Question 14620 — health professions

Summary

Mr. Alexis Corbière questions the Minister of Solidarity and Health on the consequences of recent government decisions which affect the profession of ambulance driver and the care of patients. Article 80 of the 2019 social security financing bill intends to fundamentally modify the operation of medical transport in France. Until now, each patient was free to choose their ambulance company. choice, the cost of travel being covered by social security. From now on, it is the health establishments which will select the companies responsible for transporting all of their patients, through calls for tenders. This reform will force ambulance companies to reduce their prices as much as possible in order to win contracts. Large groups will therefore have an advantage, ultimately threatening the activity of small businesses that have only a few vehicles in their fleet. In addition, patient treatment time must be reduced to what is strictly necessary in order to increase the profitability of each ambulance. The working conditions of ambulance drivers will be degraded, as will the transport conditions of patients. While this is a particular activity requiring action with great caution and delicacy, the increase in rates will no longer allow professionals to provide all the attention necessary for the proper care of vulnerable people. In addition, non-therapeutic travel such as leave and rehabilitation care will no longer be covered. Therefore, we can question the relevance of this reform which is not accompanied by any social or health progress. Worse, she does not deal with the fundamental problem which overwhelms this profession, namely the cost of circulation authorizations (between 100,000 and 300,000 euros) as well as the non-revaluation of reimbursement ceilings by social security. Consequently, he asks her if she plans to rebalance the planned reform in the direction of increased protection of patients and the ambulance profession.

Machine translation from French. The official text remains authoritative.

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