Question 10213 — maternity health insurance

Summary

Mr. Yannick Monnet questions the Minister of Labor, Health, Solidarity, Families, Autonomy and Disabled People on the draft decree aimed at putting an end to 100% reimbursement of thermal cures for patients suffering from long-term illnesses (ALD). Today, ALD patients benefit from full coverage of the thermal treatment prescribed by their doctor, as part of their follow-up therapeutic. The draft decree in question plans to reduce this reimbursement to 65%, thus aligning their situation with that of all other insured persons undergoing medical treatment. This decision would be particularly harmful on a medical level: thermal cures are not a luxury, but a recognized, complementary and preventive medical treatment, prescribed by a health professional, supervised by rigorous therapeutic protocols and carried out in approved establishments. With a marginal cost for health insurance (250 million euros per year or 0.1% of national health expenditure), their effectiveness is widely recognized and scientifically proven, to delay the progression of diseases, avoid more expensive treatments and limit hospitalizations. Attacking such an essential prevention tool would therefore lead, paradoxically, to an increase in health insurance expenses. On a human level, for example, 17% of the 3,600 spa guests welcomed annually at Bourbon l'Archambault, in Allier, are on ALD. This draft decree would cause them an unbearable burden, risking depriving them of their treatment. On an economic and territorial level, the thermal sector represents 7,000 direct jobs and nearly 100,000 induced jobs, mainly in areas rural. 70% of stations are located in municipalities with less than 5,000 inhabitants. The drop in attendance that would result from such a delisting would constitute a real blow to local dynamism and the future of small spa towns. Also, he asks him if the Government intends to abandon this particularly counterproductive measure in terms of public health, social justice and regional planning.

Machine translation from French. The official text remains authoritative.

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