Philippe Juvin, LR deputy and head of emergencies at the Georges Pompidou hospital was the guest of “8h30 franceinfo”, Friday November 1, 2024. 2025 budget, public hospital crisis, waiting day… He answered questions by Benjamin Fontaine and Jean-Jérôme Bertolus.
Faced with a budgetary situation “extremely serious” and faced with the lack of parliamentary consensus, Philippe Juvin calls on the government to use article 49.3 of the Constitution to adopt the budget for 2025. “The government should signal the end of recess very quickly”he believes. “Using 49.3, at least, would be a virtue of clarification and above all of authority”he declared, emphasizing the need to put an end to sterile debates.
According to Philippe Juvin, the absence of a majority and the improbable alliances, notably between the National Rally and France Insoumiseled to a multiplication of tax measures “unsustainable”particularly during the examination of the revenue part of the finance bill. He evokes “a billion additional taxes every five minutes”. This scenario is reproduced, according to him, during the examination in committee of the expenditure part. He deplores the state of parliamentary debates, which are “at the worst of invectives and most of the time proposals that have neither tail nor head”. The deputy for Hauts-de-Seine believes that “Parliament is not capable of presenting a clean copy with revenue and expenditure and a balance. We gave Parliament a chance, and it didn't take it.”he decides.
He believes that the deputies of the Republican Right are “the winners” of the sequence, “because we have put on the table a counter-budget which stands, with the priority of reducing spending”he says.
“We do not train enough doctors or nurses in France”
The decline in the number of hospital beds continued in 2023. Nearly 4,900 full hospitalization beds were eliminated, or 40,000 beds which have disappeared in ten years. Figures that the head of emergency at Georges Pompidou hospital is keen to moderate because “at the same time there is an opening of short, one-day hospitalization beds”21,000 day places over the last decade and 3,500 over the year. We assist 'today there is a change in the hospital system'.
Philippe Juvin underlines “that part of the problems in emergency rooms in France comes from the fact that emergency doctors have difficulty hospitalizing their patients because they cannot find beds”. The second difficulty lies in the fact that an administratively open bed is “sometimes closed due to lack of staff.” A lack that he explains by “lack of candidates” and not by a lack of positions, which are already funded. “We do not train enough doctors or nurses in France. We need to train many more”estimates Philippe Juvin.
To make up the deficit, the government has announced that it wants to introduce three waiting days for sick leave for civil servants. Currently, only the first day of absence is not compensated, while in the private sector, three days of absence are often applied. For Philippe Juvin, it's normal, “I am very in favor of it. There is no reason for there to be a different rule in the private and public sectors”.
He adds that he is “even favorable so that there will be a day, for the public and for the private sector, which can never be compensated and it will be effective”. He supports his proposal by emphasizing that “when the waiting day was introduced in the civil service, we observed, among teachers, less than 23% of absenteeism over three days and less than 44% from the first day.”
>> Strike in hospitals: “There are enough resources for health, but the money does not go enough to care”, according to Philippe Juvin
