It is a particularly discordant voice within its corporation. The member of the environment, Dominique Vonet, voted for the bill “aimed at combating medical deserts”, adopted in the first reading at the National Assembly on Wednesday, May 7. Within it, the first litigious article that plans to regulate the installation of doctors to soften their distribution and eliminate disparities in the territory.
In a relaxed hemicle, the deputies were 99 to decide in favor of this text, against 9 votes against, of the 577 elected officials for this legislature. Among the 12 doctors who exercise deputies, 11 were present during the vote. Only one spoke in favor of the text: Dominique Vonet.
The elected representative of Doubs, the training doctor and the former director of the Regional Health Agency (ARS) of Mayotte acts as an anomaly. With BFMTV, it justifies this awareness of consciousness, with its knowledge of the chosen local representative and the former red medium.
“I was director of an Ars in a region that is a true medical desert, in Mayotte. Before, during and after COVVI-19, I had exchanges with my general colleagues that faced the same problems: inequalities in the distribution of health professionals in their territory,” he explains.
But it is not necessary to go to Mayotte, where the situation is particularly critical to see these problems. As mayor of animals in Montreuil (Seine-Saint-Denis), he was able to observe a desertification “from certain districts three or four kilometers from the Parisian ring road.”
His observation: “In the districts of the cities, in rural areas, as in foreign departments, I drew the observation that there was a insufficiency between young doctors” and the specific needs in general practitioners.
“Self -regulation has not worked”
This observation is generally shared by all actors in the debate. But the planned solutions are not the same. Among the unions and lobby, there is more form of self -regulation or the implementation of financial incentives so that professionals want to establish themselves in the less endowed territories.
“Self -regulation has not worked. Ten years have passed since they said that,” says Dominique Vonet with Acid, who points out some advances, but an insufficient response.
Therefore, it was not this path that caught the attention of legislators. In response, the profession began a strike to compete in this change, internal and young doctors in mind.
The parliamentarian acknowledges that these young people “do a service to society”, emphasizing that “hospitals would be difficult for them to work if there were no external and interns.” But she insists on the need for a counterpart so that these health professionals work thanks to national solidarity, even in liberal medicine.
“What is officially called Liberal Medicine is not really. There is no important risk, it is very supervised, very protected. It is the company that reimburses its acts through Social Security. It is the company that pays for its studies,” Dominique Voynet recalls. With BFMTV, the elected official also highlights the fact that doctors would not be the first to see their restricted installation, quite the opposite.
“On the one hand, I understand (the doctors, note), because it is an agitation. On the other hand, the parliamentarians themselves did not agree to give in to the pressures when they had proposed for other professions. My two parents are teachers, they did not choose the place where they were named, but that they went there,” he argues, stressing that it will still be necessary to take into account the specifies of the profession of the profession.
“A kick in El Hormiguero” and a ball thrown into the Senate
Dominique Vinet recognizes this, this bill “does not solve everything”, but said he has the merit of opening the debate. ” We had to kick the anthill and make things happen, to say that the status quo is no longer possible, more tenable, “he supposes.
Proof of the success of the operation, according to her, the hasty announcement of another plan by the government of François Bayrou. Instead of regulating the installation, the Executive, who opposed the text of the deputies, asks doctors to spend two days a month out of their place to carry out vacations in a medical desert.
“This bill does not solve everything,” he admits. But he hopes that this debate now open makes possible advances for patients. While the text must be presented in the Senate on Monday, the environmentalist believes that the text voted in the first reading can be “pushed.” “I am not sure that the bill adopted by the Assembly will cross the Senate test. But I notice that the debate is, finally!”
Source: BFM TV
