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":12671,"date":"2023-10-31T13:30:13","date_gmt":"2023-10-31T12:30:13","guid":{"rendered":"https:\/\/www.3-min.info\/?p=12671"},"modified":"2023-10-31T13:30:13","modified_gmt":"2023-10-31T12:30:13","slug":"de-gros-ennuis-pour-une-petite-taxe","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2023\/10\/31\/de-gros-ennuis-pour-une-petite-taxe\/","title":{"rendered":"De gros ennuis pour une petite taxe"},"content":{"rendered":"

Le 23.10.2023, le Tages-Anzeiger a publi\u00e9 une fois de plus, on ne le croira pas…..
\n…. Toujours, apr\u00e8s plus de 20 ans : Grosse col\u00e8re pour une petite taxe<\/strong> (lien vers l’article<\/a>)<\/p>\n

 <\/p>\n

Nous aimerions reconna\u00eetre au journaliste qu’il s’est efforc\u00e9 cette fois-ci de trouver un \u00e9quilibre dans son texte. Nous appr\u00e9cions cela, mais nous aimerions tout de m\u00eame aborder un point que tout le monde n’a apparemment pas encore compris.<\/p>\n

 <\/p>\n

Une \u00ab\u00a0taxe\u00a0\u00bb a toujours une connotation n\u00e9gative, or la taxe LOA n’est pas suppl\u00e9mentaire, elle se substitue \u00e0 la marge. Chaque entreprise a une marge sur ses produits. Il ne viendrait \u00e0 l’id\u00e9e de personne d’aller dans un magasin et de dire : \u00ab\u00a0Je veux ceci ou cela, mais je ne veux pas payer leur marge\u00a0\u00bb. Contrairement au pharmacien, tout autre propri\u00e9taire de magasin peut d\u00e9terminer lui-m\u00eame sa marge. Pour les m\u00e9dicaments, la marge est prescrite par l’OFSP (Office f\u00e9d\u00e9ral de la sant\u00e9 publique). Il est \u00e9galement prescrit que la pharmacie doit partager la marge avec le grossiste. M\u00eame si le produit devient une denr\u00e9e rare, il ne peut pas \u00eatre vendu plus cher. L’\u00e9quilibre du march\u00e9, o\u00f9 le prix est normalement d\u00e9termin\u00e9 par l’offre et la demande, ne peut pas jouer ici, ce march\u00e9 est r\u00e9glement\u00e9.<\/p>\n

 <\/p>\n

Un peu d’histoire est toujours bon \u00e0 prendre.<\/p>\n

 <\/p>\n

Avant la RBP (r\u00e9mun\u00e9ration bas\u00e9e sur les prestations), il y a donc plus de 20 ans … …
\n<\/strong>Il \u00e9tait une fois un pharmacien qui recevait une marge fixe de 30% pour tous les produits dont le prix ne d\u00e9passait pas 200 francs. Il y avait par exemple l’antirhumatismal Tanderil\u00ae, qui co\u00fbtait environ 10 CHF. Le pharmacien y gagnait 3 CHF. Le successeur du Tanderil\u00ae \u00e9tait le Voltaren\u00ae, qui co\u00fbtait environ 20 CHF. Vous vous en doutez, le pharmacien y gagnait 6 CHF. Plus tard encore, le nouvel antirhumatismal Celebrex\u00ae est arriv\u00e9 sur le march\u00e9, qui co\u00fbtait 50 CHF – faites le calcul – le pharmacien y gagnait 15 CHF.<\/p>\n

Des personnalit\u00e9s innovantes des caisses maladie et la Soci\u00e9t\u00e9 suisse des pharmaciens (c’est ainsi qu’elle s’appelait encore \u00e0 l’\u00e9poque) se sont r\u00e9unies et ont convenu de r\u00e9duire les marges. Au lieu d’une marge de 30%, il fallait convenir d’une taxe \u00ab\u00a0adapt\u00e9e \u00e0 la distribution\u00a0\u00bb. Cet accord a \u00e9t\u00e9 conclu avec la b\u00e9n\u00e9diction de l’OFSP. Aujourd’hui, la marge sur les m\u00e9dicaments est de 12% + un montant fixe + la taxe sur laquelle on a tant \u00e9crit jusqu’\u00e0 pr\u00e9sent. Gr\u00e2ce \u00e0 cette r\u00e9duction de la marge et \u00e0 l’introduction des taxes, plusieurs centaines de millions de francs ont \u00e9t\u00e9 \u00e9conomis\u00e9s ces derni\u00e8res ann\u00e9es.<\/p>\n

 <\/p>\n

Dans le bon \u00ab\u00a0vieux\u00a0\u00bb temps, Sortis\u00ae co\u00fbtait environ CHF 190, et avec une marge de 30%, le pharmacien gagnait CHF 57. Aujourd’hui, le m\u00eame produit ne co\u00fbte plus que CHF 92, et le pharmacien y gagne – y compris cette taxe mal vue – CHF 25.
\nEt encore \u2026 une partie de cette marge prescrite par l’OFSP c\u2019est le grossiste qui la re\u00e7oit.<\/p>\n

 <\/p>\n

Donc, encore une fois, la taxe n’est PAS SUPPL\u00c9MENTAIRE, mais A LA PLACE de la marge, ce qui fait finalement \u00e9conomiser de l’argent au syst\u00e8me de sant\u00e9. Pourquoi personne ne veut-il comprendre cela ? Pourquoi ne le dit-on pas aux consommateurs critiques ?<\/p>\n

 <\/p>\n

Permettez-moi pour finir de citer la NZZ du 30.06.2003 (il y a donc 20 ans) :
\n\u00ab\u00a0Sous l’ancien r\u00e9gime des marges, qui r\u00e9gissait la r\u00e9mun\u00e9ration des pharmaciens avant la convention RBP, les co\u00fbts des m\u00e9dicaments auraient toutefois augment\u00e9 encore plus fortement, admet l’association. C’est pourquoi les assureurs-maladie restent attach\u00e9s \u00e0 un syst\u00e8me d’indemnisation qui fonctionne en principe ind\u00e9pendamment du prix des m\u00e9dicaments, mais ils souhaitent continuer \u00e0 d\u00e9velopper la RBP en collaboration avec les pharmaciens\u00a0\u00bb.<\/em><\/p>\n

\u00a0<\/em><\/p>\n

 <\/p>\n

 <\/p>\n

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

Le 23.10.2023, le Tages-Anzeiger a publi\u00e9 une fois de plus, on ne le croira pas….. …. Toujours, apr\u00e8s plus de 20 ans : Grosse col\u00e8re […]<\/p>\n","protected":false},"author":5,"featured_media":12670,"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-12671","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\/2023\/10\/AdobeStock_21181227.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/12671","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=12671"}],"version-history":[{"count":2,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/12671\/revisions"}],"predecessor-version":[{"id":12673,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/12671\/revisions\/12673"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/12670"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=12671"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=12671"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=12671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}