As all the Ministers went on vacation, Xavier Bertrand will once again try to end, today, the unlimited strike started in the private operating blocks on July 24. The Minister of health, which receives the surgeons, anaesthetists and liberal obstetricians, is under pressure: after the failure of the Friday meeting, Jacques Chirac asked, yesterday in Council of Ministers, that is found "quickly a lasting solution", as "unacceptable" that young doctors shying away from these "essential" specialties For their part, the three unions at the initiative of the movement (UCDF, Syngof, ALA) require "proposals written, practical and immediately applicable by Decree and conventional rider, proposed for signature".
The Government will make this morning on new proposals to limit the increasing cost of professional liability premiums (RCP). A decree published on 23 July moved to 7,000 euros the amount aid obstetricians engaging in a process of certification. A new decree will still meet this assistance and, above all, make it scalable: it will be indexed in perennial evolution way of amount of the premium and ensure a load remains limited for professionals ("Les Echos" from July 31), the objective is to approach a maximum cost of 5,000 euros, while the obstetricians pay currently around 20,000 euros per year. In return, insurers will be required to more transparency in the calculation of premiums, but they refuse to go on the evolution of tariffs and the Government gave to flinch. Another step forward: a portion of the contributions that practitioners will have to pay the agencies in charge of accreditation will be compensated.
It will cost in total between 10 and 20 million euros per year to health insurance, or even more depending on the evolution of the negotiations, the Department felt that, in fine, more than half of the cost of insurance, on average, will be supported.
The Director of the national health insurance fund, Frédéric Van Roekeghem, said "open" on this issue. He warned however on "margins of financial manoeuvre extremely limited health insurance, so that the Committee alert has already raised in June a risk of exceeding expenditure of repayment of EUR 600 million for this year".
A new area of exercise
Frédéric Van Roekeghem is primarily of an evil eye surgeons tariff claims. They believe that the agreement of August 2004 has not been met. "Surgeons exercising in sector 1 (binding tariff) received the expected 25 increase, said the Director of the CNAM. Those in sector 2 (free prices) have seen their rates supported by the social security increase "only" 12.5, since the agreement of August 2004 was precisely to reduce gaps with sector 1. If the surgeons of sector 2 of 12.5 rate again increased, this would represent additional costs of EUR 50 million for health insurance. "The discussion looks complicated on this dossier.
Sensitive issue: the creation of a new fiscal year, said optional, sector under the 2004 agreement, which must give more freedom to the practitioners in sector 1. While the Council of the CNAM refuses to open a negotiation, Frédéric Van Roekeghem would be ready to do so, end August, discussions planned with the pluricatégoriels liberal unions. The Ministry of health would they end up before the end of the review in the Parliament of the Bill of financing of social security for 2007. A date on which the Director of the CNAM is difficult to engage, the subject is highly sensitive.
But the real turning point occurs in 1927This core could take the form of European investment loansIn return the product is fiscally advantageousThe price of a mess that could have been avoidedThe EWB SME funds annual fee amounts to 55 expected has no further warmed the atmosphereWith a unifying slogan markets must pay for the crisisFlesh blood stone glass and steel blend in an organic epicIt was to prepare the best out of the crisisThe decision was not yet that of New York
