Awhen we thought the case heard when in December 2019, the Minister of Health Agnès Buzyn sent a letter to the elected officials of South-Aveyron confirming the state’s agreement for the creation of the median hospital in the town of Saint-Georges-de-Luzençon, things have since evolved.
While in Millau some would see the creation of the common hospital in Millau, on the current site of Puits-de-Calès, others are in favor of a median hospital (understand, located between Millau and Saint-Affrique )… But on the Larzac plateau. More exactly in contact with the n ° 46 interchange of the A75 (near the place called Beaumescure, commune of La Bastide-Pradines).
It is not a novelty in itself, but this study group, the doctors Alain Vernier, Bernard Arnould and Daniel Michelutti at the head, this morning held a press conference, just to put pressure on a few weeks before the departmental elections.
30 years of procrastination
As a preamble, the Dr Michelutti gave a brief history of thirty years of difficulties and an aborted marriage between the hospitals of Millau and Saint-Affrique.
He thus recalled the supervision of the DDASS and the DRASS (the ancestors of the Regional Health Agency, Editor’s note) in 1991 which led to the creation of an interhospital union ” which will be a failure overall “, The merger between the two hospitals in 2000 with a common management” which led to general discontent “, The demerger in 2008, the takeover of the Saint-Côme clinic by the Millau hospital center in 2009, the joint management between the Montpellier CHU and the Millau CH in 2012 before the end of this joint management in 2018, despite maintaining medical collaboration …
30 years of procrastination from which it would result, according to Dr Michelutti who quotes the Muppy report of 2018, ” a leakage rate of 46% to Albi, Rodez, Montpellier… for the south of Aveyron in medicine-surgery-obstetrics, and an annual financial deficit of 5.3 M € in Millau and 1.5 M € in Saint-Affrique. »
« The overall deficit (operation + unpaid contributions) is € 69 million at Millau to which must be added the deficit at Saint-Affrique, adds Daniel Michelutti. The whole thing can be compared to the 55 M € needed to build the median hospital. »
Worse, we would witness the installation of a ” vicious circle » intrahospitalier « by cascading difficulties in recruiting hospital doctors and patients “, Which would increase the budget deficit” itself harmful to medical recruitment »…
“A central position of the median hospital”
Feeling the tide a little turn with the emergence of a solution which would consist in maintaining ” two mirror hospitals and the surgical concentration on Millau, which have reached their limits », Doctor Alain Vernier brings out the letter from Agnès Buzyn, favorable to the creation of a median hospital in Saint-Georges-de-Luzençon, and the stopwatch.
First, on the usefulness of a new median hospital, Alain Vernier is very clear: ” A minimum population of 120,000 inhabitants is necessary to establish an autonomous basic hospital. The population of the Saint-Affrique basin (27,000 inhabitants) and of the Millau basin (48,000 inhabitants) shows that two hospitals are not viable, but also that each of the two basins is important. »
And to argue: ” The relative weakness of the population of southern Aveyron imposes compliance with two conditions to make these two figures compatible and therefore attractive fixed hospital stations): a central position of the median hospital so that accessibility is equitable to promote the arrival of each of the 75,000 inhabitants. But also good accessibility to the Montpellier University Hospital to allow alternating, by reinforcement, four specialists on an on-call duty even if the population allows only two or three fixed positions in certain specialties. This proximity will also facilitate patient transfers and advanced consultations. »
If the hospital is well located, we will be able to obtain and bring to life the best medical project and respond to the difficulties of the current situation. “
Dr Alain Vernier
A “trans Larzac expressway” to go to the hospital?
« At this stage, our study group favors first the choice of location, and then the choice of the medical project, because the feasibility of the medical project depends on the location of the hospital. Ignoring this element is a factor of failure », Affirms Alain Vernier. And according to him and his study group, the best choice is neither Luzençon nor Ségonac (also mentioned site, Editor’s note), but the Beaumescure site, on the Larzac, in contact with the interchange n ° 46 of the A75, ” which best combines the two requirements of a central position in South Aveyron and quick access to Montpellier. »
« We consider it appropriate to offer Beaumescure, because it has access times from the two towns identical to those of Luzençon which had been accepted by the steering committee in early 2020 (with the two former mayors), i.e. 21 ‘from Saint- Affrique and 15 ‘from Millau “. Fifteen minutes by the Millau Viaduct (paying) or by… a “trans Larzac expressway” to be created from the top of the La Cavalerie hill. “ An agreement in principle to carry out this route has been obtained from the department. “, Even says Dr. Vernier.
« This site is 55 ‘from Montpellier while Luzençon, Ségonac or Millau are at 1h12’ and Saint-Affrique at 1h17 ‘ », He continues, underlining also the interest in terms of time for the inhabitants of Sévérac, Lévézou and of course those of Larzac. ” The Saint-Affrique basin won nothing, nor lost anything with Beaumescure compared to Luzençon, but gained 10 ‘compared to Millau. “Comparing to the current situation, it will take 21 ‘more for the Saint-Affricain compared to the CH Saint-Affrique (but 10’ less compared to the CH Millau), and 10 ‘more for the Millavois from the center – city compared to the CH of Millau, by the viaduct or the “expressway trans Larzac”.
“This is not a site to promote an elected official, a city, a canton”
« Despite some nostalgia, two mirror hospitals and the concentration on Millau have largely proved their harmful effects and the median hospital seems to impose itself., abstract Alain Vernier. Beaumescure is the best site for the median hospital, because it meets the requirements of fair accessibility for the populations and proximity to the Montpellier University Hospital. A hospital in Luzençon or Ségonac due to its difficulties in accessing southern Aveyron would lose recruitment from the north of the territory, which would turn towards Rodez, and from the south of the territory which would go towards Montpellier. »
As for those who might ask the question, Alain Vernier coupe court : « It is not a site to promote an elected official, a city, a canton, but to promote the median hospital and all of southern Aveyron. We have no interest in this. Perhaps this option seems naive, anachronistic, suspicious… But there is no wolf, because there is no vagueness. »
A long list of supporters … where the Millavois shine by their absence
The study group in favor of the median hospital on the Beaumescure site has a plethora of supporters behind it. As for the doctors, the two presidents of the medical commission, Doctors Jacob (Millau) and Zouani (Saint-Affrique), are signatories of a declaration entitled: ” Need for the median hospital in South Aveyron – Clear superiority of the Beaumescure site since the existence of the Millau Viaduct ».
A good number of liberal doctors have also signed, most of them from Saint-Affricain, but also a few from Millau (Dr Barthès, Dilas-Morel, Jarrige, Joulié, Santos, Taurines).
On the side of elected officials, this document would have been signed by Senator Jean-Claude Luche, the mayor of Saint-Affrique Sébastien David, the president of the Parc des Grands Causses Richard Fiol … but also the mayors of Sévérac, Roquefort, Saint-Rome- de-Cernon.
According to figures from Alain Vernier, the elected representatives representing 98% of the inhabitants of the Saint-Affrique – Roquefort – 7 Vallons community of municipalities are signatories, but also those of 80% of the population of the Monts, Rance and Rougier community of municipalities. , those of 67% of the population of the Community of municipalities Larzac-Vallées…
The elected representatives of the Millau – Grands Causses community of municipalities have not yet been met … ” But nothing prevents them from joining us … “, Smiles Alain Vernier, admitting that” the only thing blocking is Millau. »
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