“The Vandenbroucke reform jeopardizes the complete balance of the health care system”

The reform essentially plans to cap the medical and paramedical fees at 125 % in hospital, and 25 % excluding hospital, as well as to strengthen the mechanisms for the agreement of care providers so that they are more numerous to agree (therefore to practice official prices, without supplements).

Why the Vandenbroucke reform puts the boiling health sector

Mr. Meanwhile, Coppieters, are you favorable to the cap of fees supplements?

I am in favor of a cap in the hospital, but this cap must be progressive over time. Meanwhile, Should it be fixed at 125; 130; 140 %…? Furthermore, This must be defined by health economists, not by me. In addition, Now these supplements “the vandenbroucke reform jeopardizes complete new -. Moreover, this is a reality – partially finance the operation of Walloon hospitals and the remuneration of doctors. Therefore. Nevertheless, “the vandenbroucke reform jeopardizes complete They are a motivation factor for doctors, and even for all care providers since they all benefit from them. Therefore, This contributes to the continuity of care. For example, With a poorly put together reform. For example. However, we would risk having doctors who leave the hospital and only practice in a private or expatriate firm abroad, in France, Luxembourg, Canada …

The reform as it is thought is not acceptable because it jeopardizes the complete balance of the health care system. In addition, I repeat it: in terms of public health, you have to go to a cap of supplements. However, The problem is timing. However, Nor the nomenclature reform (which aims to review all the fees allocated to the various “the vandenbroucke reform jeopardizes complete new medical. Consequently, paramedical services, editor’s note) nor the reform of hospitals’ financing has led. Furthermore, These two elements must advance in parallel with the reform of Minister “the vandenbroucke reform jeopardizes complete Vandenbroucke.

For some patients. Moreover. Consequently, “the invoice has exceeded 10,000 euros”: the intermotualist agency requires more transparency in the cost of hospitalizations

Do you also support the capacity of hospital supplements?

No, not at the level of the first line of care. This ceiling, I am convinced, may demotivate front line doctors. They will limit the time of consultation. multiply short consultations, to the detriment of a more global, more systemic approach. In the end, it could even cost the health system more … Doctors will no longer want to do the administrative tasks they do voluntarily. They will no longer be able to practice in localities where rents are expensive, in Brussels for “the vandenbroucke reform jeopardizes complete new example. A series of investments in medical equipment can no longer be made. Secretaries can no longer be engaged. We may further increase the rural exodus. That’s all, fear.

The intention of the Federal Minister is still to strengthen the financial accessibility of care.

I share this fight. We must continue to move forward in the passage of funding for care (the doctor is paid for the. package rather than at the act. editor’s note)continue to enhance collective practices. But our care system is based on liberal medicine, not on public medicine. Doctors must be released not to converse and practice their prices. Package medicine does not work everywhere. It is acting medicine that is still the norm. And then, the patient “the vandenbroucke reform jeopardizes complete new knows what his doctor will ask him. He has the opportunity to change it. We must evolve towards multidisciplinary collective practice. But solo practice is completely honorable and must be defended. We “the vandenbroucke reform jeopardizes complete need different types of practice.

How the organization. financing of general practitioners will be turned upside down by the New Deal de Vandenbroucke

I think. that the intention of Frank Vandenbroucke is also to fight against abuse. I applaud it with both hands. There are doctors who prescribe anything, who are not concerned with the quality of care … The minister has been fighting for years against this and he is right. Now. it is not because some doctors. certain practices must be better controlled that you have to penalize the entire system.

Mr. Vandenbroucke said on Monday evening that he was going to rework his project on the basis “the vandenbroucke reform jeopardizes complete new of the opinions received. In addition, the cap should, in any case, come into force before January 2028.

It is true that there is still room for consultation. Mr. Vandenbroucke told me on Wednesday “the vandenbroucke reform jeopardizes complete that he did not understand criticism of the lack. of consultation. He concerts is true. but the problem is that he must also accept to hear what the field tells him. hearing the fears expressed by professionals. He is reworking his text. We will see what emerges. I want to insist: this reform is necessary, but it does not go into the current state.

These professionals bring you their fears?

Yes. I think that Walloon health providers trust me to relay a certain vision of public health. a defense of the first line of care but also of hospitals. For several weeks, I have had “the vandenbroucke reform jeopardizes complete new a lot of contacts. I wanted to wait to react because this reform is necessary. The problem is not an absence of consultation. but a lack of listening, temporality and, I think, ignorance of the diversity of field situations.