Question 8414 — health professions

Summary

Mr. Damien Maudet calls on the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, about the freezing of the revaluation of the actions of masseurs-physiotherapists. An “unjust, unacceptable and deeply disrespectful” measure, unanimously denounce the SNMKR, FFMKR and Alizé unions. For good reason, during the last negotiations with health insurance, most of these unions have accepted, in responsibility, a major step forward for better access to care for citizens: namely the extension of non-priority areas and thus only allowing the installation of a practitioner when another leaves. In other words, installation regulation. Still with this objective of combating medical deserts, future graduates of 2028 will also have to complete two years in an under-dense area or at the hospital before settling in. In return, these caregivers were to experience a gradual increase in their remuneration. However, the ministry is turning around, going against this agreement and is now announcing a postponement of this commitment. A feeling of betrayal for an entire profession. “In around ten years, we have lost 20% of our purchasing power, our costs have increased considerably and on average, the procedure remains at 17 euros. That enough... We are told that the revaluation is only postponed to January 1, 2026, but we have no guarantee. We no longer have confidence,” laments Cyrille Hivert, physiotherapist and departmental delegate of the National Union of Rehabilitative Masseurs-Physiotherapists (SNMKR) in Haute-Vienne. The State is not there. If physiotherapists are now deprived of this revaluation, it is nevertheless because of a problem which only remotely concerns them and which the Government itself created, provoked, with a national health insurance expenditure objective that is largely insufficient. Rejected in committee, in the hemicycle, passed through the forceps of 49.3, the Government alone, against the national representation, deaf to the warnings of the union representatives, enacted an ONDAM that was undervalued in the face of the growing needs of the population. Result of this policy, unsurprisingly, the alert committee on the evolution of health insurance expenditure has therefore recently pointed out a “serious risk” of slippage with an excess of more than 1.3 billion euros to be expected for the ONDAM in 2025. Through this calamitous management of accounts, the Government is now required to find 3.9 billion in savings for 2026. Savings that it now wants to place on the back of the remuneration of caregivers, in particular physiotherapists. “ The commitments have been made and the money is being taken back from us to put it elsewhere. This freezing of the increase is justified by the deficit linked to the hospital and sick leave compensation,” continues Cyrille Hivert. “We have the impression of being reprimanded and paying for others,” he emphasizes. And for good reason, why are they now forced to pay today for yesterday's budgetary arbitration errors? The word data must be respected, so he asks if the Government intends to revalue the actions of masseurs-physiotherapists, unless health professionals and their patients are reduced to a variable for adjusting budgetary measures.

Machine translation from French. The official text remains authoritative.

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