Emmanuel Macron admitted it himself. At the time of promising, Friday, January 6, a real big bang in the organization of the health system, the Head of State admitted having, at the same time, ” the sense of ridicule and the spirit of responsibility”. The ridiculousness because the diagnosis established on the malaise experienced by the hospital environment was already, in large part, posed in 2018, a year after his first election, at the time of announcing the My health 2022 plan. The spirit of responsibility because, he assures us, the same solutions can be proposed today, by going about it differently. “We started to change things. But too slowlyconceded the Head of State from the South Francilien Hospital Center in Corbeil-Essonnes (Essonne), observing the “endless crisis” of the health system. Result, “it cracks”.
Two years after the start of the Covid-19 pandemic and the Ségur de la santé, which was to solve hospital precariousness, Emmanuel Macron wanted to tell the world of health that this titanic project was doing, like ecology and school, part of the presidential prerogatives “because it is the triptych of the future of our children and of a strong nation”. Emmanuel Macron wanted to draw ” a Cape ” and give back ” sense ” to caregivers, giving the “freedom on the ground”. “We have collectively conditioned everyone a lot to a priori authorization, which is bullshit”said the Head of State, reconnecting with his social-liberal fiber. “People need to rediscover the entrepreneurial spirit”, he advanced.
Caution
A speech to the tunes of his previous presidential campaigns, when, in 2017, he denounced the “loss of luck” of patients related to “loss of meaning” caregivers. Or when, in 2022, Emmanuel Macron pleaded for the “decompartmentalization” between the medical professions. But, on Friday, the head of state retained a certain caution. Faced with medical deserts and the burnout of exhausted staff, he did not, he admitted, ” miracle solution “. The situation “will not improve” quickly, he conceded, recalling that the missing doctors will not be trained for ten years.
In detail, the Head of State promises a profound reorganization of the hospital with the end of activity-based pricing scheduled for 2024, a relaxation of the 35-hour period, the establishment at the head of hospitals of a “administrative and medical tandem” and a schedule adapted to the constraints of the field. If the lack of resources remains a topical subject, he admits, the President of the Republic no longer wants to reduce the difficulties of hospitals to budgetary problems. “One of the springs of disenchantment, it is an organization of teams which, by dint of rationality, has lost in predictability, in humanity”he estimated.
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