The balance of the year 2006 is under good auspices. "Director of the national health insurance (CNAM), Frédéric Van Roekeghem Fund put forward yesterday the savings realized through the restriction of the requirements (drugs, work stoppages), estimated at 475 million euros over the first eight months of the year. A result that could hold the 791 million euros savings target set for 2006 (see chart). The Director of the CNAM is shown to be much more prudent for 2007. The Government has decided to limit overall to 2.5 next increase of the national target of spending for Medicare (Ondam) year, but 0.8 only spending of city (outside hospital) care, which include work stoppages, the drugs and fees of liberal health professionals. A goal considered "ambitious" by Frédéric Van Roekeghem, and which "implies an acceleration of the results of medicalized control."
The debate on the budget allocated to the Liberal medicine shakes members, who hear today the Minister of health, Xavier Bertrand, on the financing of social security (PLFSS) Bill 2007, after its presentation by the Council of Ministers. "All health care professionals complain", said Pierre - Louis Fagniez (UMP), general rapporteur of the text to the National Assembly, who fear that "see discussions to focus on this theme.

"Send a clear signal".
For Paul - Henri Cugnenc, national Secretary for health in the UMP, "doctors are disillusioned in the hospitals and disillusioned liberal medicine." We must send a clear signal, not only words. "The pressure in this sense is strong within the UMP group." Where many members of Parliament, sensitized by lobbying for health care professionals, consider the city untenable Ondam: "there is consensus that this figure of 0.8 is unrealistic, said Dominique Paillé.". This means that next year there will be probably the warning mechanism triggering and it will be a bad blow to liberal medicine. "For the sarkozyste member of Parliament, there is only a solution:"Meet rising city to 1.2 or 1.3 care." "I will table an amendment to this effect. Philippe Juvin, Vice President of the General Council of Hauts-de-Seine and officer of the health programme of the UMP in the perspective of the presidential election, is abundant in this sense: "It would be dangerous to train physicians". Let us remember 1997. "Meet the Ondam during the parliamentary debate would be unprecedented. "It would be a start to rupture," slip Philippe Juvin.
"A rebalancing to operate".
It remains to the parliamentarians to find savings to finance such a gesture, or convince the Government to agree the Medicare revenue. Member of the Var, Philippe Vitel, simply to reduce appropriations for hospitals rising fixed for 2007 (3.5). "There is a balance to operate," agreed Philippe Juvin. "I cannot imagine is removed to the hospital to give more to the city", argues Jean-Marie Rolland (UMP), rapporteur of the PLFSS on the sickness branch, aware that hospital managers encrypt themselves to 700 million euros the underfunding of the institutions next year. "There is additional revenue", he concluded. Dominique Paillé advocates of new transfers of rights on tobacco destined for social security (State preserved even EUR 600 million). Such a measure, which would increase the budget deficit, is rebutted by Bercy, and could not, moreover, be made in Finance Act.