In 2019, the government welcomed this: the Social Security would finally break with the deficit. 2021 will, in fact, be “The worst deficit in the history of Social Security”,
according to the Minister of Health, Olivier Véran: 38.4 billion planned for this year, 10 more than after the 2008 crisis.
The Health branch is, by itself, in the red of 31 billion, that is to say ten times more than pensions.
Less revenue and more expense
Blame it on the pandemic: revenues (contributions on salaries) fell by 5%, but health spending soared 9.5%.
Friday, June 25, the National Health Insurance Fund (Cnam) presented its solutions to the government. Some are known, even worn out: priority to generics, reduction in medical transport.
Others still have potential, like the fight against fraud, especially in ophthalmology and dental care, where real scams have been spotted.
Early detection of disease
New, thanks to artificial intelligence, the Social Security will detect certain pathologies as early as possible and recommend early care. It will start in 2022 with cardiovascular disease.
But, from all this, the Cnam does not hope to derive more than a billion in savings. However, the epidemic is not over. And we must finance the increase in the remuneration of caregivers, hospital budgets, as well as this new branch “Old age” just created.
The economy would have to take off like a rocket for the Social Security to assume all this without new sustainable resources. Increase in contributions, CSG, new tax? The preparation of the budget in the fall will be stormy.
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