Crisis at the hospital, how did we get here?

The hospital crisis was not built in a day. On the 11 p.m. set, Leititia Adjaoud looks back on the major measures that led to the current system. In 1941, hospitals came under state control. For several decades, their weight on finances will be criticized. In 1996, the regionalization of the hospital was voted on, entrusting local authorities with the management of budgets. In 2002, activity-based pricing was introduced. It replaces the global endowment with an endowment per act carried out, favoring unnecessary support in order to obtain funding, recalls the journalist.

Three years later, directors are allowed to take out loans without the approval of the rest of the management. Many hospitals then find themselves in debt. The turning point materialized in 2009 with the law “Hospital, patients, health and territory”. Nicolas Sarkozy then assumes to want to give a real “boss” at each establishment. These successive measures, reminiscent of the operation of a business, have been denounced by doctors. The Ségur de la santé or the abolition of the numerus clausus tried to respond to it, but without resolving the crisis.