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general practitioners and specialists claim a revaluation of consultations at 50 euros and denounce their degraded working conditions. © supplied by Franceinfo
"This strike is the last cry of alarm of liberal doctors" explained Monday December 26 on Franceinfo Noëlle Cariclet, psychiatrist in Île-de-France and spokesperson for doctors for tomorrow who calls the General practitioners and specialists to close their firm for a week from Monday . They demand a revaluation of consultations at 50 euros and denounce their degraded working conditions, according to them. Liberal doctors have been "silent strike" since December 2, but negotiations with the National Health Insurance Fund have stalled.
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Franceinfo : Why are you on strike when we are in a period of epidemics and hospitals are already saturated ?
Noëlle Cariclet : This strike is the last cry of alarm of liberal doctors, all specialties combined, faced with the collapse of the health system as a whole. The hospital has been going very badly for years. He suffered the attacks: budget cuts and bed closings. Medical and paramedical caregivers, nurses and nursing assistants, are underpaid. We have a hemorrhage of the nursing staff of the hospital. In the same way, on the other hand, you have liberal medicine which covers 90 % of health acts in France, which must support and take care of these patients who are in need and who do not have today The means to do this because there are fewer and fewer doctors on the territory. And above all, this medicine is no longer attractive.
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General practitioners require an increase in consultation prices. Do you too as a psychiatrist?
of course. All specialties! On the territory, general practitioners are in great difficulty because general practitioners settle less and less. But you also have a whole category of specialties that are rare. Some are disappearing in the territory. Psychiatrists, child psychiatrists, pediatricians, endocrinologists, etc. These are specialties that are also under valued because they are working at the consultation which has not seen its pricing increase for more than 20 years. Patients have understood that doctors are fighting for the revaluation of approved rates. This means prices which will be reimbursed to them by social security and by additional health insurance. A doctor today who would like to earn more to be able to invest in staff or in premises has the opportunity to do so if he wants to thaw. However, this perspective is a drama. Delivering is that patients would no longer be reimbursed for their care and that only people with financial means could pay for care.
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The only solution is the strike?
For years and years, unions have been fighting to make these demands heard. We had a warning on December 2 to show that the doctors were really mobilized and ready to close their cabinet in the face of the gravity of the situation. We were not heard. We have always been on strike since December 2, on a silent strike, with armbands and with posters. It led to nothing and unfortunately the doctors are forced, and it is heartbreaking, today to close their cabinet to be heard even though they should be heard.
Where are the negotiations with the National Health Insurance Fund?
We were received in videoconferencing. Some members of the collective were able to participate. It was a cordial exchange. The proposals have been exposed and since then it is the status quo. We have no news. We were also invited by certain unions to be able to express ourselves during these conventional negotiations with Mr. Fatôme Director General of the CNAM. Unfortunately, everything is blocked despite the pressure we are trying to put on these claims. We do not have the impression of being heard at all and it is a great concern for all the doctors currently.
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