Medical agreement: two main doctors’ unions refuse to sign health insurance project

Regretting the lack of “responsibility” of doctors, the Minister of Health François Braun said he was “roughly certain” that he would not have agreed by [Tuesday] evening “.

by Eléa Pommiers (with AFP)

Maladie and doctors’ unions have until midnight Tuesday, February 28, to agree on the new convention which will establish the conditions for exercising and remuneration for the five years at the five years come. But the prospect of an agreement is moving away: the two main unions of liberal doctors, MG France and future spec-the block, announced, Sunday, February 26 in the evening, their rejection “unanimously” of the project supported by the government.

This refusal largely compromises the possibilities of agreement around an agreement. To do this, one or more unions must represent at least 30 % of the vote in the last elections, among general practitioners as with specialists, gives its agreement. In each of the two colleges, only one group, respectively MG France and Future Cé, goes beyond this ratio.

The Minister of Health, François Braun, regretted the lack of “responsibility” for liberal doctors whose two main unions have announced their rejection of the new consultation rates proposed by health insurance. “There will be no agreement from here [Tuesday] evening, it is almost certain, even if I always want to believe in common sense,” said the minister on France Inter on Monday.

“There was 98 % participation and 100 % said no to the signing”, a rejection which “must be likely to make policies think,” said Agnes Giannotti, president of MG France, during a press conference on Sunday. “The government did not understand the discomfort of this profession,” the union denounced in a statement, adding that health insurance had “not measured the lack of attractiveness of this complex medical specialty”.

“Lack of recognition”

Future spec-le Bloc, gathered in general assembly on Sunday, came to the same conclusion: “no signature, unanimously”, confirms its president, Patrick Gasser. “It is a failure, and responsibility is largely responsible for the government,” he adds, pointing to a “distortion” between political discourse on the urgency of acting and the proposals put on the table.

The question of new consultation rates is at the heart of tensions. The health insurance proposal provides for a revaluation of all the 1.50 euro consultations. This would bring to 26.50 euros the reference rate of a general practitioner and to 31.50 euros that of specialists.

Those who accept to sign the “territorial commitment contract”, a new tool introduced by the draft agreement on the principle of “revaluations and counterparties”, would have access to levels increased by consultations. Red rag during all negotiations, this system conditions access to three new levels of pricing for medical consultations (at 30 euros for general practitioners and 35 euros for specialists, then 40 euros, finally at 60 euros). In exchange, doctors should accommodate new patients, get more about care permanence, to offer “advanced consultations”, to provide more guards on evenings, weekends …

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/Media reports cited above.