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{"id":11103,"date":"2018-07-10T08:39:00","date_gmt":"2018-07-10T06:39:00","guid":{"rendered":"https:\/\/www.3-min.info\/?p=11103"},"modified":"2018-07-10T08:39:00","modified_gmt":"2018-07-10T06:39:00","slug":"systeme-des-prix-de-reference-economiser-au-mauvais-endroit","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2018\/07\/10\/systeme-des-prix-de-reference-economiser-au-mauvais-endroit\/","title":{"rendered":"Syst\u00e8me des prix de r\u00e9f\u00e9rence \u2013 Economiser au mauvais endroit"},"content":{"rendered":"<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">La NZZ am Sonntag du 19 juin titrait\u00a0: \u00ab\u00a0Le syst\u00e8me de sant\u00e9 cause des soucis aux Suisses \u2013 bien que les primes \u00e9lev\u00e9es soient largement accept\u00e9es.\u00a0\u00bb Dans le moniteur de la sant\u00e9 2018, la politique de la sant\u00e9 figure en haut de la liste, \u00e0 la quatri\u00e8me place du barom\u00e8tre des inqui\u00e9tudes. <\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Pas de doute, il faut faire quelque chose. Le syst\u00e8me des prix de r\u00e9f\u00e9rence, qu\u2019Alain Berset veut promouvoir malgr\u00e9 toutes les oppositions, n\u2019est toutefois certainement pas la solution. Selon un sondage de l\u2019institut Gfs, les Suisses ne demandent pas des primes plus basses. Ils veulent un catalogue de prestations complet et la m\u00e9decine la meilleure. Cela comprend notamment le libre choix du m\u00e9decin et l\u2019acc\u00e8s aux nouveaux m\u00e9dicaments. \u00a0<\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Mais la population pourrait bient\u00f4t perdre l\u2019acc\u00e8s aux m\u00e9dicaments du quotidien si Alain Berset, Stefan Meierhans et Co. r\u00e9ussissent \u00e0 imposer le syst\u00e8me des prix de r\u00e9f\u00e9rence. Pour les cercles professionnels, il est clair que cette strat\u00e9gie du prix le plus bas met en p\u00e9ril l\u2019approvisionnement en m\u00e9dicaments (des goulots d\u2019\u00e9tranglements sont d\u00e9j\u00e0 actuellement \u00e0 l\u2019ordre du jour) et d\u00e9grade la qualit\u00e9 du syst\u00e8me de sant\u00e9, parce que les patients sont alors contraints de passer \u00e0 la pr\u00e9paration la moins ch\u00e8re. <\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Et cette perte massive en termes de s\u00e9curit\u00e9 d\u2019approvisionnement et de qualit\u00e9 ne contribue m\u00eame pas \u00e0 r\u00e9duire les co\u00fbts\u00a0! <\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Les g\u00e9n\u00e9riques sont reposables du 11% des co\u00fbts des m\u00e9dicaments, respectivement d\u2019un minime 1 % de l\u2019ensemble des co\u00fbts de la sant\u00e9. Il n\u2019est pas n\u00e9cessaire d\u2019\u00eatre un g\u00e9nie du calcul pour voir d\u2019un coup d\u2019\u0153il que des \u00e9conomies dans ce domaine n\u2019auront absolument aucun effet. Au contraire. Le passage d\u2019un patient \u00e0 un m\u00e9dicament de remplacement co\u00fbte bien plus en traitements m\u00e9dicaux. Et lorsque les g\u00e9n\u00e9riques auront \u00e9t\u00e9 enti\u00e8rement retir\u00e9s du march\u00e9 en raison d\u2019une politique irresponsable du prix le plus bas, impos\u00e9e par l\u2019\u00e9tat (ou qu\u2019il ne restera plus qu\u2019un fournisseur monopolistique ayant surv\u00e9cu au massacre, qui fixera alors seul ses prix), les produits alternatifs deviendront g\u00e9n\u00e9ralement beaucoup plus chers. Les Etats-Unis nous en fournissent d\u00e9j\u00e0 de nombreux exemples.