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Emergencies to care for seniors
Cups on health poles make medical deserts fear – Vaud residents: budget cuts make
In the Pays-d’Enhaut. Therefore, the Joux valley, site managers feel betrayed by the announcements of the Council of State. Nevertheless, They see the death of a local health model.
The Pays-d’Enhaut health center, in Château-d’Ex, is one of the institutions most affected by cantonal austerity measures.
Chantal Dervey
- Two of the three Vaudois health centers are affected by budget cuts of several million francs.
- Officials are outraged and consider that their innovative care vaud residents: budget cuts make model is threatened.
- The municipalities of the regions concerned attack the methods of the canton.
- The Jura Health Balcon network is much less affected, which adds to misunderstanding.
Officials from the Vaudois health poles are still not coming back. Therefore, Facing Budget cuts Announced by the government, the reactions range from “amazement” to anger through “a feeling of betrayal”. Therefore, Recall that two of these structures are among the sociosanitary institutions most affected by the first cantonal austerity salvo.
This is the Pays-d’enhaut health center (PSPE), which loses 4.6 million francs on a budget of 21 million. For example, and Joux valley health center (PSVJ), which will have to take 3 million out of 19. Similarly, The third. In addition, the Health network Balcon du Jura, seems surprisingly spared with a cup of 170,000 francs on a vaud residents: budget cuts make budget of 27 million (in 2024).
Killing – Vaud residents: budget cuts make
Long presented as integrated care models. Meanwhile, adapted to the needs of eccentric regions and elderly patients, health centers do not include the choices of the Council of State, which they assimilate to a killing.
“It’s over, the concept of health center no longer exists, sanctions Anne Weill-Lévy, president of the PSPE foundation council. Meanwhile, Our strength is to have three complementary entities (a hospital sector, a CMS and an EMS) around the patient. Therefore, The canton has always defended this “laboratory” foreshadowing public health for the next decades and, overnight, it removes 3.8 million francs for our hospital and 800,000 for our CMS. Therefore, If it is confirmed, the PSPE will be an empty shell. Furthermore, “
“Medical Desert” in the Pays-d’Enhaut
The PSPE is all the more annoyed since it straightens its head after years marked by internal tensions. Meanwhile, a change of direction and a economy plan. However, A new hospital project focused on geriatrics is even on rails.
“We are very badly taken,” admits Maximilien Stauber, a municipal health at Château-d’Ex. Moreover, We are about to bring together the equity to launch the project and here is the message given to us … It contradicts everything that has been told to us so far. There is a feeling of betrayal. “
“Economic logic”
The elected official does not deny the fragility of such a structure in a region where the population basin is limited. but he emphasizes that it has been designed for an elderly patient who cannot move. vaud residents: budget cuts make “There is an economic logic since we have one of the smallest hospitals in Switzerland. On the other hand, if we close, we will be part of the most distant regions of a hospital. It takes more than an hour to go to the HRC in Rennaz, it would look like a medical desert. ”
The Council of State ensures that it “does not call into question the existence of a health structure in these regions”. but confirms that “the health centers will have to strengthen the coordination and orientation of patients at the reference hospital of their region”.
He especially underlines that the PSPE. the PSVJ are strongly subsidized, in particular for the maintenance of their hospital capacities: “These two poles receive financing of more than 35% of their revenues, far more than for the other structures vaud residents: budget cuts make of the Vaudoise federation of hospitals”. If they do not evolve. the canton affirms that it “would be seen in the need to double their funding in order to allow them to carry out their investments in infrastructure and to ensure sustainability in their largely deficit activities”.
The Valley of Joux awaits explanations
Not enough to convince Sébastien Cala. socialist deputy and president of the PSVJ: “The Council of State ransacks the hospital model which has been thought in recent years. It is a frontal attack against the model of the health center. against access to care in the peripheral regions. Even the emergency services are targeted, it is inconceivable. ”
At the VJoux alleythe three municipalities sent a letter to the government in order to ask it for explanations. “I learned the news vaud residents: budget cuts make in the media. that’s not how I imagined the Canton-Commune relationship,” reacts Christophe Bifrare, trustee of the abbey. The state leaves us two months to imagine solutions to save 3 million francs. If he wants to pour the health poles, he is on the right path. ”
In the country and also, the way of proceeding goes wrong. “Sending a simple mail before going on vacation is disrespectful. We are waiting for the Council of State to move. assume its choices before us and in front of the population, ”says Maximilien Stauber.
Why is the third pole spared?
The fact that the Health Network Balcon of the Jura (RSBJ) only loses 170,000 francs contributes to general misunderstanding. An element, in particular, draws attention. To understand. it must be remembered that the canton pays services vaud residents: budget cuts make of general interest (PIG) to hospitals for various health policy missions. There are implicit pigs (supposed to compensate for the tariff subcoupects but without precise assignment). they are that the budget cuts are primarily aimed at, and explicit pigs (allocated to well-defined services).
The RSBJ affects 2.7 million francs of implicit pigs, but these will be transformed into an explanatory pig assigned to “maintaining hospital capacities”. “According to the message of the State. this decision aims to maintain a certain level of subsidy of the pole,” says Alain Périat, director general of the RSBJ.
For its part. the canton evokes a simple clarification: “This pig was labeled as an implicit pig while it was used in fact to maintain regional capacities. The health centers of the Pays-d’Enhaut. Additionally, the Valley of Joux already benefit from such a regional vaud residents: budget cuts make capacity maintenance and will continue to benefit from it in 2026 ”. Would these 2.7 million have been threatened without this change in labeling? The canton assures that not.
More generally, it points out that the RSBJ receives a lower subsidy (4.7 million PIG against 6.5 million for the Joux valley and 7.1 million for the Pays-d’Enhaut) and that it is therefore “proportionally less impacted”. With saving targets ranging from 170,000 francs to 3 and 4.6 million, this concept of proportionality is some skeptics.
For the RSBJ. this loss of 170,000 francs “will still accentuate the budgetary imbalance since the price model of hospitals no longer covers the charges and certain pigs have been thought of to compensate for this,” regrets Alain Périat.
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Vaud residents: budget cuts make
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