Prevention, this other project of the Ministry of Health

A radiologist interprets a mammogram in Tourcoing (North), December 14, 2020.

The announcement was received as a ” symbol “ although before talking about ” turn “many health actors say “wait to see”. By committing to include in the Social Security Financing Bill (PLFSS) for 2023, which will be presented on Monday, September 26 in the Council of Ministers, a free medical consultation at 25, 45 and then at 65François Braun demonstrates that he intends to be both Minister of Health ” Y “ prevention

A titled new, anyway in the “recent period”say those familiar with the subject, who do not have in mind another example than that of his predecessor Brigitte Bourguignon, who remained in this position a few weeks before being defeated in the legislative elections.

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“We are entering the era of prevention”welcomed François Braun on September 18 in the columns of Sunday newspaper, drawing the general lines of the three new health appointments. At 25, the consultation will focus on vaccinations, possible addictions or difficulties related to entering professional life. Young people will also be made aware of the need to have a treating doctor. At 45, the focus will be on screening for certain types of cancer, physical activity, and even mental health. Finally, at age 65, the check-up will focus more on the prevention of loss of autonomy and other diseases, including, again, cancer.

“Generally mediocre results”

The surprise effect is relative. the idea of ​​a “complete and free health check-up at key ages of life” featured prominently in candidate Macron’s campaign program. François Braun set the tone at the Mutualité congress, from September 7 to 9: “France is lagging behind in general in terms of prevention, especially if we look at what is happening in our European neighbours.stressed on this occasion, supporting his diagnosis with some figures: The average budget dedicated to prevention is equivalent to 3% of health spending in the European Union, he remembered, when it is less than 2% in France. » A “poor relative”, as the doctors say.

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If we look beyond the borders, the “good students” of prevention are known: they are the Dutch, the Germans, the Scandinavian countries… Not France, whose health system has historically been built on care. The Court of Auditors, which has made an effort to measure the impact of prevention policies, reported, in December 2021, “generally mediocre results”.

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