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En Mayenne : Elisabeth Doineau aux cordons de la bourse de la Sécurité sociale

Politique. Elisabeth Doineau, sénatrice mayennaise, vient d'obtenir un poste très important. Il concernera les finances de la Sécurité sociale.

En Mayenne : Elisabeth Doineau aux cordons de la bourse de la Sécurité sociale

Élisabeth Doineau a été élue rapporteur général de la commission des Affaires sociales du Sénat. Elle occupera un rôle de premier plan lors des prochains projets de loi de finances sur la Sécurité sociale. Entretien.

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Comment%20avez-vous%20%C3%A9t%C3%A9%20%C3%A9lue%20%C3%A0%20ce%20poste%20de%20rapporteur%20g%C3%A9n%C3%A9ral%20de%20la%20commission%20des%20affaires%20sociales%20du%20S%C3%A9nat%20%3F" actuinterview-reponse="Je%20suis%20dans%20la%20commission%20des%20Affaires%20sociales%20depuis%202014%20et%20j%E2%80%99ai%20toujours%20suivi%20les%20questions%20de%20sant%C3%A9%20et%20plus%20particuli%C3%A8rement%20ce%20qui%20concerne%20les%20comptes%20sociaux.%20J%E2%80%99%C3%A9tais%20la%20plus%20ancienne%20de%20l%E2%80%99Union%20centriste%2C%20une%20sorte%20de%20r%C3%A9f%C3%A9rence%20naturelle.%20En%202017%2C%20j%E2%80%99avais%20aussi%20%C3%A9t%C3%A9%20d%C3%A9l%C3%A9gu%C3%A9e%20%C3%A0%20l%E2%80%99acc%C3%A8s%20aux%20soins%20par%20Agn%C3%A8s%20Buzyn." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Pourquoi%20avez-vous%20souhait%C3%A9%20prendre%20cette%20mission%20%3F" actuinterview-reponse="Ce%20qui%20m%E2%80%99attire%2C%20c%E2%80%99est%20l%E2%80%99exp%C3%A9rience%20que%20j%E2%80%99ai%20pu%20tirer%20aux%20c%C3%B4t%C3%A9s%20de%20Jean-Marie%20Vanlerenberghe%2C%20rapporteur%20g%C3%A9n%C3%A9ral%20depuis%20sept%20ans.%20Et%20je%20suis%20toujours%20curieuse%20de%20m%E2%80%99investir%20dans%20un%20domaine%2C%20c%E2%80%99est%20un%20d%C3%A9fi.%20J%E2%80%99arrive%20%C3%A0%20un%20moment%20o%C3%B9%20le%20trou%20de%20la%20S%C3%A9curit%C3%A9%20sociale%20est%20abyssal." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Dans%20quel%20%C3%A9tat%20d'esprit%20%C3%AAtes-vous%20%3F" actuinterview-reponse="Les%20Fran%C3%A7ais%20sont%20attach%C3%A9s%20%C3%A0%20ce%20filet%20de%20s%C3%A9curit%C3%A9.%20Cet%20amortisseur%20a%20jou%C3%A9%20tout%20son%20r%C3%B4le%20pendant%20la%20crise%2C%20sauv%C3%A9%20des%20emplois%20et%20permis%20%C3%A0%20des%20familles%20d%E2%80%99avoir%20du%20pouvoir%20d%E2%80%99achat.%20J%E2%80%99ai%20envie%20de%20d%C3%A9fendre%20notre%20S%C3%A9curit%C3%A9%20sociale.%20Mais%20il%20faut%20rembourser%20la%20dette.%20On%20ne%20peut%20pas%20avoir%20l%E2%80%99inspiration%20de%20nouvelles%20d%C3%A9penses%20dans%20ces%20conditions.%20L%E2%80%99an%20dernier%2C%20le%20S%C3%A9nat%20avait%20pr%C3%A9conis%C3%A9%20une%20r%C3%A8gle%20d%E2%80%99or%2C%20celle%20de%20l%E2%80%99obligation%20de%20r%C3%A9gler%20le%20d%C3%A9ficit.%20Cela%20n%E2%80%99a%20pas%20%C3%A9t%C3%A9%20suivi%20par%20l%E2%80%99Assembl%C3%A9e%20nationale.%20Apr%C3%A8s%2C%20l'an%20dernier%2C%20la%20dette%20covid%2C%20est-ce%20que%20ce%20n'%C3%A9tait%20pas%20plut%C3%B4t%20une%20dette%20g%C3%A9n%C3%A9rale%20qu'une%20dette%20li%C3%A9e%20%C3%A0%20la%20S%C3%A9curit%C3%A9%20sociale%20%3F%20L%E2%80%99%C3%89tat%20n'a%20pris%20en%20charge%20qu'une%20toute%20petite%20partie.%20Par%20exemple%2C%204%2C8%20milliards%20d'euros%20ont%20%C3%A9t%C3%A9%20consacr%C3%A9s%20%C3%A0%20Sant%C3%A9%20Publique%20France.%20L%E2%80%99%C3%89tat%20n'en%20a%20pris%20que%20150%20millions%20d'euros%20%C3%A0%20sa%20charge." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Quelles%20solutions%20pr%C3%A9conisez-vous%20%3F" actuinterview-reponse="Il%20faut%20jouer%20sur%20plusieurs%20tableaux.%20La%20plus%20grosse%20d%C3%A9pense%2C%20c%E2%80%99est%20l%E2%80%99assurance%20maladie.%20Aujourd%E2%80%99hui%20encore%2C%20il%20y%20a%20trop%20d%E2%80%99actes%20inutiles%20%E2%80%94%20%C3%A0%20bien%20diff%C3%A9rencier%20de%20la%20fraude.%20Une%20radio%2C%20%C3%A7a%20co%C3%BBte%20cher.%20Apr%C3%A8s%2C%20ce%20sont%20parfois%20les%20professionnels%20de%20sant%C3%A9%20qui%20poussent%20parce%20qu%E2%80%99ils%20sont%20pay%C3%A9s%20%C3%A0%20l%E2%80%99acte.%20Il%20faut%20aussi%20faire%20des%20efforts%20de%20p%C3%A9dagogie%20pour%20avoir%20un%20usage%20sobre%20du%20syst%C3%A8me%20de%20sant%C3%A9%2C%20que%20les%20gens%20aient%20conscience%20du%20co%C3%BBt.