Question 11724 — health establishments

Summary

Mr. Christophe Barthès draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the concerns expressed by private health establishments and liberal practitioners concerning the provisions provided for in the social security financing bill (PLFSS) for 2026. The aging of the population and the resulting increase in health needs require a strengthening of the entire healthcare offering. However, private establishments, which play an essential role in the continuity of hospital services in the territories, report an increasing weakening: rising costs, essential investments in medical innovation, increased recruitment difficulties and a high risk of judicial liquidations. The measures envisaged in the 2026 PLFSS, in particular the unilateral reductions in financing and the questioning of sector 2, particularly worry those in the field. According to them, these decisions could compromise the economic viability of certain vital activities, such as high-precision imaging, minimally invasive surgery, cardiology or obstetrics, which are nevertheless essential to patient care. They believe that these financial reductions would inevitably result in a deterioration of access to care and a worsening of the deficit of public hospitals. They also recall that the question of chronic financing of emergencies, obstetrics, general medicine, critical care and resuscitation remains unresolved. He asks him what measures he intends to take to guarantee the economic sustainability of private establishments contributing to the public service mission; preserve the balance of conventional dialogue with liberal medicine, particularly with regard to sector 2; avoid a reduction in the provision of care in already fragile territories or ensure coherent and sustainable financing of medical activities requiring heavy technological investments.

Machine translation from French. The official text remains authoritative.

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