The AMMD's outburst, from frustration to confusion

By Camille FratiLex Kleren Switch to French for original article

At the end of October, the Association of Doctors and Dentists denounced its agreement binding it to the National Health Fund. A radical move rooted in accumulated resentment and also intended to create a shock effect. Why does this step go further than a mere rejection of the fee increase set by the CNS? And why are other, less consensual demands becoming attached to it? The answer in our "Why is everyone talking about...?" format.

"This historic decision reflects the clear desire of doctors and dentists to put an end to a framework that had become incompatible with the reality of modern medicine and with the constitutional principle of freedom of practice and social protection for the population." On 8 October, at an extraordinary general meeting, the AMMD voted to terminate the two agreements linking it to the CNS, and officially gave notice of this termination on 30 October. This did not come as a total surprise, since the AMMD was merely carrying out a threat it had been making for several months – but the professional association clearly made a dramatic statement.

The agreement between the AMMD and the CNS governs all interactions and cooperation between doctors and the health insurance system. It defines the framework within which they operate, from the provision of care to prescriptions and fees. For doctors and dentists, the "compulsory and automatic agreement" has become a "legal and regulatory straitjacket, unconstitutional at several levels", which "limits their professional freedom" since they cannot exceed the fees set by the CNS.

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