What we know over the two days per month imposed by the government on all doctors – Liberation

The government has released its prescription and prescribed two days a month for doctors in medical deserts. The measure is supposed to come to the aid of the 6 million French people without a doctor. Prime Minister’s priority, François Bayrou unveiled his plan this Friday, April 25 to facilitate access to care. If the government has renounced to restrict the freedom of installation of doctors, The executive nevertheless wishes to impose up to two days per month of consultation time on doctors in the priority areas of the territory. What does this measure contain? Has it ever been established? « Liberation » takes stock.

The executive favors the gentle method: two days a month for each doctor in a medical desert rather than a permanent installation in an under-to-do area. The Prime Minister thus evokes a « Solidarity principle»On the part of the medical profession and presents the measure as an alternative to the « End of freedom of installation » Liberal practitioners.

« Each general practitioner or specialist who exercises in a well provided territory will have to devote one or two days a month to consultations in the areas that are most in difficulty », said the Prime Minister François Bayrou After a visit to Puycalvet, a small rural town about forty kilometers from Aurillac.

All caregivers are affected by this measure: general practitioners, specialists, young doctors and the oldest, who can be replaced in their main office. This represents 30 million consultations. There will be « Financial counterparts » whose amount was not specified this Friday. « Conversely, doctors who refuse will be penalized », specifies a government source.

In addition, the government wishes, within one month, the development of a mapping of particularly priority areas, said « Red areas ». This work will be entrusted to regional health agencies (ARS), « In close connection with prefects and local elected officials »in order to « Define department by department the most priority areas » for the application of this plan.

The Center-Val de Loire region is the most devoid of doctors. It is the lowest medical density (263.8 doctors per 100,000 inhabitants) recorded in March by the National Council of the Order of Doctors (CNOM). The Department of Eure-et-Loir went there from 117.3 general practitioners per 100,000 inhabitants in 2010 to 69.8 in 2025. It is in this region that there are the most people without a treating doctor: 16 % according to the UFC-Que Choosing the end of 2024, 25 % according to the region last week.

But the indicators also raise air holes in the so -called favored areas. Ile-de-France is thus « One of the best -equipped regions, in medical and surgical specialists, but is among the lowest densities in generalists »points the cnom.

The desire to impose two days a month in the medical deserts Passes badly among health professionals. «  »We do not force liberal doctors, it’s hard to hear but it’s like that « reacted on France Inter Jérôme Marty, general practitioner and president of the UFML (French Union for Free Medicine) union. The practitioner underlines in passing that liberal doctors are not « State agents «  And believes that if the government says: « We will force you, this is the guaranteed failure ».

As a whole, the doctors denounce a « The attractiveness of liberal medicine, today the first bulwark of the health system ».

According to Doctor Jean-Christophe Nogrette, secretary general of MG France, the majority union among the Liberals, « A constraint measure can only decrease the supply of care ». In an interview carried out by Franceinfo this Friday, Jean-Christophe Nogrette considers that « If a doctor says » I can’t « , it’s because he can’t, it’s not to have fun ». He adds : « Solidarity is always on the basis of volunteering ».

Demonstrations of anti-regulation doctors are scheduled for Tuesday, April 29 throughout France, MG France, the majority union among the Liberals, evokes « A closure of the cabinets for those present at the April 29 event ».

The young doctors, they appealed to a hard strike with closing of the cabinets on Monday, April 28. «  »We tried the gentle method, dialogue and pedagogy with deputies, and it did not work, thus argued Anna Bactor, the representative of young doctors. It’s time to move on to a more muscular response in a show of iron. ”

If the use of a coercive measure to compensate for the absence of doctors in certain geographic areas is a first, some health professionals have not waited for the government to mobilize.

Like the Nièvre’s « flying doctors ». Since 2023, pulmonologists, cancerologists, general practitioners still gynecologists have used to carry out an « air bridge » between the cities of Dijon and Nevers. A 35 -minute journey in the air against three hours by car. With a general practitioner for more than 2,000 patients, against 854 at the national level, 15 to 20 % of patients do not have a doctor in the Nièvre department. Enough to force doctors to fly.

Initiatives can also be more personal. From the Grand-Est to Brittany, via Normandy, the general practitioner Anaïs Werestchack, crowned Miss Auvergne in 2021 and her physiotherapist Brice, undertook a Tour de France of medical deserts throughout the year 2024. Together, they replaced some 31 doctors and physiotherapy and treated more than 5,000 patients encountered in 45 departments. The two volunteers, who took over from tired caregivers, have, among other things, regretted the fact that health insurance has not set up a structure or website allowing to put doctors in contact who are looking for replacements, and possible candidates.