%20Le%20syst%C3%A8me%20de%20sant%C3%A9%20doit%20%C3%AAtre%20remis%20%C3%A0%20plat.%20Beaucoup%20de%20lois%20sont%20pass%C3%A9es%20mais%20un%20certain%20nombre%20de%20choses%20n%E2%80%99ont%20pas%20%C3%A9t%C3%A9%20remises%20en%20question.%20D%C3%A8s%20qu%E2%80%99on%20change%2C%20on%20pense%20que%20c%E2%80%99est%20pour%20faire%20moins%20bien.%20Mais%20non%2C%20pour%20moi%2C%20c%E2%80%99est%20la%20recherche%20du%20mieux.%20Il%20faut%20aussi%20travailler%20sur%20la%20fraude%20%3B%20notre%20syst%C3%A8me%20repose%20sur%20son%20bon%20usage.%20Et%20travailler%20sur%20les%20technologies%2C%20la%20pr%C3%A9vention%2C%20l%E2%80%99organisation%20du%20parcours%20de%20soins%E2%80%A6" /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Vous%20aurez%20aussi%20%C3%A0%20surveiller%20la%20ligne%20de%20l'Objectif%20national%20des%20d%C3%A9penses%20d'assurance%20maladie%2C%20l'Ondam.%20Que%20cela%20recouvre-t-il%20%3F" actuinterview-reponse="Derri%C3%A8re%20cela%2C%20ce%20sont%20les%20moyens%20qu%E2%80%99on%20donne%20aux%20h%C3%B4pitaux%20de%20faire%20des%20travaux%2C%20d%E2%80%99avoir%20du%20nouveau%20mat%C3%A9riel.%20Il%20faut%20consid%C3%A9rer%20la%20sant%C3%A9%20comme%20un%20investissement.%20Quand%20on%20investit%20pour%20l%E2%80%99h%C3%B4pital%2C%20on%20investit%20pour%20attirer%20les%20professionnels.%20Mais%20il%20y%20a%20certainement%20%C3%A0%20revoir%20sur%20le%20plan%20de%20la%20gestion.%20Je%20suis%20persuad%C3%A9e%20qu%E2%80%99il%20y%20a%20un%20probl%C3%A8me%20d%E2%80%99organisation%20manag%C3%A9riale.%20Il%20faut%20beaucoup%20plus%20de%20reconnaissance%20et%20de%20revalorisation%20des%20statuts.%20Les%20infirmiers%20anesth%C3%A9sistes%20ont%20eu%20un%20r%C3%B4le%20d%C3%A9terminant%20pendant%20la%20crise.%20Aujourd%E2%80%99hui%2C%20ils%20demandent%20un%20statut%20d%E2%80%99infirmier%20avanc%C3%A9.%20M%C3%AAme%20chose%20pour%20les%20sages-femmes.%20Le%20S%C3%A9gur%20de%20la%20sant%C3%A9%20a%20aid%C3%A9%2C%20mais%20il%20existe%20encore%20de%20grosses%20diff%C3%A9rences%20entre%20professionnels.%20Et%20le%20S%C3%A9gur%20n%E2%80%99a%20%C3%A9t%C3%A9%20en%20fait%20qu%E2%80%99un%20rattrapage." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Etes-vous%20pour%20ou%20contre%20le%20fait%20d'imposer%20%C3%A0%20un%20m%C3%A9decin%20d'aller%20s'installer%20ici%20ou%20l%C3%A0%20%3F" actuinterview-reponse="Je%20suis%20contre%20cette%20obligation.%20Vous%20n%E2%80%99allez%20pas%20obliger%20un%20m%C3%A9decin%20qui%20a%20fait%20neuf%20ans%20d%E2%80%99%C3%A9tudes.%20Pendant%20leur%20internat%2C%20ils%20ont%20pu%20se%20mettre%20en%20couple%20et%20bouger%2C%20c%E2%80%99est%20une%20d%C3%A9cision%20familiale.%20En%20revanche%2C%20il%20va%20falloir%20organiser%20avec%20les%20professionnels%20de%20sant%C3%A9%20un%20glissement%20des%20t%C3%A2ches.%20Actuellement%2C%20le%20syst%C3%A8me%20est%20en%20difficult%C3%A9%20car%20on%20sollicite%20beaucoup%20de%20temps%20m%C3%A9dical%2C%20car%20on%20vit%20plus%20vieux%20et%20qu'il%20y%20a%20une%20recrudescence%20de%20maladies%20chroniques.%20En%20face%2C%20on%20n'a%20jamais%20eu%20autant%20de%20m%C3%A9decins%2C%20mais%20un%20jeune%20m%C3%A9decin%20ne%20veut%20plus%20%C3%AAtre%20corv%C3%A9able%20comme%20l'%C3%A9tait%20l'ancienne%20g%C3%A9n%C3%A9ration.%20La%20profession%20s'est%20aussi%20f%C3%A9minis%C3%A9e.%20Et%20ce%20ph%C3%A9nom%C3%A8ne%20n'a%20pas%20%C3%A9t%C3%A9%20anticip%C3%A9." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Dans%20le%20d%C3%A9partement%2C%20il%20y%20a%20ce%20projet%20entre%20l'h%C3%B4pital%20de%20Laval%20et%20celui%20de%20Mayenne.%20Quelle%20est%20votre%20position%20%3F" actuinterview-reponse="Je%20d%C3%A9fends%20une%20r%C3%A9ponse%20territorialis%C3%A9e%2C%20dans%20le%20cadre%20d%E2%80%99un%20collectif.%20Le%20GHT%20a%20permis%20de%20faire%20des%20%C3%A9conomies%20sur%20les%20achats.%20Avoir%20les%20m%C3%AAmes%20syst%C3%A8mes%20d%E2%80%99information%20est%20important%20aussi.%20On%20fait%20avec%20les%20moyens%20qu%E2%80%99on%20a.%20Et%20pour%20qu%E2%80%99une%20%C3%A9quipe%20technique%20soit%20form%C3%A9e%2C%20il%20faut%20un%20certain%20nombre%20de%20professionnels.%20Pour%20autant%2C%20il%20ne%20faut%20pas%20d%C3%A9shabiller%20Mayenne%20ou%20Ch%C3%A2teau-Gontier.%20Peut-%C3%AAtre%20qu%E2%80%99ils%20peuvent%20avoir%20d%E2%80%99autres%20sp%C3%A9cialit%C3%A9s." /]

