Their engagement is not de oid o other contradictions

It is a unny medical Ribbon. Is there a laying o the diabetes, long Trotskyist and still ery committed to the le t, a world igure o ormerly near Gynecology o Socialist Go ernments, the urologist rom political igures, himsel MP UMP, and many other great little suspect ulterior political pro essors. Around André Grimaldi, René rydman or Bernard Debré, they ha e signed or supported "25 appeal against the death o the public hospital" published, Thursday, April 16, by "Le Nou el Obser ateur".

Under the title "the Bachelot law." Without us! ", this mani esto ga e a support isible on the o ensi e rom the great teachers o hospital against the re orm project that will stand up or the Minister o health in the Senate rom May 11, a ter ha ing already adopted in the National Assembly. A text whose main purpose is to make the real landing, at the expense o the medical corps o the Director o hospital. In practical terms, this pattern to the enhanced skills must be gi en our powers: to stop the medical project o the establishment (the Organization o its acti ities) and to appoint the heads o pole (superstructure o care umbrella ser ices), the choice o physicians sitting on the Executi e Board, inally the signing o the "pole contracts." These guidelines are not new, they were known or a year, since the head o State presented its plan o re orm o the hospital, in Neu château, in the osges mountains.

There ore, the reaction o the heads o ser ice appears well late. Their sudden mobilization is explained by external actors as well as internal to the hospital. The social climate change, the inclination o the Go ernment to make concessions and accommodations made or the re orm o the uni ersities with which hospitals, these complex communities, ha e some similarities and not only because the largest were a unction o uni ersity education ha e con inced doctors that a window o opportunity opened up to them. Internal unrest to hospitals did the rest, as i social mo ements are still parties o nurses, a domain or internal, shortlisted entry gi es a new dimension. E en i it is similar to the carp and the rabbit, the alliance o the nurse and the mandarin has concerns about the Go ernment, which is tomorrow expected strong mobilization.

This is not without a ew contortions: this is the irst time, these leaders claim top and ery "acts o nurses and the allied health rehabilitation. Their engagement is not de oid o other contradictions. One is in the denunciation o the dri t toward a "mercantile medicine." Most department heads to grant com ortable ees in de eloping a broad acti ity at the hospital. A recent sur ey o the General Inspectorate o Social A airs has shown, or example, that more than 600 hospital surgeons Pocket more than 90.000 euros per year by the pri ate sector hosted with the public hospital. Another contradiction is in the nature o the harm attributed to the text itsel .

Leader o the mo ement, André Grimaldi criticises the Go ernment both want to impose the pro itability o pri ate hospitals and "étatiser" by placing them under the in luence o health regional agencies. inally, among these physicians, some, such as Bernard Debré, seeking less to de end a political ision o the hospital as a conception o its organization around the hospital, unctional unit, but also medical power place. rom this point o iew, the rebellion o the mandarins ueled antasies. That the ser ice is not listed in the Bachelot law has uelled rumours o its demise. That awkward, the Ministry soon to publish a new list has certi ied it.

It was too much or doctors who see or years to reduce the scope o their powers and who also su ered se ere setbacks led to a pro ound moti ation. Assistance public hospitals o Paris (AP - HP), which is a party rebellion, the organization in poles, consequence o re orm Mattei, was to be accompanied by a delegation o management to doctors. The idea was dropped along the way and practitioners elt betrayed. The abolition o the pri ilege statutory o the AP - HP the Holy o the Holy , like the others under the in luence o the regional health agency, re usal o codecision on the medical establishment organization are percei ed, rightly, as additional signs o the setting to the not a medical authority which had pre iously hardly accountable manager and not in re erred only to the ethics.

Arm o iron o the doctor and the Director, is the last ight o mandarin against the "small Rector", according to the expression o André Grimaldi. It is, more deeply, that o a public ser ice pro ession, long accustomed to treat too as pain ully li es not be abo e the law o the economy a ortiori o the economy in crisis and ha e, in turn, accept that health is managed as a regular risk. Mutation is di icult: symptomatically, the "mani esto o the 25" superbly ignores the issue, yet central, the structural de icit o the hospital sector and insurance.