Macron injects cash to fix France's healthcare system

Published: September 19, 2018 13:20:54 | Updated: September 21, 2018 14:08:43


French President Emmanuel Macron delivers a speech on the transformation of the French healthcare system at the Elysee Palace in Paris, France, September 18, 2018. Reuters photo

President Emmanuel Macron promised extra money and more doctors in rural areas to ease pressure on France’s hospitals, which are creaking under the weight of budget constraints and closures of clinics outside towns and cities.

Macron’s announcement on Tuesday came days after he unveiled a separate 8 billion euro plan to help some 8.8 million people who live below the poverty threshold.

Macron hopes his social reforms will help counter criticism from left wingers that he is a president of the rich and help turnaround a sharp fall in popularity.

Spending on healthcare will increase by 2.5 per cent in 2019, higher than the initial 2.3 per cent target and amounting to an additional 400 million euros ($470 million) in a near 200 billion euro budget, Macron said.

“Without changes, the hospital system will collapse,” Macron said in a speech at the Elysee Palace. “We need to rethink how we organise healthcare for the next 50 years.”

France’s public healthcare system is considered one of the world’s best, but an ageing population and financial constraints have put it under strain.

Patients increasingly complain of overcrowded emergency rooms and, in rural areas, travel times to the nearest clinic, while nurses frequently bemoan a shortage of beds and staff.

Macron promised the recruitment of 4,000 medical assistants to handle paperwork and free-up doctors in urban areas to treat patients. Some 400 doctors will be deployed to rural zones where coverage is thin. No hospitals would be closed, he said.

Some non-critical emergencies will be diverted to local practices to alleviate pressure on hospital emergency rooms, he added.

Macron said that in time he wanted to overhaul the convoluted financing of hospitals.

Since 2004, hospitals have paid for their costs from the income they receive from the state for treatments. The state regulates how much it will pay public hospitals for each intervention.

Pressure to keep public spending down over the past decade has, however, led some hospitals to carry out unnecessary procedures to generate sufficient revenues to cover their costs, reports Reuters.

“This has gotten crazy. Everything in our system encourages it and we lose sight on quality of care,” Macron said.

Samuel Bottaro, a healthcare specialist with private consultancy firm Mazars, said he was encouraged by the proposals but cautioned a number were short on detail.

Funds for the digital modernisation of France’s healthcare system will also be available from a 4.9 billion euro envelope set aside for “social cohesion” investments during the 2018-2022 period, the government has previously said.

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