It is true that the flights are usually longerSince the annual low point on 14 June at 5But most existed already before the crisisIf 80 of the turnover of the company EUR 1There is interest to analyze without delayThis is the reality the ongoing dialogue withFree commute in mercantilism or economic warNonagénaire the hidden wish is doing very wellFive years later his dearest wish is yet to achieveThe medical issue is important as long term shortCan no longer wait. "Philippe Séguin, the first President of the Court of Auditors, called yesterday for substantive reforms to reduce the deficit of social security, which will exceed 20 billion euros this year.
15 billion of the structural deficit
"It will have wide-ranging measures." They will be painful for many and certainly unpopular, but it is necessary. "Philippe Séguin has proved particularly pessimistic, yesterday, introducing the report of the Court of Auditors on social security. The social accounts deficits will reach record levels this year and next because of the crisis, private health insurance or pension social security contributions. "Once the crisis dissipated", will be the "structural deficit" of social accounts, which is "greater than 10 billion." every year since 2003 2008 Is in reality "of the order of $ 15 billion" for all plans, or three billion more announced, because it includes exceptional revenues, due to a reform of the rules of collection of the CSG.
The reimbursable, the transfer of loads to the mutuals, the fight against fraud This "is not enough". "He will have to seek new resources," said Philippe Seguin before members of the Committee on Social Affairs. To address the "social niches" of course, but, more broadly, "can no longer exclude an increase in the levies", judge.
New resources to cushion the social debt
The former Minister is concerned about the accumulation of social security deficits, which are gradually transferred to the Fund for amortization of the social debt (Cades). All funding requirements amounted to EUR 109 billion end 2008 (see chart). This figure will swell with new deficits, more than 20 billion euros this year, and approximately EUR 30 billion in 2010.
For the moment, the Government has decided to stop transfers to the Cades, because it lacks the resources to absorb additional debt. To this should increase the DRES, a track excluded by the Executive and strongly criticized by Philippe Séguin. You must transfer the deficits to the Cades and "not exclude" new recipes to cushion them, he said.
Hospital: unjustified differences between institutions...
The Court of Auditors-of-art cost differentials "often surprising" between hospitals for the same activity. The judges have conducted the investigation in 39 institutions, are very small as large CHU. For the activity of orthopaedic surgery, medical workforce by bed varies from 1 to 8 institutions. For Obstetrics, the gap is 1 to 4 for non-medical personnel. "The size of the institutions or the quality of the CHU explain similar discrepancies."The Court also points glaring differences in productivity for emergency services.
... and unnecessary investments
Announced in 2003, the 2007 Hospital plan provided that institutions spend EUR 6 billion of investment and renovation projects, with an equivalent assistance from the State. The final bill reached 16 billion for hospitals, while the corresponding State aid remained constant. Result: the institutions have massive debt to finance these investments. The Court criticized sometimes unnecessary achievements, such as hospital in Tarbes, where ten new operating rooms were created while the activity of surgery decreased regularly in this facility since 2004.
Biological analyses: too high prices
Biological costs should be lower in view of the technical progress which benefits the sector. Tariff reductions take place regularly, but in the eyes of the Court not enough. "Prices are two to three times higher than those of neighbouring countries," noted Philippe Séguin. The microbiological analysis of urine is 6.93 euros in Italy, 2.74 Sweden EUR and France EUR 18.90. "It must reform this profession to facilitate groupings of laboratories, believes the Court. The Government is working in this sense.
