2024-10-11 10:15:00
The Minister of Health, Geneviève Darrieussecq, surrounded by the Minister of the Economy, Antoine Armand, and the Minister of the Budget, Laurent Saint-Martin, in Paris, October 10, 2024. JULIEN MUGUET FOR “LE MONDE”
On at least one point, the government can hardly be contradicted: the recovery of public accounts will be “everyone’s business”according to the formula of the budget minister, Laurent Saint-Martin. The Social Security financing bill (PLFSS), unveiled Thursday October 10, requires efforts from a multitude of stakeholders and individuals: healthcare establishments, retirees, businesses – with a particularly bitter pill for pharmaceutical laboratories and complementary health organizations… Thanks to the regulation of certain expenses and the increase in compulsory contributions, the welfare state deficit would be temporarily reduced, while remaining at high levels: – 16 billion euros in 2025, down 2 billion compared to 2024.
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Unsurprisingly, the world of health is being called upon and even a little more than in 2024. Almost 5 billion euros in savings will have to be made, in 2025, on health insurance expenditure. , compared to 3.5 billion for the current financial year. This additional turn of the screw is supposed to make it possible to respect a national health insurance spending objective which is increasing more slowly: + 2.8% (to 264 billion euros) against + 3.2% in 2023.
This contained increase in resources attempts to take into consideration the evolution of health spending, but also new commitments made with liberal professionals – through the “medical agreement” revaluing a certain number of prices, including consultation at 30 euros at the general practitioner from December. It is also a question of financing the promises made in favor of mental health – elevated to the rank of a “great national cause” by Matignon – or the ten-year plan for palliative care announced by the previous government (100 million euros in 2025 compared to 84 million in 2024).
Hospitals unhappy
Even if they benefit from a slightly higher increase in their budget than in community medicine, hospitals express their dissatisfaction because they will have to pay more pension contributions. This measure (which also concerns local authorities) is taken to bail out the pension scheme for hospital workers and local civil servants, facing a structural and growing deficit, which could reach 11 billion euros in 2030.
In terms of savings, one of the most controversial avenues has been confirmed: 1.1 billion euros will come from a “transfer” of costs from Health Insurance to complementary health insurance (mutual societies, insurers, health insurance institutes). foresight). The government plans, in fact, to increase the co-payment on consultations with doctors and midwives, that is to say the part which is not reimbursed by “Secu”, but covered by complementary: it could go from 30% today to 40% tomorrow, declared the Minister of Health, Geneviève Darrieussecq, while indicating that this modality remained to be decided, referring it to the parliamentary debate. Asked about the possible increase in contributions for policyholders that would result from this, she mentioned a ” work “ to come with the complementary ones, hoping that the effort required will be “as much as possible”.
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