Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 {"id":11798,"date":"2019-06-14T13:39:29","date_gmt":"2019-06-14T11:39:29","guid":{"rendered":"https:\/\/www.3-min.info\/?p=11798"},"modified":"2019-06-14T13:39:29","modified_gmt":"2019-06-14T11:39:29","slug":"faire-des-economies-comme-fin-en-soi-a-tout-prix-sur-le-dos-des-malades","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2019\/06\/14\/faire-des-economies-comme-fin-en-soi-a-tout-prix-sur-le-dos-des-malades\/","title":{"rendered":"Faire des \u00e9conomies comme fin en soi \u2013 \u00e0 tout prix sur le dos des malades!"},"content":{"rendered":"

Le syst\u00e8me de sant\u00e9 suisse co\u00fbte cher. Il est donc tout \u00e0 fait raisonnable d\u2019\u00e9viter les d\u00e9penses inutiles. Mais faire des \u00e9conomies au mauvais endroit ne m\u00e8ne \u00e0 rien. Et si, au final, l\u2019exercice d\u00e9bouche sur une augmentation globale des co\u00fbts, on peut parler de non-sens. De tels cas ne sont malheureusement pas rares, et ceux qui en font les frais, et qui n\u2019ont pas toujours la force de se d\u00e9fendre, sont en g\u00e9n\u00e9ral les patients.<\/p>\n

 <\/p>\n

Voici un exemple. En 2017, l\u2019assurance maladie Atupri a refus\u00e9 de payer une prescription magistrale \u00e0 l\u2019un de ses assur\u00e9s. Le patient en question souffre d\u2019une affection oculaire rare qui se caract\u00e9rise par un trouble massif de l\u2019hydratation oculaire, tant au niveau quantitatif que qualitatif, ce qui conduit \u00e0 une forte cicatrisation de la conjonctive des deux yeux. Atupri a justifi\u00e9 sa d\u00e9cision en indiquant que la prescription magistrale en question ne figurait pas dans la liste des sp\u00e9cialit\u00e9s (LS). Cette explication relevait plut\u00f4t du pr\u00e9texte puisque, si le produit avait \u00e9t\u00e9 dans la LS, il n\u2019aurait pas \u00e9t\u00e9 n\u00e9cessaire de fabriquer une prescription magistrale!<\/p>\n

 <\/p>\n

On peut lire par exemple sur le site web d\u2019Atupri ou dans ses annonces:<\/p>\n

Nos clients d\u00e9cident eux-m\u00eames de ce qui est bon pour leur sant\u00e9. Et nous les y aidons.<\/em><\/p>\n

Ou encore:<\/p>\n

Chez Atupri, nous sommes aux c\u00f4t\u00e9s de nos assur\u00e9s \u00e0 chaque fois qu\u2019ils ont besoin de nous.<\/em><\/p>\n

 <\/p>\n

De qui se moque-t-on? Que penser d\u2019une assurance qui fait de telles d\u00e9clarations, mais refuse de payer une prestation utile en recourant \u00e0 des artifices juridiques?<\/p>\n

 <\/p>\n

L\u2019assur\u00e9 a port\u00e9 le cas devant la cour des assurances sociales du tribunal de B\u00e2le et obtenu gain de cause. Mais l\u2019histoire ne s\u2019arr\u00eate pas l\u00e0. Atupri a recouru au Tribunal f\u00e9d\u00e9ral. Apparemment, \u00ab\u00eatre aux c\u00f4t\u00e9s de ses assur\u00e9s\u00bb signifie pour Atupri payer des honoraires d\u2019avocats. Mais ce d\u00e9tour a co\u00fbt\u00e9 cher puisqu\u2019Atupri a perdu devant la plus haute cour du pays (lien vers l\u2019arr\u00eat du Tribunal f\u00e9d\u00e9ral<\/a>).\u00a0 Ult\u00e9rieurement, Atupri a d\u00e9fendu sa position en indiquant qu\u2019elle ne pouvait pas agir autrement, puisque la loi l\u2019exigeait.<\/p>\n

 <\/p>\n

Un article r\u00e9cemment publi\u00e9 sur 3-min.info est revenu sur la nouvelle r\u00e9glementation relative au remboursement des m\u00e9dicaments \u00abgrand fr\u00e8re\u00bb (lien vers l\u2019article<\/a>). Ici aussi la loi sert de couverture. Mais l\u2019OFSP a entretemps fait marche arri\u00e8re \u2013 sans devoir consulter le Tribunal f\u00e9d\u00e9ral. Merci cher OFSP!<\/p>\n

 <\/p>\n

Revenons-en \u00e0 Atupri et au remboursement des prescriptions magistrales. Une solution raisonnable \u00e0 cette question n\u2019est malheureusement pas encore en vue. L\u2019association IFAK traite actuellement les cas de plusieurs pharmacies auxquelles Atupri refuse de rembourser une prescription magistrale. Nous examinons pour l\u2019heure dans quelle mesure et devant quel tribunal nous engagerons des poursuites contre Atupri. Les pharmaciens sont aux c\u00f4t\u00e9s de leurs clients \u00e0 chaque fois qu\u2019ils ont besoin d\u2019eux. L\u2019association IFAK est aux c\u00f4t\u00e9s de ses membres \u00e0 chaque fois qu\u2019ils ont besoin d\u2019elle.<\/p>\n

 <\/p>\n

 <\/p>\n

\u00a9 Image by Adobe Stock<\/p>\n","protected":false},"excerpt":{"rendered":"

Le syst\u00e8me de sant\u00e9 suisse co\u00fbte cher. Il est donc tout \u00e0 fait raisonnable d\u2019\u00e9viter les d\u00e9penses inutiles. Mais faire des \u00e9conomies au mauvais endroit […]<\/p>\n","protected":false},"author":5,"featured_media":11796,"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":[],"class_list":["post-11798","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuel"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2019\/06\/Sparen_als_Selbstzweck_\u00e0_toux_prix.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11798","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=11798"}],"version-history":[{"count":1,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11798\/revisions"}],"predecessor-version":[{"id":11799,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11798\/revisions\/11799"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/11796"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=11798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=11798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=11798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}