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(en) France, UCL AL #316 = Unionism, David and Sylvie (CGT-santé): "The staff understood the Ségur scam" (ca, de, it, fr, pt)[machine translation]

Date Sun, 30 May 2021 08:11:11 +0300

David is deputy secretary of the CGT union of the regional hospital of Orléans (CHRO). Sylvie is secretary of the Health and Social Action union in Loiret. He and she detail in Alternative Libertaire the establishment of a two-tier health. ---- AL: What has changed since the opening of CHRO in 2015 ? ---- David: Before the doctors were the ordering parties, the directors only linked up with the regional health agencies (ARS). Then the directors were put on the same level as the doctors... except that they are the ones who have control of the wallet. However, their role is to generate numbers. This has led to the departure of doctors.
Sylvie: This is also what has led, elsewhere in the department, to the closure of small hospitals deemed not profitable enough. Patients are therefore redirected to the CHRO. But at the same time, hospitalization time decreases, to make the beds as profitable as possible and reduce staff. Thus, in the department, we lost about 15% of the staff, mainly because of the establishments which have closed.

David: Part of the staff reductions is done through outsourcing. Thus, the entire cleaning, apart from the block rooms, was entrusted to Elior. This poses real health safety problems because disinfection requires very specific training. However, we ask Elior staff to make money by cleaning the rooms as quickly as possible. The action time of the products is neglected, they are asked to make a room with a single wipe instead of three, etc.

What is the objective of the ARS ?

Sylvie: The goal, ultimately, is to separate the hospital in two: on the one hand, advanced services, such as intensive care ; on the other hand, medicine at a discount, for those who have little means. However, doctors have the right to exercise 40% of their activity in a private capacity, by paying a commission to the hospital. Typically, a doctor will suggest a regular appointment in six months.... or in two weeks, but in private consultation ! This is two-tier medicine.

David: It leads to aberrant situations, such as the recent scandal surrounding two cardiologists, one of which broke the French record for interventions: 1,250 in 2018 ! He overestimated the severity of the lesions observed and thus increased the number of stenting operations. Upstream there is the choice of the ARS not to develop a real cardio service, favoring minor surgery (installation of stents and batteries), more complicated operations being sent to Tours, Paris or to the private sector.

What is the state of mind of the staff now ?

David: The Ségur de la Santé has divided a lot. We demanded 300 euros to compensate for the salary freeze ; 183 were obtained[1]. The staff, the nose in the handlebars, saw only that. But they understood the Ségur scam when the pay slips arrived. The 183 euros are not salary: it is a bonus, which can be withdrawn at any time. It is pro-rated in the event of a work stoppage. And then there are 32 other articles: annualization of working time, therefore questioning of RTT, reduction of rest time from twelve to eleven hours, etc.

Interview by Grégoire and Rémi (UCL Orléans)

CC logo: Leclerc Patrice / Social movement photo library


[1] 1. Read "The shameful bluff of 183 euros" for everyone "", Alternative libertaire, January 2021 .

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