Lettre au ministre Xavier BERTRAND

Par Jean-Marc ROUBAUD, Député-Maire du Gard (UMP)

jeudi 15 décembre 2005 par Olivier ROZAND

ASSEMBLE NATIONALE

Jean-Marc ROUBAUD

DÉPUTÉ DU GARD
MAIRE DE VILLENEUVE LEZ AVIGNON

Monsieur Xavier BERTRAND

Ministère de la Santé et des Solidarités
14 avenue Duquesne

Le 6 décembre 2005,

Objet : Réforme de l’Assurance Maladie. Nos réf. CS/X B/ 12/05

Monsieur Le Ministre,

J’ai été récemment saisi sur la réforme de l’Assurance Maladie récemment votée, une réforme qui a été dénaturée par la Convention Médicale pour bon nombre de médecins.

En effet, cette convention prévoyait au 15 novembre 2005 une convergence entre les dispositifs du médecin traitant et du médecin référent. Les médecins référents, qui ont été précurseurs de cette réforme, considèrent avoir été victimes de la suppression de ce dispositif.

Je vous saurais gré de bien vouloir porter un examen bienveillant aux attentes des médecins référents qui souhaitent le maintien de ce dispositif, au moins pour ceux qui s’y étaient engagés.

Vous remerciant de la suite réservée au présent courrier,

Je vous prie d’agréer, Monsieur Le Ministre, l’expression de mes salutations distinguées.

