If there is a very repeated attack in the ranks of the opposition during the examination of the Social Security financing bill (PLFSS) for 2025, which continues in the National Assembly until a solemn vote scheduled for November 5, it is the of the absence of structural measures. in the face of a health system in crisis. “There is a word that never appears: “medical desert.” It is the unthinkable, the invisible of your PLFSS”declaimed the socialist deputy for Essonne Jérôme Guedj, at the opening of the debates, on Monday, October 28.
For several weeks now, several proposals have resurfaced in debates, inside and outside the medical community, raising the delicate question of limitations on the installation of doctors to combat medical deserts. This warning signal for the profession, defended by a certain number of elected officials in the Chamber, has always been dismissed during the two terms of President Emmanuel Macron.
In the seats of a very divided Assembly, it was from the right that several amendments to the PLFSS emerged in favor of the regulation of the installation of doctors. Like the one presented by the Côtes-d’Armor deputy, Corentin Le Fur (Les Républicains), who defends the creation of an authorization for the installation of doctors in areas considered sufficiently authorized, conditional on the departure of a professional. They will not be the subject of debate since they have been declared inadmissible, because they are considered “social gentlemen”, outside the PLFSS.
“This topic deserves its own text”
The proposal echoes the long-standing proposal by the socialist deputy Guillaume Garot (Mayenne), with a transpartisan group, rejected during the examination of the Valletoux law on access to healthcare, in the winter of 2023. This group was reconstituted after the dissolution of the National Assembly in June and now brings together almost a hundred parliamentarians from all groups, except the National Rally. He has just finalized a proposal that includes this same measure. “This issue deserves its own text to be debated as soon as possible, instead of an amendment to the PLFSS”defends the left-wing deputy, who points to the window of early 2025, within the framework of the week of the National Assembly, dedicated to the proposals of the deputies.
On the government side, the tone seemed surprisingly open among Health Minister Geneviève Darrieussecq on this explosive issue. In France Culture, on Saturday, October 26, he threw a nail in the water, without prior notice: referring to dentists, who adopted a regulatory measure a year ago (one arrival, one departure) in areas considered gifted (the application is planned for 2025), the former Landes deputy passed the responsibility to the doctors. “Perhaps the Order [des médecins] A regulation point could be introduced in over-equipped areas, in any case so that there is no inadequate installation. »
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