FIGAROVOX/TRIBUNE – The Doctors for Tomorrow, Health in Danger and Angry Liberal Nurses collectives are concerned about the appointment of Frédéric Valletoux as Minister for Health, because of his positions which they consider hostile to liberal medicine.
The “Doctors for Tomorrow”, “Health in Danger” and “IDEL Angry” collectives
It’s enough! After destroying the hospital, the dying right leg of the health system, the state is determined to destroy the left leg: community medicine.
Inexorably, our healthcare system, once touted as the best in the world (with all due respect to the Minister of Labor, Health and Solidarity), is going down the drain, without the power in place for 7 years do not sincerely worry about it and make it a priority. Thus, through from his newspaper interview The Parisian this February 10, health does not seem to be among Prime Minister Gabriel Attal’s priorities.
Moreover, his actions and his declarations once again denote a contemptuous power tempted by threats, intimidation and force. Thus, the appointment of Frédéric Valletoux as Minister Delegate for Health is not innocent. Indeed, the Prime Minister has chosen to favor a defender of the public hospital, a position that cannot be blamed except that it is to the obvious detriment of liberal medicine. She is thus repeatedly burdened with all the evils by the new minister who, from 2016 (14/10/2016, interview in The echoes), set the tone: “The hospital suffers from the deficits of community medicine (…): we must be firmer with general practitioners, on questions of installation for example”.
Since then, over the years, an unchanging rhetoric of suspicion and indictment of liberal general medicine has unfolded. In February 2022, he blames this one again: she “carries less and less the burden of the general interest; gradually, we lifted the constraints to
the liberals (by removing the guards) even though they are doctors financed by public money”.
Last year, article 4 of its PPL (proposed law) “aims to make compulsory participation in ongoing care effective for all”. At a time when a third of the profession is over 60 years old, the irresponsibility of imposing on-call hours without compensatory rest does not seem to occur to them.
What does it matter! Ignoring the consequences of additional requirements asked of professionals notoriously working 55 hours per week on average, in an error of analysis testifying to a lack of knowledge of liberal medicine, Mr. Valletoux considers that
“the attractiveness of the profession does not require fewer constraints and fewer requirements”.
And, notwithstanding a moribund, bloodless public hospital, beyond general medicine, all city care in its entirety is discredited.
Probably for the sake of consistency, the Prime Minister is today taking up his minister’s obsessive fad: the generalization of the SAS (Access to Care Service) throughout France and the return of the custody obligation. Gabriel Attal’s program in terms of health, apart from the fact that this can wait until the summer, therefore seems to be summed up in these two ideas alone for “stop the bleeding and regain medical time”. As worrying as this seems to us, it confirms that the health of its fellow citizens is absolutely not a priority of the executive power on the one hand, and testifies, on the other hand, to a lack of awareness that is at least casual: thus, THE
SAS praised by its detractors has never been the subject of the slightest audit, of the slightest evaluation, which would probably show, as reported by general practitioners (GPs) in the field, the patent inefficiency on a large scale of this system, as well as that the related financial mismanagement; the threat of the return of the obligation of guards shows that the Prime Minister is probably unaware that 95% of the territory is currently covered by permanent care.
And, notwithstanding a moribund, bloodless public hospital, beyond general medicine, it is all city care in its entirety which is discredited: nurses (IDE), first and often last resorts for patients, relay and daily support for MG who are also overwhelmed,
the only links in care in many medical deserts, are completely invisible, ignored by public authorities, deaf to their more than legitimate demands for price increases; worse, the transfer of skills (purely semantic expression, palliative of the lack of caregivers
all levels) promised here and there to FDI, is currently being done to their detriment, financially threatening many essential professionals.
It is also a safe bet that the arrival of Mr. Valletoux in government will bring this transfer of skills back to the forefront, a smokescreen in the eyes of citizens, promising them better access to care. Regardless of the reassignment of roles, there is a shortage of caregivers! The quality of the health system is revealed by the quality of training of its caregivers, and not by the distribution to whomever they want of tasks not devoid of responsibilities.
Are our leaders implementing a two-speed system, without having the courage to take it on?
We do not forget, as mentioned in the preamble, our sisters, brothers and other colleagues caring for a public hospital in palliative care; they are not unaware of our difficulties and our suffering, and they know that they are also theirs. Thus, without a doubt they observe with great
pay attention to the fate reserved for their companions in misfortune in the city? Like us, they are waiting for the introduction of backup, shock therapies to save the city-hospital building, the cornerstone of our health system.
So, what is the meaning of these political choices? What is the objective of our leaders? Are general practitioners and liberal IDEs, exhausted, mentally crushed by institutional contempt, bordering more and more frequently on moral harassment, destined to disappear from the landscape? Are they expected to disappear in favor of employees exploited by large financial groups? Will they be supplanted by teleconsultations driven by artificial intelligence, assumed to be more efficient and more economical by the big financiers of our healthcare system? Are our leaders implementing a two-speed system, without having the courage to take it on?