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Health. How paying doctors has become a solution for local authorities in the face of medical deserts.

Health. How paying doctors has become a solution for local authorities in the face of medical deserts.

To address the shortage of doctors, some communities are choosing to employ healthcare professionals. Following the example of municipalities, departmental councils have also joined forces, such as those in Isère and Moselle, like the one that led the way despite headwinds: Saône-et-Loire.

Serge Boulet, obstetrician-gynecologist, based at the Mâcon departmental health center, with André Accary, president of the Saône-et-Loire departmental council. Photo Nathalie Magnien
Serge Boulet, obstetrician-gynecologist, based at the Mâcon departmental health center, with André Accary, president of the Saône-et-Loire departmental council. Photo Nathalie Magnien

André Accary began by breaking the law. The president of the Saône-et-Loire departmental council (LR) believes he had no choice. In 2015, he noted that half of the 640 private doctors in his department were about to retire, while the population was aging and the measures put in place to attract doctors were producing "extremely modest results."

With time pressing, he sought information from health centers with doctors employed by municipalities. At that time, it was the town halls that were experimenting with this system of employed doctors, as in the Île-de-France region or in Amplepuis in the Rhône region.

A system voted in 2017

André Accary wants to transpose the model to a departmental scale. It's 2017, and no one really believes it. "I explained my desire to create a departmental health center. Faced with the enthusiasm at ground zero of...

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