Question 5977 — medicine

Summary

Ms. Ersilia Soudais draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the abuses linked to excess fees. While the health system is based on the principle of equal access to care for all, fee overruns, which have been constantly increasing in recent years, are widening inequalities. According to figures relayed by UFC-Que Choisir, these excesses represented 3.5 billion euros in 2022, an increase of 6.4% in one year. Some practitioners charge up to three times the agreed rate, making access to specialized care impossible for part of the population. The most precarious people are the first victims of these practices: they often have to give up care, or go into debt to be able to consult. The UFC-Que Choisir study shows that in certain departments, up to 50% of specialists in sector 2 apply excesses of more than 50 euros per consultation. This situation has numerous consequences for public health. Access to care must not become a luxury reserved for a minority. The remaining out-of-pocket costs for patients are already a source of forgoing care for 38% of the most poor. Faced with this situation, the MP proposes a ban on fee overruns, a measure which would strengthen equity and restore citizens' confidence in the health system. She therefore asks him what measures he intends to take to put an end to these practices in order to ensure true equality of access to care throughout the territory.

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