Replacement doctors will not have access to maternity leave granted to certain Liberals. A decision which adds to the precariousness of young general practitioners, according to their union.
This Wednesday morning, the contractual partners met to discuss the modalities of improving maternity leave for doctors reviewed by the PLFSS 2017 (1). Like the women doctors in sector 2, the replacement practitioners impatiently awaited the details of this additional aid which would help to meet, in part, the expectations of young general practitioners, in particular liberal practitioners. Recently revised upwards, this maternity leave allows female doctors in sector 1, and some in sector 2 (2), to stop their activity while receiving an income.
Unfortunately for the replacement doctors, the negotiations ended in failure. The participants in this meeting indeed noted the postponement for the second time of the discussions, thus still not including the replacements in the device.
Contacted by Why actor, Dr Sophie Augros, President of ReAGJIR (2) is expecting a lot from the resumption of dialogue with the CNAM scheduled for March 1. She recalls that substitutes play a preponderant role in the continuity of care (3).
What did the CNAM decide on Wednesday morning?
Dr Sophie Augros : Yesterday, we had a clear and clear answer from the Health Insurance which told us that the replacements could not benefit from the Supplementary Maternity Advantage (ASM) because they are not contracted. This is the main concern. Once again, as the replacements are not approved, they are excluded from all the devices offered by the CNAM.
Is this further discrimination for substitutes?
Dr Sophie Augros : Yes, because the substitutes do not already receive all the remuneration other than the acts paid. For example, they are not entitled to lump-sum remuneration, ROSP or other types of remuneration linked to the medical agreement. However, many substitutes think that they are contracted as soon as they start to exercise. So it is a misunderstanding on their part, and on maternity leave it is even more incomprehensible for them. Indeed, here, it is really about the age group which should benefit from this maternity leave. This makes them more precarious in terms of financing. And it is the replacements who replace a colleague over a long period of time who will be even more impacted.
How do you plan to make yourself heard?
Dr Sophie Augros : We launched a petition this morning on our website: www.reagjir.fr . On social networks like twitter, it’s already starting to react well. We can see the alarmed reactions following this decision. Especially from blogging doctors who are often young and sometimes substitutes. We have, moreover, launched an appeal for witnesses of replacements for whom the absence of maternity leave will be a real concern. I am thinking in particular of the doctors who are currently pregnant. Some are already saying to themselves that they are going to go into paid employment to benefit from it. By making this discrimination we are once again damaging the liberal exercise.
(1) Social Security Financing Bill for 2017, definitively voted by Parliament on December 5, 2016.
(2) Autonomous Group of Young General Practitioners Installed and Replacements.
(3) These young professionals replace an average of 6.1 general practitioners per year and their workforce is made up of 70% women, with an average age of around 31, according to the Replact study conducted in 2015 by ReAGJIR.
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