Le Député-maire, Jean-Marc ROUBAUD

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CS/O R/ 12/05 \par }\pard \ql \li2088\ri0\sb756\nowidctlpar\faauto\adjustright\rin0\lin2088\itap0\pararsid8003102 {\f1\fs19\insrsid8003102\charrsid8003102 Monsieur, \par }\pard \ql \li2016\ri1008\sb504\sl252\slmult0\nowidctlpar\faauto\adjustright\rin1008\lin2016\itap0\pararsid8003102 {\f1\fs19\expnd1\expndtw8\insrsid8003102\charrsid8003102 J'ai bien re\'e7u votre courrier \'e9 lectronique du 27 novembre dernier et vous en remercie }{\f1\fs19\insrsid8003102\charrsid8003102 vivement. \par }\pard \ql \li2088\ri1080\sb252\sl252\slmult0\nowidctlpar\faauto\adjustright\rin1080\lin2088\itap0\pararsid8003102 {\f1\fs19\insrsid8003102\charrsid8003102 C'est avec attention que j'ai pris connaissance de vos diff\'e9rentes observations et attentes sur }{\f1\fs19\expnd0\expndtw-1\insrsid8003102\charrsid8003102 la r\'e9forme de l'Assurance Maladie r\'e9cemment vot\'e9e \'e0 l'Assembl\'e9e Nationale. \par }\pard \qj \li2016\ri1008\sb252\nowidctlpar\faauto\adjustright\rin1008\lin2016\itap0\pararsid8003102 {\f1\fs19\expnd0\expndtw-2\insrsid8003102\charrsid8003102 Soucieux d'apaiser vos craintes sur la suppression du dispositif \'ab M\'e9decin R\'e9f\'e9rent \'bb, }{\f1\fs19\expnd1\expndtw6\insrsid8003102\charrsid8003102 j'interviens ce jour aupr\'e8s de Monsieur Xavier BERTRAND, Ministre de la Sant\'e9 et des }{\f1\fs19\expnd0\expndtw1\insrsid8003102\charrsid8003102 Solidarit\'e9 s afin de lui demander de porter un examen bienveillant quant \'e0 votre demande de }{\f1\fs19\expnd0\expndtw-2\insrsid8003102\charrsid8003102 maintien de celui-ci. \par }\pard \ql \li2052\ri0\sb252\nowidctlpar\faauto\adjustright\rin0\lin2052\itap0\pararsid8003102 {\f1\fs19\expnd0\expndtw2\insrsid8003102\charrsid8003102 Veuillez trouver ci-apr\'e8s copie de ce courrier. \par }{\f1\fs19\expnd0\expndtw-2\insrsid8003102\charrsid8003102 Je ne manquerai pas de vous tenir inform\'e9 de la suite r\'e9serv\'e9e, \par Je vous prie d'agr\'e9er, Monsieur, l'expression de mes salutations distingu\'e9es. \par }\pard \ql \li6408\ri0\sb1008\nowidctlpar\faauto\adjustright\rin0\lin6408\itap0\pararsid8003102 {\f1\fs19\insrsid8415852 Le D\'e9put\'e9-M}{\f1\fs19\insrsid8415852\charrsid8003102 aire}{\f1\fs19\insrsid8003102\charrsid8003102 \par }\pard \ql \li6372\ri0\sb1008\nowidctlpar\faauto\adjustright\rin0\lin6372\itap0\pararsid8003102 {\b\f1\fs19\expnd3\expndtw15\insrsid8003102\charrsid8003102 Jean-Marc ROUBAUD \par }\pard \ql \li2376\ri0\sb576\nowidctlpar\tx9216\faauto\adjustright\rin0\lin2376\itap0\pararsid8003102 {\b\fs13\expnd2\expndtw10\insrsid8003102\charrsid8003102 PERMANENCES PARLEMENTAIRES\tab }{\b\fs13\expnd1\expndtw9\insrsid8003102\charrsid8003102 ASSEMBL \'c9E NATIONALE \par }\pard \qj \li432\ri288\sl180\slmult0\nowidctlpar\tx3240\tx10728\faauto\adjustright\rin288\lin432\itap0\pararsid8003102 {\fs13\expnd0\expndtw4\insrsid8003102\charrsid8003102 VILLENEUVE LEZ AVIGNON\tab }{ \fs13\expnd1\expndtw5\insrsid8003102\charrsid8003102 BAGNOLS-SUR-C\'c8ZE\tab }{\fs13\expnd1\expndtw9\insrsid8003102\charrsid8003102 PARIS }{\fs13\expnd1\expndtw8\insrsid8003102\charrsid8003102 2 RUE DE LA R\'c9PUBLIQUE }{ \fs13\expnd1\expndtw6\insrsid8003102\charrsid8003102 IMMEUBLE SAINT BERNARD, PLACE ST BERNARD 126 RUE DE L'UNIVERSIT\'c9 }{\fs13\expnd0\expndtw3\insrsid8003102\charrsid8003102 30400 VILLENEUVE LEZ AVIGNON 30200 BAGNOLS SUR C\'c8ZE }{ \fs13\expnd1\expndtw6\insrsid8003102\charrsid8003102 75355 PARIS 07 SP \par }\pard \ql \li468\ri0\nowidctlpar\tx3240\tx8532\faauto\adjustright\rin0\lin468\itap0\pararsid8003102 {\fs13\expnd1\expndtw6\insrsid8003102\charrsid8003102 T\'c9L./FAX 04 90 15 48 65\tab }{\fs13\expnd1\expndtw7\insrsid8003102\charrsid8003102 T\'c9 L. 04 66 50 69 70 }{\fs13\expnd0\expndtw4\insrsid8003102\charrsid8003102 - 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CS/X B/ 12/05 \par }\pard \ql \li1980\ri0\sb720\nowidctlpar\tx5940\faauto\adjustright\rin0\lin1980\itap0\pararsid15863900 {\f35\fs19\expnd0\expndtw1\insrsid15863900\charrsid15863900 Monsieur Le Ministre,\tab }{\fs18\expnd-1\expndtw-9\insrsid15863900\charrsid15863900 GA. \par }\pard \ql \li1944\ri1296\sb540\nowidctlpar\faauto\adjustright\rin1296\lin1944\itap0\pararsid15863900 {\f35\fs19\expnd0\expndtw-1\insrsid15863900\charrsid15863900 J'ai \'e9t\'e9 r\'e9cemment saisi sur la r\'e9forme de l'Assurance Maladie r\'e9cemment vot \'e9e, une }{\f35\fs19\insrsid15863900\charrsid15863900 r\'e9forme qui a \'e9t\'e9 d\'e9natur\'e9e par la Convention M\'e9dicale pour bon nombre de m\'e9decins. \par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid15863900 {\f35\fs19\insrsid15863900\charrsid15863900 \par }\pard \qj \li1944\ri1296\nowidctlpar\faauto\adjustright\rin1296\lin1944\itap0\pararsid15863900 {\f35\fs19\expnd0\expndtw-1\insrsid15863900\charrsid15863900 En effet, cette convention pr\'e9voyait au 15 n ovembre 2005 une convergence entre les dispositifs du m\'e9decin traitant et du m\'e9decin r\'e9f\'e9rent. Les m\'e9decins r\'e9f\'e9rents, qui ont \'e9t\'e9 }{\f35\fs19\expnd1\expndtw8\insrsid15863900\charrsid15863900 pr\'e9curseurs de cette r\'e9 forme, consid\'e8rent avoir \'e9t\'e9 victimes de la suppression de ce }{\f35\fs19\expnd0\expndtw-2\insrsid15863900\charrsid15863900 dispositif. \par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid15863900 {\f35\fs19\insrsid15863900\charrsid15863900 \par }\pard \qj \li1944\ri1296\nowidctlpar\faauto\adjustright\rin1296\lin1944\itap0\pararsid15863900 {\f35\fs19\expnd1\expndtw9\insrsid15863900\charrsid15863900 Je vous saurais gr\'e9 de bien vouloir porter un examen bienveillant aux attentes des m\'e9decins } {\f35\fs19\expnd0\expndtw-1\insrsid15863900\charrsid15863900 r\'e9f\'e9rents qui souhaitent le maintien de ce dispositif, au moins pour ceux qui s'y \'e9taient }{\f35\fs19\expnd-2\expndtw-11\insrsid15863900\charrsid15863900 engag\'e9s. \par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid15863900 {\f35\fs19\insrsid15863900\charrsid15863900 \par }\pard \ql \li1944\ri0\nowidctlpar\faauto\adjustright\rin0\lin1944\itap0\pararsid15863900 {\f35\fs19\expnd0\expndtw-2\insrsid15863900\charrsid15863900 Vous remerciant de la suite r\'e9serv\'e9e au pr\'e9sent courrier, \par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid15863900 {\f35\fs19\insrsid15863900\charrsid15863900 \par }\pard \ql \li1944\ri0\nowidctlpar\faauto\adjustright\rin0\lin1944\itap0\pararsid15863900 {\f35\fs19\expnd0\expndtw-1\insrsid15863900\charrsid15863900 Je vous prie d'agr\'e9er, Monsieur Le Ministre, l'expression de mes salutations distingu\'e9es. \par }\pard \ql \fi708\li4248\ri2880\sl1272\slmult0\nowidctlpar\faauto\adjustright\rin2880\lin4248\itap0\pararsid15863900 {\f35\fs19\insrsid15863900\charrsid15863900 Le D\'e9pu}{\f35\fs19\insrsid15863900 t}{\f35\fs19\insrsid15863900\charrsid15863900 \'e9}{ \f35\fs19\insrsid15863900 -}{\f35\fs19\insrsid15863900\charrsid15863900 Maire, }{\b\f35\fs19\expnd1\expndtw9\insrsid15863900\charrsid15863900 Jean-}{\b\f35\fs19\expnd1\expndtw9\insrsid15863900 Ma}{ \b\f35\fs19\expnd1\expndtw9\insrsid15863900\charrsid15863900 rc ROUBAUD \par }\pard \ql \li2232\ri0\sb1080\nowidctlpar\tx8748\faauto\adjustright\rin0\lin2232\itap0\pararsid15863900 {\b\f35\fs19\insrsid15863900\charrsid15863900 PERMANENCES }{\fs13\expnd2\expndtw13\insrsid15863900\charrsid15863900 P%RLEMENTAIRES\tab }{ \fs13\expnd2\expndtw14\insrsid15863900\charrsid15863900 ASSEMBL\'c9E NATIONALE \par }\pard \qj \li288\ri576\sl168\slmult0\nowidctlpar\tx3132\tx10548\faauto\adjustright\rin576\lin288\itap0\pararsid15863900 {\fs13\expnd0\expndtw4\insrsid15863900\charrsid15863900 VILLENEUVE LEZ AVIGNON\tab }{ \fs13\expnd0\expndtw3\insrsid15863900\charrsid15863900 BAGNOLS-SUR-C\'c8ZE\tab }{\fs13\expnd1\expndtw5\insrsid15863900\charrsid15863900 PARIS }{\fs13\expnd1\expndtw6\insrsid15863900\charrsid15863900 2 RUE DE LA R\'c9PUBLIQUE }{ \fs13\expnd1\expndtw8\insrsid15863900\charrsid15863900 IMMEUBLE SAINT BERNARD, PLACE ST BERNARD }{\fs13\expnd0\expndtw4\insrsid15863900\charrsid15863900 126 RUE DE L'UNIVERSIT\'c9 }{\fs13\expnd0\expndtw3\insrsid15863900\charrsid15863900 30400 VILLENEUVE LEZ AVIGNON }{\fs13\expnd0\expndtw2\insrsid15863900\charrsid15863900 30200 BAGNOLS SUR C\'c8ZE }{\fs13\expnd0\expndtw3\insrsid15863900\charrsid15863900 75355 PARIS 07 SP \par }\pard \ql \li324\ri0\sl180\slmult0\nowidctlpar\tx3132\tx8352\faauto\adjustright\rin0\lin324\itap0\pararsid15863900 {\fs13\expnd1\expndtw7\insrsid15863900\charrsid15863900 TEL./FAX 04 90 15 43 65\tab }{ \fs13\expnd1\expndtw9\insrsid15863900\charrsid15863900 T\'c9L. 0}{\fs13\super\insrsid15863900\charrsid15863900 ,}{\fs13\expnd1\expndtw6\insrsid15863900\charrsid15863900 166 50 69 70 }{\fs13\expnd0\expndtw4\insrsid15863900\charrsid15863900 - 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