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AFP
The demonstration of hospital caregivers on Thursday November 14, 2019 would be the fruits of the social movement born final March which meets a really official help among the many French and the French. It’s fairly pure to help the motion of a dozen organizations of workers of every kind and professions, college students, interns and uncommon, deans of schools who be part of them.
This motion is all of the extra exceptional because the hospital caregivers proceed to work regardless of this protest. They’re on a regular basis heroes who deserve our full help as a result of they defend the health of every one.
The disaster within the public hospital is the unhappy results of 4 abuses that successive governments have allowed to worsen.
First drift, the organized deterioration of metropolis drugs and the disappearance of native care ship all deserted sufferers to the general public hospital normally and emergencies particularly. Nevertheless, no long-term well being system can stand up to such medical desertification.
Second drift, migration and medical tourism are utterly uncontrolled. In latest experiences, MP Valérie Boyer and Senator Nathalie Goulet have struggled towards the opacity of the administration to show the dramatic monetary penalties of uncontrolled immigration. For Valérie Boyer, the annual invoice of all immigration is at the least 25 billion euros, a lot of which is said to care protection. For Nathalie Goulet, social safety fraud is certainly 15 billion euros, nearly all of which, once more, is linked to uncontrolled immigration channels. How might our social safety and our hospital providers sustainably maintain such phenomena?
Third drift, rising insecurity and Islamist claims towards secularism which have grow to be an actual most cancers for the general public service. It’s unacceptable that such bodily and psychological violence can happen inside the sanctuaries that hospitals needs to be! We perceive why our caregivers can’t take it anymore!
Fourth, hospitals have by no means had the monetary and human sources in relation to their actual tasks. The tragic disorganization of care following the transition to the 35H has by no means been compensated, creating workers shortages and insufferable structural stress which have aggravated the state of affairs. Can we all the time ask extra workers by all the time giving them much less? Clearly no.
Past monetary points, caregivers mobilize to defend a sure thought of their job and put an finish to the nice struggling they endure at work.
The younger docs are exhausted and flee the general public hospital that has but skilled them: anesthetists, acknowledged specialists of all advanced specialties, they labored onerous for years after which exit to observe on the town, if not overseas, as a result of the hole wages are consistently rising: it’s typically from 1 to 10!
Outcome? The general public hospital is discovering it more and more troublesome to recruit: 25% of hospital practitioner positions are vacant immediately; this scarcity symbolizes the impoverishment of the hospital software. A radiologist will achieve twice extra within the clinic, with out care and with half the constraints.
The medical interim prices a fortune and gnaws the general public service from the within. Some hospital practitioners with a steady place favor to resign to grow to be short-term at 1500 euros per day.
The malaise of nursing is even worse. Very properly skilled, seasoned by years of expertise, they’ll now not bear to see their working situations deteriorate, their wages stagnate and their numerous unpaid extra time hours. French nurses have borne the brunt of the austerity coverage. They’re paid lower than in different international locations, rating 15th on a panel of 33 international locations. In 2006, a nurse acquired an quantity equal to the typical wage, ten years later, it solely impacts 90%. Easy methods to tolerate such a scarcity of respect and recognition?
The closures of beds brought on by the flight of carers have already got concrete penalties within the lives of sufferers: sufferers are refused, surgical procedures deprogrammed and the standard of care in France will inevitably deteriorate attributable to lack of robust public motion.
In actuality, the dearth of response of successive governments to such abuses that put our hospital system on the point of collapse demonstrates the denial of everlasting actuality of those that are supposed to steer France: there isn’t any pilot on the aircraft!
Thus, for absurd accounting guidelines and an entire lack of sense of political accountability, we’ve got lowered the helpful bills as a substitute of tackling the actual abuses that we’ve got simply said. It’s simpler to take away beds, to refuse to recruit workers than to shut the floodgates!
So, the answer to avoid wasting the general public hospital isn’t miraculous. Our nation should tackle the truth that in an ageing nation, with applied sciences which might be increasingly more environment friendly, however costlier, the well being funds is rising. The mandatory sources don’t impose nevertheless to extend the taxes of the French as there may be plenty of waste!
We should additionally redeploy sources all through France to fight rural desertification. We’ll open native well being facilities, maternity hospitals and hospitals in uncared for rural and peripheral areas by the most important regional planning coverage.
There are actual financial savings to be made. It’s to start with about stopping the waste that I’ve already denounced. We will recuperate at the least 10 billion euros by preventing towards medical tourism, unlawful immigration, card fraud. We should additionally deal with the scandalous rents of the pharmaceutical business, which imposes its legislation and costs in far too many areas. The event of prevention and enchancment of the hygiene of lifetime of all would keep away from many pathologies and typically heavy therapies that accompany them.
After all financial savings are additionally potential by listening to workers who know methods to arrange higher. Thus, I remorse that the federal government refuses that the state takes over the debt of the hospitals. The purpose is to revive oxygen to hospitals.
This measure of frequent sense is a superb thought, nevertheless, which might enable each financial savings and redeployment of budgets. Certainly, since authorities rates of interest for borrowing on the markets are unfavorable, this debt can be less expensive than the credit score traces held by hospitals. Relieved of those heavy burdens, hospitals might reinvest in helpful bills: opening of beds, recruitment, remuneration, new applied sciences, enchancment of security.
Clearly, it isn’t as much as hospitals to imagine the debt related to their building. Think about colleges get into debt for his or her buildings to the detriment of lecturers? Clearly no, that’s the reason it’s the native authorities and the state that guarantee the development of faculties, faculties, excessive colleges and universities. The identical regime should be utilized to hospitals!
Collectively, these financial savings will improve the Nationwide Goal for Well being Insurance coverage Expenditures (ONDAM), ie the social safety funds. The latter solely will increase by 2.three% per 12 months normally, and solely 2.1% for the hospital. DLF estimates that the actual wants impose to spend this ONDAM at three% improve per 12 months.
Lastly, the co-development plan for Africa that I’ve been proposing for years clearly entails serving to these international locations to accumulate an operational well being system. If African nations don’t present the required care for his or her folks, it is going to be not possible to cease mass immigration to Europe and France in the long run.
The French well being system and our hospitals are actual nationwide treasures and our caregivers are on a regular basis heroes. It’s important to help their calls for and to supply commonsense options to defend our future and that of our youngsters.
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