Health. Science – Research. Responsible for the Health Program at the Institut Montaigne, she analyzes the health policy of Emmanuel Macron’s mandate, obviously marked by the health crisis.
While health seems inexplicably absent from the debates of the electoral campaign, Laure Millet, head of the program dedicated to the Institut Montaigne, gives her impressions on the results of Macron’s mandate in this area.
Health: science and research.
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Health, science, research
Promises kept
Double the number of health houses against medical deserts.
Modify the numerus clausus of health professions.
Encourage and develop telemedicine and home care.
Evaluate medico-social establishments.
5 billion for hospitals and the transformation of city medicine.
Facilitate procedures for people with disabilities.
Change the pricing of medico-social establishments.
Not reimburse any useful care during the five-year term.
Create a preventive health service made up of students.
Partially kept promises
Increase caregiver salaries and optimize hospital funding.
Generalize the sale of drugs by the unit.
Do not generalize third-party payment.
100% coverage of glasses, hearing and dental prostheses and high blood pressure.
Increase the disabled adult allowance by 100 euros per month.
Training credits for people with disabilities.
Broken promises
Train and support addiction caregivers.
Decriminalize the use of small doses of drugs.
Encourage preventive health actions.
Strengthen the right to be forgotten for former patients.
Set disability inclusion indicators before each law.
Make an effort to train doctors in the specificities of examining the disabled person.
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1. Before the Covid, “My health 2022”
There was a world before the Covid-19 epidemic. Laure Millet remembers:
“We can recall that before the Covid, major reforms had been initiated, such as the “My health 2022″ strategy, then led by Agnès Buzyn. She had nevertheless initiated a lot of reforms: the site of primary prevention, access to care, pricing, the ambulatory shift too.”
But, she concedes, “The health crisis has seriously disrupted the implementation of these reforms. Because the fight against the pandemic has mobilized many resources, on the ground and in the ministries”.
2. Four “broken promises”
The head of the Health Program at the Institut Montaigne notes four major promises of the candidate Macron not kept in her eyes: “The quality and relevance of care project, which had been launched as part of “My health 2022″. It is currently on hold even if the work of the High Authority for Health has resumed in this direction.”
“Second subject on which the next president or president will have to look: the use of data to better manage the health system, particularly in terms of prevention.”
“The third: human capital and the training of health professionals. With the Ségur de la santé, there has been a historic effort to revalorize hospital careers, more than eight billion euros have been put in to make the professions of hospitals more attractive.But there is another more complex and time-consuming issue to deal with, on the training of professionals in digital technology, in new hospital professions… The fourth point is the subject of mental health. “
Laure Millet acknowledges: “Things have changed, mental health is in the programs of all candidates, it’s unprecedented. But there remains to be done, in particular on the role of general practitioners to improve the detection of mental disorders.”
3. In five years, “positive progress”
Laure Millet also notes “positive progress” during this mandate: “Tout what has been done and of course the deployment of digital health. The roadmap that emanated from “My health 2022” was respected, the deadlines met despite the health crisis. It has also considerably accelerated the adoption of digital solutions (telemedicine, teleconsultation), which have experienced unprecedented growth. The number of teleconsultations between February 2020 and February 2021 has been multiplied by 40.”
“Two billion euros have also been put on the table to improve interoperability between information systems and software. The objective is to optimize the collection and analysis of data, a very important step forward. And recently, in February, “My health space” was launched, a digital space that will be available to all French patients : they will be able to carry out all their actions in terms of health.“
4. Lessons learned from failure
“Support for therapeutic innovation” proves to be a satisfaction that Laure Millet recognizes in the government.
Originally, however, a failure: “France’s inability to produce a vaccine against Covid-19, and its lack of health autonomy have really awakened the public authorities. In June, during the strategic council for health industries, Emmanuel Macron announced seven billion euros to make France the first innovative and sovereign nation in health. The health innovation agency was created, as well as Article 51, a derogatory device aimed at encouraging health professionals to propose new directions in the way they work on a daily basis.”
On the management of the Covid crisis, according to Laure Millet, “there has not been a model that emerges and achieves consensus in countries comparable to ours. There were mistakes at the start, the unprecedented nature of this crisis confused the public authorities. The level of preparation raised questions , but we learn lessons to plan for future crises that we will not see coming. The vaccination campaign had a slow start, but it has been caught up and we now have more than 80% of the population vaccinated , like the Germans or the British. The crisis has above all exacerbated the problems of the public hospital and there is a real challenge: to rethink the public hospital, so that it can continue to meet its missions of treating everyone This is for me the priority of the next five-year term”.
Winifred de Cordier, caregiver: during the crisis, “our Ehpad was reinforced”
“I am on the left and he is on the right so he does not interest me too much”, testifies Winifred de Cordier, nursing assistant at CCAS Montpellier about Emmanuel Macron. In the profession for 30 years, she judges not to have been completely overwhelmed by the health situation in 2020.
“Our Ephad has been strengthened,” she says, adding, moved, that it is the residents who have suffered the most from the health situation: “Some have let themselves die.”
On her personal situation, she acknowledges: “With confinement, we had the old age bonus that we now have every month, an increase in wages, a move to category B…”
Despite her lack of interest in the President, Winifred is satisfied with the salary increase she was demanding before the health crisis. She also recognizes that her situation at the CCAS is easier than in private nursing homes, where salaries are lower, or in hospitals: “They do night shifts, work three weekends a month, are called back during the time rest… It’s not the best.”
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