Health insurance nearly 3 billion savings in 2011

Health insurance: nearly 3 billion savings in 2011...

Medicare spending will have to grow by 2.9 in 2011 and 2.8 in 2012. It is a little less than 3 planned for 2010 and significantly lower than the average for the past decade (4.8). Given the "spontaneous" growth of the health sector, a target of 2.9 means measurements of savings of almost EUR 3 billion next year. Here again, much more than this year, where the Government is 2.2 billion. The objective will be more difficult to hold that the rates of general practitioners must be revalued on January 1. For practitioners CSMF Union, this promise is now "mortgaged" with these objectives "unsustainable".

... and measures to better hold the objectives

The measures recommended by the Briet report to "strengthen our system of pilotage of expenditure disease" will be "implemented", announced Nicolas Sarkozy. The role of the Committee alert "will be extended": it deems the realism of the expenditure target set in the Act. Each year, "as early as April 15", it will give "a first opinion on the implementation of the objective." Warning - and therefore saving measures resulting - will be triggered as soon as a risk of overexpenditure of 0.5 will be detected (instead of 0.75 today). This reform will be implemented progressively "by 2012-2013". Finally "any portion" will new measures - for example, upgradings of rates of health care professionals - not be implemented if the objective is met. And part of the endowment will not affected "as and measurement of the performance" of the goal.

Deletions of posts of officials

Nicolas Sarkozy promises 34,000 deletions of posts of officials, on average, during the three next years, 100,000 in all. Until then spared, the operators of the State (museums, weather-France, etc.), where departures in retirement are less numerous, will reduce their workforce of 3,000 per year, on average, until 2013... After the presidential election. A modernization of the public policy Council will be held this summer for the reforms to achieve these cuts workforce. It will also be saying how shrink operating and intervention of the State in three years.

Tower of screw for local elected officials

The holdings of the State to local communities will be frozen, without even taking into account inflation. But the Elysee agrees that the Fund to compensate for VAT is excluded, as the wish to local elected officials. Similarly, resources which come from new transfers of charges will not be taken into account. In return for this effort, the elected officials get a moratorium on the standards (access for disabled, safety standards, etc.), with the exception of the international provisions.

Local incentives

Nicolas Sarkozy promises a strengthening of the equalization, in the State competitions, to offset the differences in resources between common rich and poor, including. But these endowments will be modulated according to criteria of good management "to encourage local communities to reduce their expenses in the same proportions as the State". This track yet was set aside by the commission Carrez ("Les Echos" of May 19), judge cannot establish a valid test of good management. At Bercy, evokes these criteria the share of staff costs among all spending, or even the pace of local taxes over several years. Parliamentarians and local elected representatives must discuss.

Spending cuts

Operating expenditures will have to be eroded by 10 by 2013, as intervention expenditure.