Medical deserts timid proposals Sarkozy and Hollande

"I think the medical deserts, with the decline in public services, partly explain the increase in the FN vote in rural areas. We have people who work, contribute, and have the feeling of not getting their money. " The warning Claude Leicher, the union president MGFrance general, is it to be taken seriously? The fact that he is not alone in advocating this sense might suggest, although this correlation is taken with caution.

"I think we can establish a correlation between the FN vote and the feeling of abandonment by public and quasi-public services, particularly in the field of health care provision, also says Emmanuel Vigneron, professor of health management at the University of Montpellier. But health is one of the republican pact cements. The difficult access to health and the little things done in these areas to maintain access to care leads people to lose faith in the Republic. "

Medical deserts young doctors not present in rural areas.

"Health inequalities are widening, also said Olivier Bernard, president of Doctors of the World. In some rural areas, we are confronted with people increasingly desocialised struggling to access health devices. " The organization, which dealt primarily precarious urban population is now considering to expand its activities in the country.

The results of the first round of the presidential election, Sunday, April 22, show and departments such as the Alpes-Maritimes and Corsica, where some towns are more than 60 minutes of an emergency medical service are also most affected by the FN vote (24% on average).

NOT DIVIDE

The finding, however, must be qualified: in the Alpes-de-Haute-Provence department where access to care is a problem, the FN candidate has certainly made a score of 20.71%, but Jean-Luc Mélenchon, the Left Front, gathered 15.15% of the vote, four points higher than the national level. In addition, the suburbs, very concerned by the lack of doctors, have not voted FN, quite the contrary.

If the link between medical deserts and FN vote remains uncertain, one thing is certain, however: the issue of access to care concerns the French, he did little debate in the campaign. Probably because the proposals of the two candidates in the second round are very close. Alerted by their local elected Francois Hollande and Nicolas Sarkozy are many promises but lack of cleavage, the debate did not.

On medical deserts, also read reports from our reporters a year in France: Melanie future physician at the time of doubt and a country doctor came to Romania

They thus suggest the same solution: the development of multidisciplinary health centers where doctors and allied health professionals working in groups. Nicolas Sarkozy proposes 750 more, 230 are already open, and 450 planned. Hollande does not encrypt the effort, but promises "the creation of centers nearby health in each jurisdiction" in which he integrates these homes. With one goal: "A maximum of half an hour for access to emergency care."

This consensus is easily explained by the quasi-unanimity of health actors around these multidisciplinary health centers. "All solutions that belong to a group exercise is a good thing, however, that should the mode of remuneration evolves to take into account this dimension," said Etienne Caniard eg, President of the French Mutuality.

Read also: left-right consensus on multidisciplinary health centers

Other consensual subject, encouraging the installation by public aid. Francois Hollande has a plan to help young doctors, Nicolas Sarkozy, to develop student grants against a commitment to practice in the early years, in areas under-equipped. Both candidates are careful to speak of constraint system.

The president candidate had explained its position by launching March 19 on M6, "you do not get someone to go exercise in Morlaix he did not want to." The current majority is also generally confident in its ability to solve the problem with existing solutions. "The problem of the lack of general practitioners in underserved areas with be resolved within five years thanks to the measures we put in place, and we will continue to develop," and defends De Buck, who advises European UMP Nicolas Sarkozy on health issues.

POSITION KINDLY

Hollande is on paper, a little more control, offering "to prohibit doctors from sector 2 [fee free] to settle in areas surdotées" does not exclude or to create structures with doctors employees in areas where the Liberals would not come. Nurses, physiotherapists and midwives have already given their approval.

"Although Hollande may appear a little more control in his remarks, he actually offers no interference with the freedom of settlement," says Paul Dourgnon, a researcher at the Institute for Research and Documentation in Health Economics.

The very sympathetic position Chassang Michel, President of the Confederation of French Medical Unions, hostile to any constraint setting physicians demonstrated. "There's really no divisive about this topic between the two candidates," he says, while the will of Francois Hollande to cap excess fees arouses in him a lot more reserves.

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