2023-06-12 03:30:00
The debates did not begin in public session in the National Assembly, but tension has already risen in the ranks of liberal doctors, quick to denounce a “deadly text”. The bill brought by the deputy Horizons of Seine-et-Marne Frédéric Valletoux, “aimed at improving access to care”, which arrives in the Hemicycle this Monday, June 12, has awakened the “great fear” of a whole sector: that of being placed under guardianship in terms of its practice and installation. In other words, the fear of future coercion for professionals who place freedom at the heart of their DNA.
Oblige health actors to take “responsibility” for access to care in each territory, broaden their involvement in the permanence of care (evenings, weekends and public holidays), attach each to a collective organization (a “CPTS », for territorial professional health community)… The ingredients of a “explosive recipe” are united, according to the liberal unions already mobilized against this text.
The recent failure of the “conventional round” between doctors and health insurance is still on everyone’s mind, and the stakes are high: the bill already has the support of the government. In her “hundred days” speech on April 26, the Prime Minister, Elisabeth Borne, presented it as a major lever for improving access to care.
“It is the destruction of liberal medicine, the most dangerous text in history”, storm Jérôme Marty, at the head of the French Union for a free-union medicine. History, however, repeats itself. For months, bills have been brought forward by parliamentarians to try to change the rules of the game of medical practice. And twenty years that the waltz-hesitation continues: the political power tries to find the answer to medical deserts which extend, by always ruling out, in fine, the recourse to a constraint on the installation of doctors, who do not don’t want it.
“We don’t move them like pawns”
Since his appointment as Minister of Health almost a year ago, François Braun has made this difficult pas de deux his own. Asked about the use of coercive measures, he assured in our columns that “nothing is taboo in the discussions to come”, in September 2022. Before adding: “On the other hand, I remain opposed to the coercion to the installation. » A few months earlier, medical deserts had also imposed themselves in the presidential campaign. And Emmanuel Macron, candidate for his re-election, had played on a certain ambiguity: dismissing all “complete binding system”he had at the same time advocated a form of regulation, with the idea of “stop the agreements in the areas that we consider as already equipped”. Idea, it seems, abandoned.
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