The discussions announced long and difficult, they were: yesterday, unions Surgeons (UDCF), obstetricians (Syngof) and anaesthetists (ALA) Liberal, and the Union of health insurance funds (Uncam) met for a new "working meeting" to sketch out of the conflict that led these three professions to begin an indefinite strike on July 24 in private clinics. After more than four hours of acrimonious debate, they left on a "deep disagreement" persistent.
The last meeting, on 2 August, had certainly allowed to advance on the record of civil liability insurance premiums, whose cost is growing strongly and that will be finally taken support for two-thirds by Medicare. But the discussions of the past have failed to lift fort litigation fees. Philippe Cuq, President of the UDCF, "the Uncam refuses to implement the agreements reached and camped on worrying and irresponsible positions."

Applications "acceptable step."
Surgeons and obstetricians believe always that the agreement with the Government on 24 August 2004, which provides for an adjustment of 25 of their tariffs, was not respected, that refutes the Medicare, especially reluctant to an another adjustment that it consents already an efforts on the question of insurance. A mission of the General Inspectorate of Social Affairs must decide by end of August, on the actual amount of the write-ups from the agreement. For the Director of the Uncam, Frédéric van Roekeghem, claims of trade unions are "not acceptable account in light of the fact that today ' today many French are making efforts to rebalance the situation of health insurance, always deficit."
The other disputes on the agenda of the discussions of the past also remains outstanding. Sector practitioners 1 (contract pricing) can now switch in sector 2 (free fares), trade unions are screaming "injustice" and fear also that in this period of renewal of generation, sector 1 practitioners are more successors, newcomer youth opting for sector 2.
Then the question of switching from one sector to another arise far for surgeons, as provided for in the agreement of August 2004, anaesthetists yesterday made the same requirement. But for the Uncam, out of the question of freeing massively rates. Government advocated the establishment of a new area of "optional" said exercise, which would give more freedom to the practitioners of sector 1, as provided for in the agreement of August 2004, but the Uncam, that address the subject at the next meeting of its Council in early September, has been reluctant to open negotiations on this point because it considers that the optional sector would adversely affect access to care.
New meeting Thursday
The debate will resume Thursday, on the occasion this time of a "meeting of negotiations" between Medicare and three confederations Union the CSMF, the SML and Alliance medical convention signatories, thus empowered to negotiate with the CNAM. Xavier Bertrand, Minister of health, has already warned in early August that the absence of agreement, it would take "its responsibilities" and optional sector would be legislated in the fall of the project of law of financing of social security for 2007. For their part, unions should record tomorrow the judgment of the strike but promise for other types of actions and a new climate degradation in operating blocks.