Or reforms of magnitude or decisions that upset. At fourteen months of the next presidential election, the "great health conference" to be held Thursday, February 11 in Paris will not be the big night of the French health system. Faced with private health professionals permanently burned by the adoption in December of the health law and its key measure, the paying agent widespread, Prime Minister Manuel Valls should instead announce consensual measures to meet - cheaply for public finances - to various union demands for training or improvement of working conditions.
Whether improving the social protection of doctors installed in sector 1 (the most general) or a regional variation of the supply restrictions to better reduce the implementation gap doctors, these small " sweets "might prove insufficient to meet the wrath of independent doctors who had been brutally forced to interrupt their protest against the paying agent after the terrorist attacks of 13 November. Although the partial censorship of the device by the Constitutional Council on 21 January has partly responded to their concerns, the discomfort of the profession is profound.
The boycott of five major unions liberal doctors
Announced in March after the event which brought together between 19 000 and 40 000 health professionals in the streets of the capital, the health conference will bring together over 300 representatives of hospital doctors, student organizations, nurses, paramedical or pharmacists in the premises of the economic social and environmental Council (CESE) in Paris. The five major unions liberal doctors boycott, themselves, and the meeting held in parallel their own "foundation of liberal medicine" after which they will present "a platform of common proposals." As for the minister of health, Marisol Touraine, which has repeatedly stated its "availability" for another post in the government, the reshuffle is expected soon, nobody knows if it will not live Thursday his last hours a position she has held since May 2012.
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"But if it remains, it will again fourteen months and although it will never be mad love between her and the doctors, trust can come back early," Claude trusts Pigement, the former head health PS. "It is obvious that the government will make concessions to doctors, no one can go for the presidency in these conditions," said one of the sixteen members of the steering committee of the "big conference". The union MG France, majority in general, has also announced Monday that it would send an observer to the conference as a sign of "satisfaction" after getting an early strengthening of university courses in general medicine by recognizing as a "true" discipline within the National Council of universities (CNU) and ensuring more teachers positions. "If we now expect to see Manuel Valls understood the urgency of the situation," says Claude Leicher, president of MG France, who says he was "saturated with promises, coming from the right and the left, which is has not seen the consequences for the general. "
A "recertification" health professional every six years
With less than two weeks before the opening of treaty negotiations with Medicare to upgrade the rate of consultation, other private practitioners provide unions expect nothing of the "big conference". "With three scoops on training, it is a mountain that will give birth to a mouse," predicts John Paul Ortiz, president of the CSMF, majority union among private practitioners, for whom the High Mass "comes too late ". Jean-Paul Hamon, President of FMF, denounces him a "media farce". "After nearly four years of this government, if they had something to announce, they would have already done long ago. "
Several points contained in the White Paper presented on 10 January by the National Order of Physicians after a large consultation with 35 000 doctors in recent months should be announced Thursday by the Prime Minister. Reportedly, Manuel Valls should announce such systematization of the regional modulation of supply restrictions.
A "re-certification" of health professionals every six years from a specification developed by the National Authority for Health (HAS) should also be established. Conducted by the College, the validation of acquired experience would be binding only for newcomers and would remain optional for those already installed. The Prime Minister should also guarantee the establishment of a public offer of training in allied sectors in which only a private training is offered today.
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