Santé publique

Politique du médicament

Le silence des programmes santé
vendredi 19 mai 2006

Des mêmes auteurs

 

Je suis impressionnĂ© par le silence des programmes santĂ© de tous les partis sur la politique du mĂ©dicament, alors que la hausse prĂ©visible de leurs prix menace de faire exploser tous les systèmes de protection sociale, et qu’il s’agit, par ailleurs, du seul domaine oĂą des Ă©conomies substantielles sont rĂ©alisables, puisque c’est le seul oĂą il existe des marges rĂ©elles, tant pour les prix que pour la consommation. Peur d’affronter les intĂ©rĂŞts de l’industrie pharmaceutique ?

Chacun sait, pourtant, ce qu’il faudrait faire.

- Obligation (comme dans les autres pays europĂ©ens), pour les mĂ©decins, de prescrire les molĂ©cules en dĂ©nomination commune internationale, et non sous leur nom commercial et, pour les pharmaciens, de les dĂ©livrer sous la forme commercialisĂ©e la moins chère.

- Mettre Ă  la disposition des mĂ©decins des logiciels de bonne prescription, qui existent dĂ©jĂ .

- DĂ©remboursement des mĂ©dicaments Ă  efficacitĂ© non dĂ©montrĂ©e (près de la moitiĂ© de ceux qui sont actuellement remboursĂ©s).

- Interdire la prescription des mĂ©dicaments en dehors des indications de leur autorisation de mise sur le marchĂ©, qui sont les seules dans lesquelles leur efficacitĂ© a Ă©tĂ© prouvĂ©e.

- Rendre l’information pharmacologique des mĂ©decins indĂ©pendante de l’industrie pharmaceutique, et en confier le monopole Ă  l’ Afssaps.

- Interdire les articles de publicitĂ© rĂ©dactionnelle dans les revues pseudo-mĂ©dicales.

- Rembourser les mĂ©dicaments sur la base du prix de celui qui est le moins cher dans la mĂŞme classe thĂ©rapeutique, comme en Allemagne.

- Mettre fin Ă  la procĂ©dure du "dĂ©pĂ´t de prix", qui revient Ă  accorder le droit aux laboratoires de fixer eux-mĂŞmes le prix des nouveaux mĂ©dicaments.

- Accorder aux hĂ´pitaux le droit de faire jouer la concurrence sur les prix des diffĂ©rents laboratoires pour l’achat d’un mĂ©dicament Ă©quivalent.

- Mettre en place, comme aux Etats-Unis, des circuits de dĂ©livrance directe du mĂ©dicament du grossiste au consommateur (80 % des prescriptions sont des renouvellements d’ordonnances), ce qui fera considĂ©rablement baisser le prix de la distribution, qui intervient actuellement pour 30 % du prix du mĂ©dicament.

Et ce ne sont que quelques pistes...

Du mĂŞme auteur


Tweet
 


Répondre à cet article


Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 348

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 46

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 48

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 49

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 50

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 52

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 53

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 54

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 86

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 93

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 102

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 109

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 116

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 123

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 131

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 220

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 222

Deprecated: Assigning the return value of new by reference is deprecated in /home/medecine/www/opimed/ecrire/safehtml/classes/HTMLSax3.php on line 224

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

Warning: preg_replace_callback(): Requires argument 2, 'chr('\1')', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 166

Warning: preg_replace_callback(): Requires argument 2, 'chr(hexdec('\1'))', to be a valid callback in /home/medecine/www/opimed/ecrire/safehtml/classes/safehtml.php on line 167

2 Messages de forum


Fatal error: Call to undefined function spip_fopen_lock() in /home/medecine/www/opimed/ecrire/inc/distant.php on line 340