Question 2895 — health professions

Summary

Mr. Olivier Dussopt draws the attention of the Minister of Solidarity and Health to the arbitration regulation governing the prices of private dentists, published in the Official Journal of March 29, 2017. This arbitration regulation provides for a four-year cap on prosthetic prices, counterbalanced by a meager increase in conservative care. Even more, a safeguard clause limits oral and dental expenses to 6.8 billion euros in 2018, while they had exceeded 7 billion euros in 2015. In fact, this decision has plunged the profession into suspense since the prices and ceilings imposed weaken the economic balance of private dental practices, and, consequently, the network in the territories, even though the Government has made the fight against medical deserts a priority. Even more, practitioners wishing to offer treatments in accordance with current scientific data will have to exercise outside the conventional framework, which does not allow their management. As a result, quality care will be reserved for wealthy people who can bear the cost alone. The most modest will have to be content with the most basic techniques, or turn to care structures backed by the 1901 law, the abuses of which were illustrated by the Dentexia health scandal. possible. In a desire for dialogue, the Government suspended the application of the pricing of the arbitration settlement and convened new conventional negotiations. This must be an opportunity to renovate a model which has not been reformed for thirty years and which corresponds to outdated dentistry. Indeed, the challenge is to adapt the regulatory framework to innovative practices favoring the preservation of the tooth rather than its mutilation, for the greater benefit of patients. It is now crucial to emphasize prevention; the solutions exist and professionals are eager to implement them. In this sense, it is appropriate to go beyond the framework of the current conventional negotiations and to adopt a new ambitious roadmap, integrating a real overhaul of French dentistry. This is why he asks him to please clarify his intentions in this matter.

Machine translation from French. The official text remains authoritative.

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