2024-10-17 02:30:00
Once again, the question of the abolition of State medical aid (AME) returns to the public debate and numerous arguments are put forward by those who want its skin. For some, “access is too unrestricted” (Bruno Retailleau), for others, it should not be “we un totem we un taboo” (Michel Barnier).
From then on, anything goes, without numbers or reason. More than arguments established by the facts, we hear counter talk: “there are abuses that must be suppressed”, “fraudsters”, “foreigners who come to France to seek treatment” or “to have your ears glued back together”. However, barely half of those who could qualify for this aid use it.
The question of AME must be approached from the angle of the fundamental texts to which our country adheres and which are authoritative: the protection of health for all (preamble to the 1946 Constitution), the objective of health for all ( Global strategy for health for all by the year 2000, adopted by the WHO in 1979), health promotion (Ottawa charter in 1986), equal access to health care for all of quality and safety for the patient, the prevention and fight against health inequalities – all principles which are in accordance with the Constitution of 1958, the Declaration of the Rights of Man and of the Citizen of 1789 as well as the Declaration universal human rights proclaimed by the UN in 1948.
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The AME therefore falls under human rights. It is for France, as for all UN member states, an ardent moral obligation, which doubles as an obligation quite simply. Because of this, the question of maintaining AME should simply not arise, and, for now, this medical aid should be assumed “whatever it costs”. It is about respecting international law to which France has voluntarily subscribed and respecting our bloc of constitutionality.
Specious debate
Besides, what are we talking about? Certainly not an unbearable burden: the health needs financed by the AME represent little compared to the total amount of national health expenditure: 970 million compared to 314 billion of current health expenditure in the international sense, i.e. 0. 3% of health spending! And couldn’t we collectively take responsibility for it? There are certainly no small savings but, in this case, is it not shameful to call into question the aid that is required of us?
There are 400,000 AME beneficiaries per year for 68 million French people, or 0.6% of our number. These figures indicate that an AME beneficiary costs society half as much for their health as an average French person. We are therefore far from what is implied by a specious debate, pointing out to public vindictiveness hordes of false foreign patients who would come to us to gorge themselves on medical care.
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