; Agnes Firmin-Le Bodo, Minister of Health from December 2023 to January 2024; Aurelien Rousseau, Minister of Health from July to December 2023; Marisol Touraine, Minister of Health from 2012 to 2017; Frédéric Valletoux, Minister of Health from February to September 2024; Olivier Veran, Minister of Health from 2020 to 2022.

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