The six representative doctors unions have until Tuesday evening to say whether or not they accept the new tariff grid of consultations and other packages offered by health insurance for five years.
MO12345LEMONDE with AFP
The two main unions of liberal doctors, among general practitioners and specialists, announced, Sunday, February 26 in the evening, their “unanimous” rejection of the new consultation rates offered by Maladie Insurance, in return a commitment to increase their activity.
“There was 98 % participation and 100 % said no to the signing. A negative vote unanimously” which “must be likely to make policies think,” said at a conference of press Agnès Giannotti, the president of MG France (French Federation of General practitioners), the most important union of generalists.
Same result in specialists in the Union Union Avenir Spé-le Bloc, gathered in general assembly on Sunday: “No signature, unanimously,” said the president of the Future Cé, Patrick Gasser. “We did what we could, it is a failure,” he added, but “responsibility is the responsibility of others, the government and above”.
The proposal of the National Health Insurance Fund (CNAM) provides that all medical consultations would be upgraded by 1.50 euros. For generalists, this unconditional revaluation would bring the basic consultation to 26.50 euros, compared to 25 euros since 2017. The six unions of representative doctors (CSMF, MG France, Future Cé, UFML, FMF and SML) have until Tuesday evening to say whether or not they accept the new tariff grid of consultations and other packages offered by health insurance for five years.
“Lack of recognition”
Practitioners agreeing to make “territorial commitments” (take more patients, participate in the guards, exercise in a medical desert, etc.) would obtain a higher consultation rate, at 30 euros for example for generalists. But among the general practitioners, this question of the price was “marginal” in the outcome of the vote, assured M Me giannotti, who explains that practitioners suffer mainly from a “lack of recognition”. “To say that we have to commit, that means that we do not do it and that is absolutely inaudible for the profession,” she added.
For specialists, the required counterparties were simply “not eligible”, explained Mr. Gasser, comparing the overall envelope of 1.5 billion euros put forward by the CNAM to the “billions injected into establishments of health, public and private “, since the COVVI-19 and the segur of health.
With this rejection of the two organizations that weigh more than 30 % each among generalists and specialists, the project of agreement supported by the government is about to fall into the water. In the absence of an improbable alliance between at least two of the four remaining unions, the new prices will be fixed by a “arbitrator” – in this case a senior official designated by the executive.