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France’s Health System in Crisis

Is consistently turned down the money supply for the Sécurité Social in France more and more. This not only patients, but more and more French doctors into trouble.

Those were the days: Doctors at a protest in March 2003 in Paris. In 2012, they have hopes for higher fees written off.

Since founded in 1946, 1976, the French Sécurité Sociale has almost compulsory social security every year been in the red.

Now the insurance company must reduce not only their legacy, but also help to pay off the debt general of France – a double burden, meet the doctors and patients.

2010 France has issued a total of 234 billion euros of Health, nearly 76 percent were (176.5 billion or 9.1 percent of gross national product) by the Sécurité Sociale taken.

In the first half of the 2000s, the expenditures were capped, since 2008, writes the Sécurité Sociale again deep red. End 2009 pointed to the social security deficit of 23.9 billion euros, including 11.4 billion euros for health insurance and 10.8 billion euros for the pension, the second of the four pillars of insurance.

Savings of twelve billion euros by the end of 2012

The Joint Social Security is financed for the most part from employee and employer contributions, and therefore depends on the labor market. Is unemployment in 2010 as again, it automatically decrease the revenue.

A year ago, the government deficit and the legacy of previous planning for and eliminate by 2015. In August 2011 Prime Minister Francois Fillon but had an emergency plan to introduce, as France was asked under pressure from the EU Commission to reduce its debt faster than planned.

By the end of 2012, France in addition to the savings already planned savings further twelve billion euros, of which almost six billion will come from health insurance. This is to halve the deficit of health insurance.

A few weeks later, saw France but required to save because of poor growth forecasts an additional 500 million euros.

In France, since 1995, health spending increased at an annual rate, the so-called “Objectif National d’Assurance Maladie of Dépenses” (ONDAM) set by Parliament. Last summer, the Parliament and the government agreed to an increase rate for outpatient and inpatient services of 2.8 percent for 2012.

Because of the pressure to increase savings rate was then reduced to 2.5 per cent – a policy which will remain in force until 2016 at least.

Doctors are frustrated

The frustration is high – even among doctors. “If I were to describe the current condition of my colleagues is to me only this description: We are powerless and disillusioned,” says the established pulmonary physician, Dr. Charles Pascal, who represents many years as president of the Alsatian medical association established his colleagues.

“In the spring of 2011 we signed a new contract with health insurance, the fee increases from the end of 2012 provides under certain conditions. Meanwhile, no one believes in these increases,” he says. Physicians should – like all other citizens – paying the price for the financial crisis, Charles regrets,

The negotiations with the insurance companies were under the worst possible one star. “There is definitely no more money to improve the financial situation of the doctors. Citizens would understand neither support nor a medical rebellion.” The only way for doctors to earn more money was provided by the demographic development.

As more and more physicians were retired, the growing labor for the remaining colleagues, Charles expected. “In five to seven years, there is a lack of physicians,” said Charles, “and if not then to France to improve working conditions of our younger colleagues, it is all very close,” he warns.

Physicians were more than twice as entrepreneurs in a bind. If the government lowers the fee as is currently about for technical services, they pay for a one in sales.

At the same time take the fixed costs, in parallel, the government turns on the control screw. What is left? “Doctors can do nothing else than to continue to work in the interest of their patients,” says Charles.

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