In a column published today in Liberation, nearly 250 doctors denounce the excesses of certain specialists. They demand the end of private practice in public hospitals.
“60 million consumers” had already pointed out these abuses of the health system: at the end of February, the magazine published a survey on the subject. We discovered that some specialists, although installed in public hospitals, charged their services ten times more than the rate reimbursed by Social Security. The Minister of Health, Xavier Bertrand, then announced a decree to force mutuals to better reimburse these excess fees.
This morning, the call from hospital doctors goes further: for them, it is the very presence of these private specialists in hospitals that poses a problem. They ask the government “to examine with professionals the conditions for ending private practice within the public hospital, as was originally provided for by the Debré law of 1958” .
Several measures to ensure a balance between city and hospital
Doctors are also asking for a series of measures to limit the income gap between the public and private sectors. For example, a legal limitation of fee overruns in the city, the revaluation of rates reimbursed by social security, and the creation of public liability insurance. They also want to include the various allowances in the calculation of the pensions of hospital doctors.
To avoid abuse, the doctors also propose that the fees be paid, not to the doctors, but directly to the cashier of the hospital where they practice. The latter could then redistribute them… after having collected a fee.
According to the appeal launched today, the current law (Debré) is not applied. It provides that private activity must not exceed 20% of the activity of doctors, and must not be to the detriment of the missions of the public hospital.