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Laurent Alexandre: "The mediation of pharmacists and doctors is essential for a quality health service!"

2021-04-14T15:58:59.749Z


FIGAROVOX / TRIBUNE - While Covid self-tests are self-service in pharmacies only, medical corporatism is under heavy criticism. The doctor Laurent Alexandre defends the health monopolies, necessary to ensure quality care.


Doctor Laurent Alexandre is a urologist, founder of Doctissimo and president of DNAVISION.

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Pierre Bentata, Ferghane Azihari and Victor Fouquet ask themselves

"Who will dare to take up the torch from Turgot and Allarde to definitively break the health cartel?"

".

For the authors, the medical corporatism which weakens the health of the population is criminal and has lasted too long.

They praise Allarde's decree of 1791 intended to weaken the corporations.

Indeed, Allarde's decree, the Le Chapelier Law of 1791, abolished any corporate structure and freedom of establishment became total: henceforth, anyone can, without studying or passing an examination, declare themselves to be a doctor or surgeon. or pharmacist.

Medicine is spiraling out of control and the number of charlatans is exploding.

The disorganization of medicine was aggravated by laws suppressing formal education.

The Faculty of Medicine of Paris is closed and a decree of August 1793 suppresses the Royal Society of Medicine and the Academy of Surgery.

It is said that this deregulation of the world of health undertaken by the French revolution was positive.

In fact, patients soon discovered that the gardeners, grooms, farriers and water carriers who were now allowed to practice medicine performed less well than doctors of medicine.

Quackery wreaked havoc and the monopoly of medical doctors was reestablished in the face of the damage caused by this madness.

The deregulation of the medical market is all the more unthinkable as charlatanism lurks more than ever.

Anyone on YouTube can bypass all traditional academic filters by speaking directly to the public.

The chloroquine affair has shown how difficult it is to fight quackery.

The professional organizations of infectious diseases were publicly moved on June 23, 2020 by the drift of pro-chloroquine like Professor Perronne:

"A health crisis does not justify saying, or doing, anything!

Our bodies, representing doctors specializing in infectious diseases in France, wish to denounce the baseless claims that have been broadcast on national radio and television channels in recent days. ”

Some would like to believe that intuition is sufficient to impose therapeutic choices in medicine.

What should have remained a scientific controversy is brought to the media scene through scientifically unfounded comments and slanderous accusations.

This return to empiricism would represent a major regression in modern medicine, a return to medieval medicine.

The health professions must be regulated.

The crumbling of the supply seriously degrades medical efficiency.

Our trio laments:

"It seems that no one has yet found vaccines against greed which leads professionals, even in times of pandemic, to prefer the monopoly to the detriment of the general interest."

They regret, for example, that self-tests remain a monopoly of pharmacies.

In reality, many French people are not able, without training, to correctly perform a Covid self-test.

The risk of having a false negative - that is to say of believing that you are not affected by the virus when you are in reality a carrier - would be catastrophic for the community since it would promote the spread of the virus and therefore the appearance of variants.

They accuse the doctors' unions of arrogating to themselves the monopoly of vaccination to the detriment of nurses, veterinarians or pharmacists.

Anaphylactic shock is observed for every 100,000 vaccinations.

This does not affect the cost-benefit ratio of the vaccine, but it does require an immediate medical response: shock can lead to cardiac arrest.

I'm not ashamed to say that a doctor is more likely to save a shocked patient than a firefighter, nurse or veterinarian.

Finally, the control of supply is legitimate because of the effects of experience: a hospital which performs 200 hip prostheses per year has much better results than one which in practice 10. The crumbling of the supply seriously degrades performance. medical efficiency.

The healthcare market is marked by many economic specificities.

As the economist Arrow showed in 1963, the health market requires the political intervention of the state and organized solidarity at the collective level.

The health system will continue to evolve, but slowly ... No one wants to relive the collapse of the French health system caused by the liberal delusions of 1791!

Source: lefigaro

All news articles on 2021-04-14

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