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 “ even if, 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 Monday, September 26 in the Council of Ministers, a free medical consultation at 25, 45 and then 65 years old, François Braun demonstrates that he intends to be both Minister of Health ” and “ of prevention.

A titled new, anyway on the “recent period”say connoisseurs of the subject, who have no other example in mind than that of his predecessor Brigitte Bourguignon, who remained in this position for 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 the Sunday newspaper, sketching the outlines of the three new health appointments. At 25, the consultation will focus on vaccines, possible addictions or difficulties related to entering professional life. Young people will also be made aware of the need to have an attending physician. At 45, the focus will be on screening for certain cancers, 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 illnesses, including, again, cancer.

“Generally mediocre results”

The surprise effect is relative. The idea of ​​a “complete and free health check-up at the key ages of life” figured 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 overall in terms of prevention, especially if we look at what is happening in our European neighborshe underlined on this occasion, backing his diagnosis with a few figures: The average budget devoted to prevention is equivalent to 3% of health expenditure in the European Union, he recalled, when it is less than 2% in France. » A “poor relation”, 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 the care. The Court of Auditors, which has endeavored to measure the impact of prevention policies, reported, in December 2021, “generally mediocre results”.

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