Long awaited by the hospitable world in great suffering for several years, Emmanuel Macron wishes you this Friday. Olivier Véran, the government spokesman, promised on BFMTV “a historic speech”, while the Élysée should make “very concrete” announcements.
The executive has multiplied the promises since 2017, with variable success. The Ségur de la santé, criticized by caregivers for having allowed wage increases, was not part of their campaign proposals but was directly related to the impact of the Covid crisis.
The end of the numerus clausus
Pledge of 2017, Emmanuel Macron wanted, during his first five-year term, to end the “mess” of the numerus clausus that limited the number of students entering the second year of medicine and therefore of doctors at the end of their studies. This device was regularly seen as one of the explanations for medical deserts.
Since September 2021, the number of places in the second year of medicine is now determined by the universities, according to the “health needs of the territory”. But with fairly long studies, the results of this reform will not be seen for several years, specifically on the ground.
The doubling of nursing homes
To deal with the shortage of doctors in the territory, the president had announced that he wanted to double the number of health centers, which allows general practitioners and specialists to come together in the same place, sometimes with paramedics such as nurses or physiotherapists.
While there were 1,118 in France in 2017, there were 2,020 in 2022.
There is zero left to pay for glasses and prostheses
The then candidate, Emmanuel Macron, had promised that his five-year term would be marked by 100% coverage of certain glasses, dental prostheses and hearing aids by social security and complementary health.
The reform voted in 2018 was done gradually. As of January 1st, 2019, they are assured that they will beneficiary of the offer partners who will be reimbursed in mieux de mieux jusqu’au remboursement total début 2021. With the exception of a bémol: a majority of opticians and audioprothésists do not apply correctly reform.
Sale of medicines individually
The generalization of the sale of drugs per unit had been set as an objective during the first five years of the president. Under the impulse of Marisol Touraine, then Minister of Health, the measure had already been the subject of an experiment with antibiotics during the presidency of François Hollande.
The measure was finally voted on in December 2019, with the goal that it would enter into force no later than January 1, 2022. One year later, if the application texts have been voted on, it is clear that they are still not applied, especially all in the face of laboratory resistance.
In full tension in recent weeks over the supply of some of the most prescribed antibiotics in France, such as amoxicillin, the Ministry of Health has recommended that pharmacies issue a unit -without much success so far-.
Generalizable third-party payment
A thorny issue for doctors, Emmanuel Macron had proposed implementing third-party payment, this device that allows health professionals not to advance costs, in a “generalizable, simple and effective” way, “without restrictions” for general practitioners.
But a few months before the 2017 presidential campaign, the General Inspectorate of Social Affairs considers the measure “unrealistic” and evokes “technical brakes” on the part of the mutuals. Although it should finally be operational at the end of 2019 under the impetus of Agnès Buzyn, then Minister of Health, the system was not implemented and came to a complete halt with the Covid-19 crisis.
While general practitioners are now calling for the consultation price to be increased from €25 to €50, the generalizable third-party payment should not succeed.
Source: BFM TV
