{"id":37374,"date":"2024-02-07T09:30:59","date_gmt":"2024-02-07T08:30:59","guid":{"rendered":"https:\/\/sceaux-lagazette.fr\/?p=37374"},"modified":"2024-02-07T08:21:19","modified_gmt":"2024-02-07T07:21:19","slug":"le-mauvais-coup-de-la-taxe-ou-du-lapin","status":"publish","type":"post","link":"https:\/\/sceaux-lagazette.fr\/index.php\/2024\/02\/07\/le-mauvais-coup-de-la-taxe-ou-du-lapin\/","title":{"rendered":"Le mauvais coup\u00a0: de la taxe ou du lapin\u00a0?"},"content":{"rendered":"\n

Gabriel Attal, lors de son discours de politique g\u00e9n\u00e9rale \u00e0 l’Assembl\u00e9e nationale, a exprim\u00e9 le souhait de faire payer les rendez-vous non honor\u00e9s chez le m\u00e9decin. \u00ab Quand on a un rendez-vous chez le m\u00e9decin et qu’on ne vient pas sans pr\u00e9venir, on paye<\/em> \u00bb, a-t-il dit. \u00c9videmment cette d\u00e9claration a suscit\u00e9 soutiens et oppositions. Petite r\u00e9capitulation.<\/p>\n\n\n\n

La d\u00e9claration reprend de fait un texte vot\u00e9 au S\u00e9nat en novembre 2023, mais la mesure n\u2019a pas \u00e9t\u00e9 reprise par le projet de loi de finances de la S\u00e9curit\u00e9 sociale pour 2024. Dans l\u2019esprit des s\u00e9nateurs, la taxe avait deux objectifs : responsabiliser les patients et redonner du temps utile aux professionnels de sant\u00e9.<\/p>\n\n\n\n

Depuis longtemps, la France est aux prises avec une crise de l\u2019acc\u00e8s aux soins, qui se manifeste par le manque des m\u00e9decins, les retards pour obtenir une consultation, les fortes in\u00e9galit\u00e9s entre les r\u00e9gions.<\/p>\n\n\n\n

Le lapin est le mauvais coup<\/h2>\n\n\n\n

Les partisans de la taxe lapin exposent plusieurs raisons. La p\u00e9nalit\u00e9 p\u00e9cuniaire pour les patients qui manquent \u00e0 leurs rendez-vous m\u00e9dicaux sans avertir permettrait de combattre le fl\u00e9au des rendez-vous non honor\u00e9s. Si l\u2018on suit un document du S\u00e9nat<\/a>, citant l\u2019Acad\u00e9mie de m\u00e9decine et le Conseil national de l\u2019ordre, entre 6% et 10% des patients ne pr\u00e9sentent pas. Ce sont des millions de rendez-vous manqu\u00e9s.<\/p>\n\n\n\n

Ces lapins (extraits du c\u00e9l\u00e8bre \u00ab poser un lapin \u00bb) sont une v\u00e9ritable calamit\u00e9 pour les m\u00e9decins, qui perdent du temps, de l\u2019argent et de l\u2019ardeur. Ils sont aussi une source de m\u00e9contentement pour les patients qui attendent parfois des mois pour obtenir une consultation. En faisant payer les patients qui ne respectent pas leurs engagements, la taxe lapin aurait un effet dissuasif et incitatif. Elle pousserait \u00e0 annuler ou \u00e0 reporter les rendez-vous en cas d\u2019emp\u00eachement. Ainsi, la taxe lapin lib\u00e9rerait des cr\u00e9neaux disponibles pour d\u2019autres patients, et am\u00e9liorerait l\u2019acc\u00e8s aux soins.<\/p>\n\n\n\n

Ensuite, les partisans de la taxe lapin consid\u00e8rent que cette taxe serait juste et \u00e9quitable. Ils rappellent que le temps m\u00e9dical est pr\u00e9cieux, et qu\u2019il doit \u00eatre respect\u00e9 par tous. Ils soulignent que la taxe lapin ne s\u2019appliquerait qu\u2019aux patients qui ne pr\u00e9viennent pas de leur absence, et non \u00e0 ceux qui annulent ou reportent leurs rendez-vous.<\/p>\n\n\n\n

