Health, Nicolas Dupont-Aignan
Public hospitals: End of maternity unit closures, beds reopened, hospital within 45 min
Direction of change: increase, compared with current law.
The lever. Resources for public hospitals: budget, beds, staff numbers and pay of health workers, activity-based funding model. Direction rule: ↑ more resources for public hospitals.
« Arrêt immédiat des fermetures de maternités et réouverture de lits d’hôpitaux dans les départements qui ont été sacrifiés. Faire en sorte que chaque français dispose d’un hôpital à moins de 45 minutes en voiture, doté d’un service d’urgence, d’un scanner et d’un IRM. »1Translation by the editorsImmediate halt to maternity unit closures and reopening of hospital beds in the départements that have been sacrificed. Ensure that every French person has a hospital less than 45 minutes away by car, with an emergency department, a CT scanner and an MRI.
Encoding
No cost-schedule parameter for this position: see the costing for the reason.
Costing
Announced by the candidate
not announced
The programme does not cost this measure.
Published costings
none
No external costing of this position recorded to date.
Our calculation
not costed
Halt to closures, reopening of beds and hospital within 45 minutes, with no number of beds or amount: nothing to cost.
Current law, sources and limits of the cost schedule
Current law. ONDAM 2026: the « établissements de santé » (health establishments) sub-target funds public and private establishments, at €111.8bn (PLFSS 2026 base). The PLFSS planned +2.4%; in November 2025 the Government announced an €850m increase bringing growth to +3.2% (explanatory statement of amendment no. 2695, which fell at first reading; the final text of the LFSS 2026, which sets the sub-target as voted, has not been reviewed).
Horizon. full year 2032, €bn/year
Limits. 1% of €111.8bn = €1.12bn today. With about 3% growth per year until 2032 (assumption), the base approaches €137bn, hence €1.3bn to €1.4bn. Commitments of “+X care staff posts” require a cost per FTE in the hospital civil service, not sourced here. The sub-objective includes the for-profit private sector: a position that targets public hospitals specifies this.
- PLFSS 2026, annexe 5 (ONDAM), 2025-10-14: « le financement des établissements de santé publics et privés (111,8 Md€) ; I.7 Le financement des établissements de santé prévu en hausse de 2,4 % en 2026 »
- Assemblée nationale, amendement n° 2695 du Gouvernement au PLFSS 2026 (n° 1907), article 49, exposé sommaire (amendement tombé), 2025-11-12: « Cet amendement acte le rehaussement de l’Ondam de 1 milliard d’euros, conformément à l’engagement du Gouvernement en soutien au système de santé. Sur ce montant, 850 millions d’euros sont fléchés vers le financement des établissements de santé […] La progression du sous-objectif « établissements de santé » atteindra ainsi 3,2% en 2026, contre 2,4% dans le projet initial. »
- Infirmiers.com, amendement du gouvernement à la LFSS 2026, 2025-11: « 850 millions d'euros fléchés vers les établissements de santé ... l'enveloppe dédiée aux établissements de santé affichera ainsi une progression de 3,2% »
How to read these amounts. These are static costs and revenues, with no feedback effect, over a full year: nothing on growth, employment or the revenue that economic activity would gain or lose. A higher net cost does not on its own make a worse policy, nor net savings a better one: each programme rests on an economic model (demand-led stimulus, lower compulsory levies, consolidation of the public accounts…) that the cost schedule does not settle. GDP itself measures a volume of activity, not well-being or the usefulness of what is produced. Economic models and feedback effects.
This lever in the method · Costing for Nicolas Dupont-Aignan
- Debout la France, Notre projet : Équilibre du territoire. Read the programme page.
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