Question 4285 — health professions

Summary

Ms. Nathalie Colin-Oesterlé draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the consequences of the explosion in the number of odontology graduates from another country of the European Union. The increase in the numerus clausus in France, which took effect from the mid-2010s, has not reversed this trend. Indeed, even then Although dental training is free in France, it has suffered in recent years from aggressive competition from very lucrative and expensive private Spanish and Portuguese training organizations. It is therefore not the cost of studies which explains this hemorrhage of French students to Spain or Portugal but probably a level of selection which makes success more accessible in these countries than in France. If the curve in the number of French students trained in another country of the European Union should continue to progress with equal dynamism, to the detriment of French training, it is the future of our entire dental sector of excellence which could be in danger. Furthermore, this has concrete consequences on health insurance expenditure: if health insurance can make expenditure projections based on of the number of graduates from the French sector, since the numerus clausus is known in advance, it is physically impossible to anticipate the number of dental surgeons entering France due to the mechanism of automatic recognition of their diploma. Now being more numerous than dental surgeons from the French sector, they contribute to a very significant increase in the overall cost of care. dental expenses giving a misleading impression of out-of-control expenses. This leads to spending control measures to the detriment of patients and professionals, while “per capita” spending is in truth stable. Also, she asks what measures are planned to significantly and sustainably influence this trend, and its consequences.

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