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& gt; & gt; For practical information, read: liberal doctors’ strike: how to get treatment at Christmas
The emergency
Why strike?
The emergency doctors went on strike on Monday December 22 at the call of their national association, AMUF to demand:
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a reduction in their working time to a maximum of 48 hours per week (the limit set by European legislation);
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remuneration for overtime worked between 39 and 48 hours.
Where is the strike?
completed Strike
AMUF decided Tuesday, December 23 to cancel its strike call at day after a “historic agreement” made with Marisol Touraine. The Minister of Health has advanced to the two main requirements of emergency on working time, which could take effect in the first half of 2015.
According to the Hospital Federation of France, hostile to the strike, these measures “categorical” will be a “overhead” 90 million for hospitals, already heavily in deficit (about 400 million euros per year).
Generalist
Why strike?
The general practitioners protest against several measures included in the draft health law presented by Marisol Touraine in October 2014 and registered at the Parliament’s agenda for April, 2015.
The third-party payment is to teach the patient to advance reimbursed portion (for Social Security) fees at the end of a consultation. There is already for the most disadvantaged groups (beneficiaries of universal health coverage, the CMU-complementary and state medical assistance).
According to a campaign promise to François Hollande, Health law aims to generalize this phased payment method by 2017, to facilitate access to care and ensure that patients forgo this for financial reasons.
Doctors opposed 95% This measure fear it will lead to a “patient disempowerment” and a “consumerism of the medical act become commonplace” . In addition, they fear to suffer from an increase in late payments by health insurance and having to spend more time with paperwork
Read:. Third generalized charge: the reasons for blocking
Doctors and nurses have joined forces to oppose the opening of the vaccine to pharmacies. The first feel their presence is essential during the first vaccinations (for influenza, for example), while the latter want to continue to be able to take only the bites of previously vaccinated patients.
Conversely, Marisol Touraine believes that reform could fight the tendency to be vaccinated least in recent years in patients.
As part of the “territorial public service health,” it is planned to increase the powers ARS. Doctors refuse to delegate too much administrative power, which they would strengthen some centralization and “nationalization” at the expense of local professionals. They fear that eventually, their freedom of installation is threatened.
Finally, general calling to the ministry of health a revaluation of 23-25 euros price of the consultation.
Read also the testimony of private doctors on LeMonde.fr: “This government wants to sell our profession to cutting”
Where is the strike?
Current Strike
The strikers GPs have closed their offices Tuesday 23 December. Without anyone even know the duration of the strike, Claude Leicher, the union president MG France (majority among general) already called for a new mobilization January 6, 2015 and probably 21.
Marisol Touraine promised doctors to discuss the third-party payment “in the fall” , but “not now” . However, she warned that there was no going back on the legitimacy of this payment method, widely endorsed by the French, but only to discuss the modalities of its generalization, for “ensure that payments course intervene quickly and simply “
The Minister does not seem willing to increase the price of the consultation, financial constraints force. – Social Security would be 2 euros more to support.
Specialists
Why strike?
At about the same reasons that GPs. third-party payment or “bureaucratic organization of the City of Medicine”
What is the strike?
Upcoming Strike
Specialists physicians must suit GPs from 24 December for a planned strike until 31 December, at the call of the Confederation of French Medical Unions.
Private clinics
Why strike?
The Federation of Private Hospitals (FHP) simply requires the withdrawal of the draft health law, which condemns it as the private sector. Clinical fear being excluded from future public hospital service defined in the Act, including emergencies.
The reorganization, which gives more power to the ARS, will be on “arbitrary criteria which exclude from the outset clinics “ and deprive ” public service funding missions “, fears the FHP. She said the regional health agencies (ARS) could then withdraw to private institutions to care activities permit or close an emergency service to promote public hospitals in need of patients.
Indeed, the draft health law provides that to qualify for the label “public hospital” (and funding that go with it), private institutions will have to comply with certain obligations:
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14 ensure public service missions (emergency, palliative care, research, continuity of care …), not just some of them, a la carte, as is currently the case;
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offer these public service missions and costs of Social Security, that is to say without excess fees <. / p>
Where is the strike?
Upcoming Strike
” unlimited movement termination of service “ of the FHP, which includes 1,100 clinics should begin Jan. 5 . It will be kept “as the bill will not be removed” , warns the Federation.
Marisol Touraine does not seem very sensitive to the arguments of private clinics, as too greedy it. However, it paved the way for a compromise: private schools which offer emergency services without excess fees could benefit office status “public hospital” , even if they practice these exceedances in their other services.
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