Question 11435 — overseas

Summary

Mr. Philippe Dunoyer alerts the Minister of Health and Prevention to the worrying situation of the debts of the Wallis and Futuna Health Agency (ADS) towards the Médipôle of Nouméa. It is agreed by an agreement with the State that in the event of medical evacuation from Wallis-et-Futuna to Nouméa, the costs of care will initially be covered by the Médipôle. They are reimbursed retrospectively by the ADS financed by the State. This This situation continued correctly until 2022. However, the end of 2022 was marked by a non-repayment of ADS debts to Médipôle. The ADS clearly did not have the financial means to honor its commitments and accumulated 1.3 million euros in debt to the Médipôle in January 2023. The situation is deteriorating significantly, since this debt rose to 2.6 million euros in July 2023. It doubled in the space of 6 months. The already difficult situation of the Médipôle, faced with significant operating costs and a fragile local economic context, does not allow it to cover - in addition - the expenses normally managed by the ADS. An increase in the latter's budget must be seriously considered so that these expenses no longer generate additional costs for the already fragile New Caledonian health system. He therefore wishes know what action it plans to take to regularize the financial situation and ensure the sustainability of the health system in the Pacific territories.

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