Le coup de la taxe<\/h2>\n\n\n\n

Les adversaires de la taxe lapin avancent d\u2019autres raisons. D\u2019abord, ils doutent de son efficacit\u00e9, parce que, selon eux, les causes profondes du ph\u00e9nom\u00e8ne sont souvent li\u00e9es \u00e0 des facteurs sociaux, \u00e9conomiques ou psychologiques. Ils citent par exemple les patients qui ont des difficult\u00e9s \u00e0 se d\u00e9placer, \u00e0 joindre leur m\u00e9decin, ou \u00e0 g\u00e9rer leur agenda. Ils \u00e9voquent aussi les patients qui oublient des rendez-vous pris tr\u00e8s longtemps \u00e0 l\u2019avance du fait de l\u2019engorgement du syst\u00e8me de soins. Mais, de fait, le sous-entendu est clair. Il est exprim\u00e9 par Nathalie Raulin dans Lib\u00e9ration<\/a>. Cette taxe est \u00ab une id\u00e9e en vogue du c\u00f4t\u00e9 de la droite parlementaire<\/em> \u00bb, \u00ab une revendication r\u00e9currente des m\u00e9decins lib\u00e9raux<\/em> \u00bb. Circulons, y a rien \u00e0 voir.<\/p>\n\n\n\n

Ensuite, on entend que le co\u00fbt du lapin serait disproportionn\u00e9 par rapport au pr\u00e9judice subi par le m\u00e9decin. Ou encore que les modalit\u00e9s pratiques de la taxe, comme son montant, son mode de recouvrement ou son affectation sont bien probl\u00e9matiques. La taxe serait-elle appliqu\u00e9e de mani\u00e8re uniforme et transparente ? Comment les patients seraient-ils inform\u00e9s de leurs droits et de leurs devoirs ? Comment les litiges seraient-ils r\u00e9solus ? La taxe ne pourra-t-elle cr\u00e9er des tensions entre les m\u00e9decins et les patients, nuisant ainsi \u00e0 la relation de confiance et de respect qui doit pr\u00e9valoir entre eux ?<\/p>\n\n\n\n

Des milliers de m\u00e9decins<\/h2>\n\n\n\n

Effectivement, qu\u2019en sera-t-il de la mise en \u0153uvre ? Il faudra d\u00e9finir un montant, un mode de recouvrement et une r\u00e9partition entre l\u2019Assurance-maladie et le m\u00e9decin. On peut imaginer un r\u00f4le nouveau jou\u00e9 par les plateformes, telle Doctolib. On sait que leur valeur ajout\u00e9e repose justement sur la diminution des rendez-vous non honor\u00e9s. Les messages de rappel l\u2019avant-veille et la veille, la facilit\u00e9 \u00e0 annuler ou d\u00e9placer un rendez-vous sont autant de facilit\u00e9s pour r\u00e9attribuer les cr\u00e9neaux perdus. Pensons \u00e0 ces millions de rendez-vous manqu\u00e9s alors qu\u2019ils sont si difficiles \u00e0 obtenir !<\/p>\n","protected":false},"excerpt":{"rendered":"

Gabriel Attal, lors de son discours de politique g\u00e9n\u00e9rale \u00e0 l’Assembl\u00e9e nationale, a exprim\u00e9 le souhait de faire payer les rendez-vous non honor\u00e9s chez le m\u00e9decin. \u00ab Quand on a un rendez-vous chez le m\u00e9decin et qu’on ne vient pas sans pr\u00e9venir, on paye \u00bb, a-t-il dit. \u00c9videmment cette d\u00e9claration…<\/p>\n","protected":false},"author":6,"featured_media":37378,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[246],"tags":[],"class_list":["post-37374","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-vie-publique","entry","simple"],"yoast_head":"\nLe mauvais coup\u00a0: de la taxe ou du lapin\u00a0? 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