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The conflict between for months some private doctors to the Health Minister Marisol Touraine could result in a draw. Seized by opposition MPs, the Constitutional Council has indeed invalidated, Thursday, January 21, part of the third-party payment system generalized, the key measure of the health bill that provided by the end of 2017 an exemption in advance of full costs for visits to a GP or specialist
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If this decision changes nothing for the 15 million French fully supported by social security (pregnant women, people with chronic illness …) which should be expected to have to pay anything to their doctor from December 31, 2016, it will however change what was planned for the payment of other types of consultation.
While the law provided for a full fee waiver at November 30, 2017, this exemption will end more than partial. On consultation to 23 euros, patients certainly will not have to pay 15,10 euro supported by health insurance but would still have to advance 6.90 euros corresponding to the share of health complementary. By forcing the government to introduce the intermediate system, the Constitutional Council impairs the readability of the government action: “The French no longer pay the doctor,” promised M me Touraine in an interview with World in June 2014.
An asymmetric treatment
To explain their partial censorship, judges street Montpensier argued that Parliament did “not sufficiently supervised this device and thereby disregarded the scope of its own jurisdiction.” Clearly, to reassure doctors, the health minister was careful to include black and white in the law how it intended to force the health insurance to pay in time forced (seven days maximum) but had said nothing about health complementary. A processing asymmetry that earned Article 83 of the Health Act to be partially censored, “even though doctors have never made the payment period the cardinal point of their critique” ensures a good connoisseur of the file.
“This had us worried to see that the government did not put in the law to the same constraints that compulsory supplementary schemes” explains Claude Leicher, the president of the union MG France, majority among general practitioners. “With further lobbying organizations, he would not impose rules on this market,” , he regrets.
“A victory for the liberal doctors “
After months of dispute the draft health law, union officials not sulking satisfaction Thursday night. “This is a victory for the liberal doctors” , responded John Paul Ortiz, the president of the CSMF, the majority union, recalling that he had regularly “denounced the risks of non -payment “ by complementary. “We would have to spend our time checking that had been paid,” he said. “We would be happy if we had not lost three years to reform which the country needs “, added Jean-Paul Hamon, President of FMF
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Meanwhile, the Ministry of Health on Thursday clung to minimize the significance of this decision, recalling that health would complementary ” the obligation to provide to policyholders under responsible contracts “ more than 90% of contracts. It also welcomed all other important provisions of the text, as the neutral pack of cigarettes, the shooting galleries or the right to be forgotten, have received the approval of Montpensier street.
On the third-party payment, M me Touraine should say whether it intends to stop there or if it wants to return to Parliament to clarify the regulation of complementary organizations. But a few months before the presidential election of 2017, it is not certain that the health minister wants to reignite the conflict with the private health professionals
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