2023-06-12 05:03:19
At a time when medical deserts are spreading over ever more numerous territories, will parliamentarians go so far as to introduce a form of coercion on the installation of doctors? And divide a presidential majority, officially once morest? These questions are on everyone’s mind, with the arrival at the National Assembly, Monday, June 12, of the bill brought by the Horizons deputy for Seine-et-Marne Frédéric Valletoux, aimed at “improve access to care through the territorial commitment of professionals”. However, the text does not, at this stage, provide for clearly coercive measures.
It is, on the other hand, already vigorously denounced in the ranks of liberal doctors, as much for what it contains as for what it might contain. A thousand amendments have been tabled.
In its initial version, amended slightly in committee, the text lays down various milestones, which may appear technical, over the course of 11 articles. Facing a “medical desert” which now affects 87% of the territory, it is a question of “addressing territorial inequalities” and to keep the commitment of the President of the Republic of “better distribution of practitioners”can we read in the explanatory memorandum. And this, thanks to a “better territorial organization of care”.
Article 1 provides for this a strengthening of the ” responsibility “ actors from the territories, brought together in a territorial health council revamped – structure that already exists, but so far empty shell. Health professionals must organize themselves to meet priority objectives “access to care, continuity of care in the territory, territorial balance in the supply of care”, clarifies the text. If these objectives are not achieved, the director of the regional health agency will have the hand to implement “measures to improve access to care”.
Another “bad signal”
The most dreaded and divisive subject, the implementation of coercive measures to guide the installation of doctors, was largely absent from the committee discussions from June 5 to 7. And for good reason. It is through amendments that it should impose itself in the Hemicycle. One amendment in particular will be defended by the socialist deputy of Mayenne Guillaume Garot and his transpartisan group, bearers of a bill “ once morest medical deserts” bringing together 205 signatory deputies – not on the agenda.
The parliamentarian wanted to reserve the question for the public session. “We are going to put all our energy into convincing and bringing together a majority”, he said. Its copy is known: the installation of doctors should be subject to authorization by the regional health agency. Issued by right in an area deemed under-dense, it would be conditional on the cessation of activity of another practitioner in an area deemed sufficiently endowed.
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