Question 14921 — health professions

Summary

Mr. Aurélien Dutremble draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the critical situation facing private ambulance companies, particularly in the department of Saône-et-Loire. On April 8, 2026, in Chalon-sur-Saône, a mobilization of ambulances took place in front of the hospital center, followed by a snail operation in the direction of Mâcon. This local movement is part in a large-scale national mobilization, revealing a profound crisis in medical transport. Professionals are warning of an economic model that has become unsustainable: continued increases in costs, inappropriate pricing and interventions carried out at a loss. According to data relayed by several media, business failures in the sector have tripled in 2025, illustrating an unprecedented weakening of the profession. In Saône-et-Loire, this situation is aggravated by persistent blockages in the allocation of authorizations for medical vehicles by the regional health agency, hampering the development of local businesses and job creation. Paramedics also denounce a worrying development in the organization of personal assistance, particularly within the framework of Beauvau civil security, which would tend to marginalize their role in benefit of the departmental fire and rescue services. Beyond the economic survival of companies, it is now the very continuity of care that is at stake. Professionals are warning of a real risk of disorganization of access to care, particularly in rural areas. Faced with such a situation, he asks what emergency measures the Government intends to implement to avoid the collapse of the profession, particularly in Saône-et-Loire; whether it intends to guarantee a full place for private ambulance drivers in the chain of personal assistance and what concrete reforms will be undertaken to remove administrative blockages and ensure the sustainability of this essential link in the health system.

Machine translation from French. The official text remains authoritative.

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