Social security : Agnès Buzyn defends his “soft revolution”

Chamussy / SIPA

Published the 22.10.2017 at 14h06

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Keywords :

security socialeAgnès BuzynAssurance maladiePLFSSambulatoireEmmanuel Macron

Agnès Buzyn is not derived from the seraglio policy, but she learns quickly. While the draft law of financing social Security (PLFSS) for the year 2018 is to be presented Tuesday at the national Assembly, the minister of Health has lent itself to the playing of the interview teaching in the columns of the Sunday Newspaper. A way of preparing for his transition to the light, and to anticipate the inevitable criticism.

“The voting of the first budget of the social Security of the quinquennium allows us to launch a revolution in kindness “, defends the lessee of the avenue Duquesne, who intends to implement a lot of reform ” structural “.

“30% of the expenses are not relevant”

“There is a margin of manoeuvre huge, without affecting the equality of chances : 30 % of the expenditure of the sickness insurance are not relevant,” says Agnès Buzyn. The public hospital is in the front line on the savings. In the continuity of the quinquennium previous to the outpatient setting is expected to continue its rise. “In surgery, for example, the goal is that in 2022, seven out of ten patients who come to the hospital in the morning so in the evening, compared with five today,” she says.

Another item of economy in the hospital : the pooling of purchases, which is projected to save one billion euros “. The minister of Health also confirms that the funding of hospitals will be revised to incorporate the concept of ” appropriateness of care “, while the current funding, based almost exclusively on the activity, ” shoot the useless “

Glasses and dentures soon 100 % ?

Asked about the 100 per cent reimbursement for glasses and hearing aids, one of the major campaign promises of Emmanuel Macron, the minister undertakes on an ambitious schedule. “My purpose is to reach within a year “, she said, while warning that ” the entire chain of actors must contribute.” The negotiations with the additional promise to be harsh.

Regarding the financing of health insurance, Agnès Buzyn defends the increase of the CSG decided by the government. “It is necessary to broaden the base of those who carry the weight of national solidarity to relieve active,” she says. The fight against fraud should also be strengthened, informs the minister, who laments that health insurance should compensate for ” failures of the management of the work “.

With a national Objective of health insurance expenditure (Ondam) set at 2.3 %, in agreement with the ads campaign of Emmanuel Macron, it is more than 4 billion euros which will need to be saved by the only branch disease on the year 2018. A revolution in the sweetness all relative.