Being unconventional, “the idea is no longer taboo” among doctors

Being unconventional, “the idea is no longer taboo” among doctors
Being unconventional, “the idea is no longer taboo” among doctors

Being able to set your own consultation rates, cutting ties with Social Security, if deconvention remains a marginal phenomenon, doctors allow themselves to think about it.

This was unthinkable even ten years ago, but today we discuss it freely among practitioners. The idea is no longer taboo” says Dr. Christophe Tafani, president of the council of the Loiret Order of Physicians. In the department, three practitioners have withdrawn from the agreement out of several hundred registered with the Order’s council. The phenomenon, however, still seems to be on the margins. However, faced with a quality of care that they consider degraded, doctors allow themselves to think about it.

Some took the plunge without regrets. This is the case of Dr A. Ricois in Eure-Loir. With a consultation costing 50 euros, not reimbursed, its patient base was halved, going from 1,600 to 800 people. This allows him to devote more time to the clinical examination. “I spend about 30 minutes with each patient. Before being deconventioned, it was slaughter” she emphasizes.

In a context of medical desertification, the choice of deconventionalization runs the risk of medicine being reserved for those who can afford it. This is what a collective of elected officials and practitioners denounces in an article published on Monde.fr last March. However, the threat was brandished by the doctors’ unions during the negotiations initiated with Health Insurance for the revaluation of the price of the consultation.

The new agreement plans to increase the consultation with a general practitioner from 26.50 euros to 30 euros. Based in Cher, Dr Olivier Ferrand estimates that this is a minimum to cope with the inflation of his operating costs: salaries, rent, energy, they have increased by 17% in one year explains the doctor whose time of work exceeds 60 hours per week. So, he admits to thinking about unconventionality. “I’m very close to doing it. If I don’t take action, it’s out of respect for my patients.”.
According to him, more and more general practitioners would be tempted to break the agreement which binds them to Health Insurance, another way of freeing themselves from its “diktat”.

We are constantly monitored. Our sick leave is scrutinized. Recently, the prescription of a corset for one of my patients was refused on the pretext that it was up to a specialist to do it!

“We always have Social Security on our backs, it’s tiring“Olivier Ferrant quickly explains, the queue is getting longer in his office, he has to hang up…

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