How to higher finance well being transport | EUROtoday

LA taxi strike is symptomatic of our relationship to public companies. For the previous two weeks, they’ve denounced the brand new guidelines of well being transport. They are on the entrance line to move 3.3 million sufferers and to understand the nation’s feeling. As we all know, taxi drivers should not missing in frequent sense!

This anger first questions the evolution of this regulated career. Taxis have develop into important actors in native public well being, with an exercise that has tripled in thirty years. The 40,000 taxis now present half of well being journeys, or 3.1 billion euros out of 6.7 billion euros in spending. The relaxation is 14,000 gentle well being automobiles or 15,000 ambulances.

The origin of this dissatisfaction comes from a misunderstanding. Health spending isn’t supposed to finance an exercise sector! However, if public spending funds public companies, it’s usually forgotten however in addition they pay the a number of personal actors in public motion. This is the case for taxis.

A taxation that pays a hire

Some conductive drivers have thus develop into public officers who ignore one another, as their financial exercise depends on public cash. Their turnover is ensured for half, even for 80 %, by well being transport. It is all of the extra paradoxical as this career continuously denounces, and rightly, the burden of taxes and social prices that crush them. However, this taxation pays for this annuity. The loop is accomplished.

Read too Social gap: “The situation is serious, the device becomes out of control” Although the response of taxi drivers is known, the financing of well being transport should completely appropriate the present system, each ineffective, inequitable and uncontrollable. Taxis well being transport has led a forty five %since 2019, and not using a comparable enhance in wants.

At that point, for 2 thirds of the journeys, the prior medical prescription was regularized a posteriori, which didn’t enable pointless transport. The proper to well being transport has additionally widened past medical disabilities stopping from transferring. It has develop into computerized for many hospitalizations, and even for speech remedy consultations, with out actually bearing in mind the affected person’s motor capability.

From easy to triple

The price is uneven between the departments. Some taxis are thus much less nicely remunerated than others. The common expenditure per inhabitant varies from 32 euros within the Hauts-de-Seine at 118 euros within the Creuse. The price goes from easy to triple, with a median of 38 euros for a journey by gentle sanitary automobile, 63 euros for a authorised taxi and 115 euros for an ambulance.

Finally, the system isn’t very managed since charges of anomalies, volunteers or not, can attain 11 %. Frauds relate to a small minority of drivers, discrediting their career. Moreover, two of them are at the moment accused of 5 million euros in fictitious journeys. For greater than fifteen years, a number of specialists have advisable, nevertheless, to speed up dematerialization to higher management this service.

The simplification sought by medical health insurance is subsequently frequent sense for 3 causes. It is extra equitable by making use of a therapy of 13 euros after which a kilometric package deal with a attainable enhance. Moreover, this new quantity shall be extra favorable in two thirds of the departments.

Thanks to platforms centralizing transport requests in hospitals, it will likely be simpler by decreasing ready instances, facilitating shared transport and avoiding vacuum departures from taxis. Finally, the generalization of billing software program with geolocation will simplify and safe administrative administration.

The relaxation payable may progress

Common sense should, nevertheless, go to each instructions. Faced with the unfair competitors of sure passenger automobiles with driver (VTC), the taxis turnover ought to be strengthened. It isn’t a query of positioning the VTC as shock absorbers towards the discontent of taxis however of sanctioning the fraudulent pitching practices. This is the which means of recent conferences with the federal government in mid-June.

The present mobilization invitations warning, however two different levers may have been mobilized. On the one hand, with a stays of French sufferers lower than 5 factors in comparison with the common of the international locations of the European Union, the remainder of 4 euros per journey may enhance.

Read too Social VAT, inheritance … Should we actually reform the financing of the safety? On the opposite hand, the resale by professionals of administrative authorizations vital for well being transport, granted freed from cost by public energy, might be higher supervised. The value of sure ambulance approvals can attain 300,000 euros in favor of personal operators, which may make it the primary engine of their financial mannequin. We guess that the reform of this misguided observe is not going to be for tomorrow!

To uncover



The kangaroo of the day

Answer

While the Court of Auditors Alert on the signs of our well being system, affected by a attainable liquidity disaster and a debt “out of control”, this reform is prophylactic. Defend the work of taxi drivers, however assume extra environment friendly and equitable medical transport. From our means to rework our well being mannequin will rely on its sustainability.

*Renan Mégysenior official, was advisable to Bercy and Matignon.