However this Bill balkanise the profession

Should we reform our health care system The answer is Yes. Excess of segregation, lack efficiency, stiffness of operation, demographic challenges, and access to care are, among others, the ills from which it suffers. The reform of the Government provides a satisfactory response Non. This is why the whole of the community medical, hospital, liberal city and practitioners insurance advice, that we represent, does not reject the reform is necessary, but this reform which is bad. Why

The hospital has five types of problems to which the current text does not: a underfunding of public hospitals and their strangulation by a pricing to inappropriate activity on the realities of public service, a lack of attractiveness of hospital careers that will combine within five years a demographic trough, a stack of reforms without prior State, a policy of health based on the events of the news without clear and perennial lineFinally inequalities of access to care that deepens the entire territory.

To the 12 of vacancies in the hospital, the Act proposes a contractual status that legitimizes a mercenary activity contrary to the public interest values. These short contracts will not retain the physicians or therefore to create notoriety including the hospital needs. In addition, practitioners are relegated to the rank of providers. Little represented on the Executive Board and a medical commission of establishment that will more be a recording room, they do more weigh on the medical choice of institutions.

Without médico-administrative collaboration, the hospital follows more than a book vision. Moreover, the public service missions form a block, they cannot be distinguished in the map according to the financial interests of any particular institution. In the current context, it is therefore much more important to consolidate reform 2005 Mattei and to discharge the debt hospitals to embark on a new reform whose ways are seriously lacking.

For city medicine, the finding is hardly better. While the latest reform dates back only to 2004, this Bill has the triple threat of étatiser our health care system "in the British sauce", to put an end to the Liberal exercise and do away with the national conventional system. Map Health Minister strives to present will major proximity system, on the contrary, requiring greater flexibility. The sign not only the end of the freedom of installation for doctors but also, ultimately for our patients the end of the free choice of their physician.

The national medical convention that doctors took forty years to build is in great danger. Regional health agencies (ARS), super all powerful techno-structures, will be able to contract with organisms other than trade unions signatories to the national conventions. They may even be individually with each practitioner without connection to the national convention.

The quality of the exercise requires more cooperation between physicians and assumes that they are working together in the interest of the patient and not on the basis of their specific interest. This medical unions need to be strong enough to engage in any profession. However this Bill balkanise the profession. The advice of the medical service of insurance practitioners are also very worried. Of the Act, the new network of the ARS paradox, in the scope of the regulation of expenses, double that of Medicare. Worse, while the latter expands its regional representations in accordance with the precepts of the General review of public policies (RGPP), it is with the departmental primary unions that the future ARS should complete contract spending control action plans.

Will improve now regional policy of regulation of expenses accounts The juxtaposition of actions of strictly regional interest has never produced the less inflection of the accounts. Only the assertion of a strong national steering (on topics such as antibiotics, generics, the accompaniment of heavy pathologies...) was able to reduce a deficit of more than 11 billion less than 5 billion in four years. It offers well a national structure of pilotage of the ARS who, after having changed three times naming, remains always the same empty shell... How can it, in this context of free field left to the regional health policy, ensure the fairness of treatment of all throughout the territory How can we talk about efficiency of administrations by multiplying by two networks, and dividing numbers with the same number

The French understand that our fight is everything except corporativist. If this Act is well "antimédecins", therefore before any dangerous to the quality of care for our patients. Health Minister would do well to hear our appeal and listen to some advice from his own majority. Health reform is never against physicians, but with them!