Develop prevention, fight against the renunciation of care and medical deserts: update on the main health measures defended by the new President.
Elected on May 7, with 66% of the vote, Emmanuel Macron will be the 9th president of the Fifth Republic. During his campaign, the candidate ofWorking has set three “challenges to be met” in the area of health: prevention, access to care and financial sustainability. His spokesperson, Dr Olivier Véran, former PS deputy and rapporteur for the Health Act, was on the plateau of theHealth guest, on April 12, to detail the flagship measures proposed by Emmanuel Macron.
Decrease out-of-pocket expenses
This is the measure that was put forward the most during the campaign: achieving 100% coverage for glasses, hearing aids and dentures, by the end of the five-year term. “The only French people that I saw in my parliamentary office come to dispute that there was not sufficient access to care, it concerned precisely these devices, especially hearing aids”, notes Olivier Véran, who claims a “small paternity on the measure ”.
Watch the program L’Invité Santé from April 12, 2017 with Dr Olivier Véran:
To achieve his ends, Emmanuel Macron wants to put the complementary ones in competition, so that they reimburse better, without increasing the amount of contributions. He is also counting on better transparency on the part of prosthesis producers, on whom he does not exclude exerting pressure, to “find a fairer price while protecting better”.
In the same spirit of reducing inequalities, the new President wishes to strengthen the right to be forgotten for former cancer and hepatitis patients. Set at 10 years today, he wants to lower it to 5 years and add other diseases to the list.
A “good health system”
During his speech in Nevers last January, Emmanuel Macron expressed his desire to lead “the prevention revolution”, to “move from a good health care system to a good health system”. The reform desired by the future President also involves improving access to healthcare, necessary to reduce inequalities. Emmanuel Macron plans to invest in preventive actions, in particular by increasing the remuneration for public health objectives (ROSP) of liberal doctors.
He also proposed to set up a 3-month health service for the 40,000 students in the care sectors. Future doctors, pharmacists, nurses, etc. would intervene in schools or businesses. “This implies that these students will be made aware and trained, so it is a doubly positive measure”, commented Dr Olivier Véran.
Emmanuel Macron is ready to tackle one of the scourges of public health: smoking. The new President dreams of “a first generation without tobacco”, and seems ready to continue the efforts made by the previous government, in particular by increasing the price of tobacco products.
Regarding the prevention of pathologies linked to alcohol, the candidate was more discreet. The presence in its campaign team of the general secretary of Vin et Société, who defends the interests of winegrowers, had raised questions and comments in the world of public health. On the plateau of the” Health guest, Olivier Véran had reassured, hammering that “when a policy is carried out, public health will always take precedence over the rest”.
Reconnect with caregivers
The new President will have a lot to do to restore confidence with liberal doctors, mostly disappointed by the law to modernize the health system, adopted at the end of 2015. This text was at the origin of many demonstrations by health professionals. Practitioners were particularly opposed to generalized third-party payment, the gradual implementation of which has already started. Emmanuel Macron proposes to make this third-party payment “generalizable”, thus leaving the choice to doctors.
The public hospital is not forgotten. Olivier Véran, himself a hospital doctor, recently gave a report on the financing of hospital care. He proposes to adapt the pricing to the activity currently in force, and which he considers appropriate “to stereotypical, reproducible, technical care” but not to chronic pathologies, which are however increasingly frequent. “An 82-year-old diabetic, hypertensive patient who comes for pneumonia and who develops phlebitis during hospitalization, activity pricing means nothing and does not take into account the complexity of the course”, illustrates Olivier Véran.
Finally to reduce health spending, Emmanuel Macron plans to develop respite and follow-up homes, places dedicated to the care and rehabilitation of patients before their return home, or people with chronic diseases. These structures should replace the hospital when possible. “It’s the only way to intelligently cut costs,” Emmanuel Macron told Nevers.
https://www.pourquoidocteur.fr/Articles/Question-d-actu/19140-Tiers-payant-les-generalistes-rechinent-al-appliquer
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