[actuinterview actuinterview-prenomnom="Elisabeth%20Doineau" actuinterview-initiales="E.%20D." actuinterview-question="Vous%20connaissiez%20cette%20future%20%C3%A9lection%20au%20moment%20o%C3%B9%20la%20campagne%20pour%20les%20%C3%A9lections%20d%C3%A9partementales%20a%20%C3%A9t%C3%A9%20lanc%C3%A9e.%20Cela%20a%20influ%C3%A9%20sur%20le%20fait%20de%20ne%20pas%20avoir%20cherch%C3%A9%20%C3%A0%20briguer%20la%20pr%C3%A9sidence%20du%20Conseil%20d%C3%A9partemental%20%3F" actuinterview-reponse="Je%20ne%20me%20suis%20pas%20du%20tout%20pos%C3%A9%20la%20question.%20Je%20n%E2%80%99ai%20pas%20du%20tout%20eu%20l%E2%80%99ambition%20de%20prendre%20la%20pr%C3%A9sidence%20du%20D%C3%A9partement%20lorsque%20j%E2%80%99ai%20d%C3%A9missionn%C3%A9%20de%20mon%20poste%20de%20vice-pr%C3%A9sidente.%20Je%20voulais%20d%C3%A9fendre%20les%20agents%20du%20D%C3%A9partement%20car%20j%E2%80%99avais%20le%20sentiment%20qu%E2%80%99ils%20n%E2%80%99%C3%A9taient%20pas%20entendus." /]

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En Mayenne : Elisabeth Doineau aux cordons de la bourse de la Sécurité sociale