In a press release, the Court of Auditors deplores the publication of an article evoking the content of a statement of “provisional” observations relating to oral care.
In a statement released Tuesday, the Court of Auditors deplores the publication, in Le Figaro of April 26, of an article evoking the contents of a statement of provisional observations relating to oral care. “Overwhelming” was, according to the daily, the adjective chosen by the Sages of rue Cambon (Paris) to qualify this report, the final version of which is expected in September.
But these revelations still showed that between professionals in the sector and Health Insurance there is water in the gas. Oral care is in France an example of “bankruptcy of public policies vis-à-vis professionals”, reported these journalists. The wise thus point to a disengagement of the public authorities and a lack of transparency on the side of health professionals.
The amount of oral health care is estimated at around 10 billion euros, a third of which is reimbursed by health insurance and 39% by supplementary insurance. The remainder of the charge for patients would therefore exceed 2 billion euros. The result is that at present, 20% of the French would forgo dental care. The Court of Auditors would even go so far as to say that the hexagonal oral health is “mediocre”.
Tariffs blocked for 28 years, denounce dentists
Point also noted in the report, the weight of the overruns of fees: they represent today more than half of the incomes of the practitioners. The fault of prices that are too low and have not been sufficiently revalued, retort the dental unions.
Catherine Mojaïsky, president of the National Confederation of Dental Trade Unions (CNSD) specifies that “The reimbursements of dental prostheses have for example been blocked for 28 years”. “The financing of dental care deserves to be overhauled,” she added on the board ofAllodoctors (France 2).
The adversarial procedure takes its course
Faced with such an observation of failure, the Court calls for a profound reform of the system. A new distribution of costs between health and supplementary insurance is envisaged. As an option, the Court could well leave the reimbursement of “heavy care”, including prostheses, to the complementary costs. Health insurance would reinforce the reimbursement of “preventive and maintenance” care.
In an attempt to extinguish the controversy, the Court of Auditors indicates that the adversarial procedure is not yet completed, the investigation into oral care therefore continues its course. “Hearings have already taken place and will continue more widely with professional organizations representing dental surgeons, already met by the Court during the investigation,” she concludes.
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