His prescience during the H1N1 crisis won him unanimous praise in the spring. The Minister of Health had seen far in 2009, constituting a record stock of masks. Thanks to this unexpected return to grace, Roselyne Bachelot inherited the ministry of her dreams this summer: Culture. A beautiful story that has a hard time softening some local elected officials. These city officials do not forget that Roselyne Bachelot also committed, in 2009, the “HPST” law, as hospital, patient, health and territory. Under this apparently pleasant title, it sidelined communities. The mayors have, on this occasion, lost the presidency of the board of directors of their hospital.
Accounting ratios
Minister of Health, Roselyne Bachelot also set up the ARS, instead of departmental structures such as the Ddass. The public hospital has succeeded the hospital-company. The directors of establishments and the ARS have imposed their accounting ratios, to the detriment of health professionals and local elected officials. This clever pre-Macronian mix of bureaucracy and cost-hunting ends in failure. In terms of health, France spends more than Germany for lower results. With the great containment of the spring, it paid a high price for the 100,000 hospital beds closed between 1993 and 2018. The addition amounts, at the very least, to one million unemployed.
Big is beautiful
If, in favor of the summer, the resuscitation capacities could be increased, the ARS still do not shine by their flexibility. The mayor-prefect couple does not find his place during the small confinement. Yet he would have his full role to play. But, to do this, we would have to come back to the “Big is beautiful” dogma of the “HPST” law. Unfortunately, the maintenance of the territorial reform shows that, beyond speeches, Emmanuel Macron is not ready to reverse this race for gigantism. A fortiori when it was worn, in the past, by one of its ministers …
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