Dessous-de-table

mercredi 28 février 2007

Dans le cadre d’un sondage Ipsos, publiĂ© aujourd’hui, 8 % des personnes interrogĂ©es ont dĂ©clarĂ© avoir Ă©tĂ© au moins une fois confrontĂ© Ă  une demande de "dessous-de-table" de la part d’un mĂ©decin.

Au-delĂ  des dĂ©veloppements Ă©thiques et des circonvolutions sĂ©mantiques dĂ©battant la pertinence de l’expression, l’importance de ce chiffre ne montre-t-il pas le problème structurel fondamental de la mĂ©decine libĂ©rale actuelle ? A dĂ©faut, il est tĂ©moin de la joyeuse anarchie des honoraires mĂ©dicaux dans une sociĂ©tĂ© oĂą des mĂ©decins pauvres cĂ´toient des praticiens dont l’heure d’exercice est honorĂ©e dix ou vingt fois plus. Quelle est alors la valeur des statistiques concernant le revenu moyen des mĂ©decins spĂ©cialistes ou gĂ©nĂ©ralistes, quand quelques-uns les tirent considĂ©rablement vers le haut ? Il n’est pas inutile de souligner que la sectorisation maintenue en l’Ă©tat par la système d’assurance maladie est en partie responsable de ce dĂ©labrement global, en favorisant l’existence de plusieurs niveaux d’honoraires indĂ©pendamment du niveau des compĂ©tences.

Une remarque s’impose, et les praticiens qui s’en sont avisĂ© semblent de plus en plus nombreux : un mĂ©decin non conventionnĂ© ne peut jamais ĂŞtre soupçonnĂ© de dessous-de-table.

HG


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