Question 16625 — dependency

Summary

Mr. Gaëtan Dussausaye draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the results of the solidarity day established following the 2003 heatwave. Created in 2004 after the summer 2003 heatwave, which caused nearly 15,000 deaths, mainly among the elderly, the solidarity day aimed to sustainably finance policies in favor of the autonomy of elderly people and people with disabilities so that such a tragedy cannot happen again. This system is based on an additional day of work for employees and a solidarity contribution for autonomy paid by employers. Since its creation, the solidarity day has made it possible to collect more than 36 billion euros, including 3.36 billion euros for the year 2026 alone. These revenues are allocated to the National Solidarity Fund for Autonomy (CNSA), whose annual budget reaches nearly 45 billion euros, and are distributed between the financing of policies in favor of people with disabilities (40%) and the elderly (60%), in particular through nursing homes, the personalized autonomy allowance (APA) and medico-social establishments and services. However, more than twenty years after its creation, recent heatwave episodes once again highlight the fragilities of the dependency care system. Many establishments remain insufficiently adapted to extreme heat, hospital and medico-social services are experiencing persistent tensions and the needs linked to the aging of the population continue to grow. Projections show an increase in the number of people in loss of autonomy, which could increase from around 1.4 million today to 3.4 million in 2050, posing considerable challenges to the solidarity system. The MP questions the efficiency of this system. He asks him to draw up a precise assessment of the use of revenue from the solidarity day since 2004, to detail the amount of investments made thanks to this financing, in particular those dedicated to the modernization and adaptation of nursing homes in the face of extreme climatic episodes, the development of home support, support for caregivers, as well as actions to prevent loss of autonomy, and finally, he asks how the Government explains that, despite more than 36 billion euros collected in twenty-two years, the structural difficulties of caring for dependency persist and what measures it intends taken to strengthen transparency on the allocation of these resources and guarantee that they fully meet the objectives which justified the creation of the solidarity day.

Machine translation from French. The official text remains authoritative.

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