open disaster between the federal government and liberal medical doctors | EUROtoday

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The principal union of normal practitioners, generally known as reformist, which slams the door on standard negotiations; a name for an infinite strike in non-public clinics… The local weather has darkened, in a number of days, between liberal actors and their supervisors.

The “emergency plan” in opposition to medical deserts defended by the Prime Minister, Gabriel Attal, on Saturday April 6, added gas to the hearth when the context was already tense. Tax ” rabbit “ to recuperate unfulfilled appointments, “financial incentive” for medical doctors who would take further shifts within the evenings and weekends, participation of nurses, midwives and dentists in ongoing care, experimentation with a ” direct access “ to specialist medical doctors… Nothing concrete but, no timetable both, and but, these measures put ahead to the press by the pinnacle of presidency have completed undermining the career.

The MG France union, the bulk amongst normal practitioners, introduced on April 7 that it will droop its participation in standard negotiations, denouncing “measures most often illusory, often demagogic and sometimes dangerous”. Since then, it's been the established order. Negotiations have been already floundering: on April 4, Health Insurance had canceled the deliberate plenary session, following the departure of the primary unions from the dialogue desk. An important assembly, nonetheless, for liberal medical doctors as for the federal government, as a way to outline the “medical agreement” alleged to bind them for 5 years. But at a standstill, subsequently, after a primary failure within the winter of 2023.

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How did we get right here ? One of the measures that Matignon placed on the desk significantly ignited the powder: “direct access” to specialists, with out first consulting your attending doctor, in a single division per area – i.e. 13 departments. “Removing this constraint, as is already the case for gynecologists and psychiatrists, will facilitate the care pathway”we defend within the Prime Minister's entourage.

The casus belli denounced is that this: within the twenty years that the perform of attending doctor has existed, marking its pivotal function within the healthcare system, such a hitch has by no means been thought of, within the reminiscence of a commerce unionist. If direct entry to paramedical professions is about to be unlocked, below the Rist regulation – adopted in May 2023 –, not with out upsetting sturdy resistance amongst practitioners, affecting the perform of conductor of the attending doctor within the care pathway had the impact of an explosion.

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