<\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Et le syst\u00e8me du prix le plus bas n\u2019a aucun effet sur le secteur qui devrait causer de nombreux maux de t\u00eate, aussi bien au ministre de la sant\u00e9 qu\u2019au surveillant des prix\u00a0: les m\u00e9dicaments \u00e0 prix \u00e9lev\u00e9 (ex-factory au-dessus de CHF 880). En calculant sur le nombre d\u2019emballages, ils ne repr\u00e9sentent que le 0,6% du march\u00e9 LS. Mais ces quelques emballages sont responsables du 31% des co\u00fbts des m\u00e9dicaments\u00a0! et cette tendance progresse. Les co\u00fbts g\u00e9n\u00e9r\u00e9s par le secteur des prix \u00e9lev\u00e9s ont augment\u00e9 de plus de 558 millions de francs depuis 2005 et cela va se poursuivre. <\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Alain Berset et le surveillant des prix ont-ils une r\u00e9ponse dans ce domaine\u00a0? Non, visiblement non. L\u2019industrie pratiquant la recherche soutient cette action d\u2019enfumage pour des raisons compr\u00e9hensibles. Ils restent silencieux ou d\u00e9tournent l\u2019attention des vrais probl\u00e8mes en faisant du raffut dans tout le pays avec leur syst\u00e8me du prix le plus bas. <\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Des exemples tir\u00e9s de la r\u00e9alit\u00e9 montrent les cons\u00e9quences de ce mod\u00e8le. En Su\u00e8de, la part de march\u00e9 des g\u00e9n\u00e9riques n\u2019a augment\u00e9 qu\u2019apr\u00e8s l\u2019abolition du syst\u00e8me des prix de r\u00e9f\u00e9rence. En Finlande, l\u2019introduction du syst\u00e8me du montant fixe a conduit \u00e0 un accroissement suppl\u00e9mentaire de la consommation. Dans d\u2019autres pays, il s\u2019est av\u00e9r\u00e9 que le syst\u00e8me du prix le plus bas maintient la proportion de g\u00e9n\u00e9riques \u00e0 bas niveau. En revanche, les pays sans le syst\u00e8me des prix de r\u00e9f\u00e9rence pr\u00e9sentent un taux \u00e9lev\u00e9 d\u2019utilisation des g\u00e9n\u00e9riques, ce qui a aussi pour effet de r\u00e9duire les co\u00fbts sans d\u00e9truire les structures.<\/span><\/span><\/p>\n<p><span lang=\"FR-CH\" style=\"margin: 0px; line-height: 150%; font-family: 'Arial',sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">L\u2019association IFAK est pr\u00eate \u00e0 r\u00e9colter des signatures et \u00e0 s\u2019engager activement contre l\u2019introduction du syst\u00e8me des prix de r\u00e9f\u00e9rence. La population suisse ne veut pas la m\u00e9decine la moins ch\u00e8re mais la s\u00e9curit\u00e9 d\u2019approvisionnement, la qualit\u00e9 et la libert\u00e9 de choix\u00a0! <\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La NZZ am Sonntag du 19 juin titrait\u00a0: \u00ab\u00a0Le syst\u00e8me de sant\u00e9 cause des soucis aux Suisses \u2013 bien que les primes \u00e9lev\u00e9es soient largement [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":11099,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[61],"tags":[48,49,47,70,50],"class_list":["post-11103","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuel","tag-baisses-de-prix","tag-monsieur-prix","tag-prix-des-medicaments","tag-qualite","tag-santesuisse-fr"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2018\/07\/Mangelhafte_med_Versorgung_Fotolia_211980797_M.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/comments?post=11103"}],"version-history":[{"count":1,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11103\/revisions"}],"predecessor-version":[{"id":11104,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11103\/revisions\/11104"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/11099"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=11103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=11103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=11103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}