Déchiffrer 2027

FREN

Health, Nicolas Dupont-Aignan

Where doctors set up practice: Study grant in exchange for three years’ practice in an underserved area

Direction of change: increase, compared with current law.

The lever. Rules on where doctors set up practice across the country: freedom, incentives, or regulation in areas already well served. Direction rule: ↑ more regulation of where doctors set up practice.

« Créer une bourse pour les étudiants en médecine, pour mettre fin aux déserts médicaux, en échange de laquelle, ils s’engageront à s’installer dans une zone sous-dotée pendant leurs trois premières années. »1

Translation by the editorsCreate a grant for medical students, to put an end to medical deserts, in exchange for which they will undertake to set up practice in an underserved area for their first three years.

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

lever that cannot be costed

Lever with no coefficient in the cost schedule: the position is compared, not costed.

Current law, sources and limits of the cost schedule

Current law. Doctors are free to set up practice where they wish. Zoning and incentive payments by the ARS (regional health agencies). Selective agreements with health insurance (conventionnement sélectif) apply to other professions (nurses, physiotherapists). The cross-party Garot private member's bill on regulation was adopted at first reading in the National Assembly in 2025 (parliamentary shuttle not checked).

Horizon. Not applicable.

Limits. Regulating where doctors set up practice has almost no budgetary cost. Aid for setting up practice and the funding of the 4th year of general practice training can be costed, but are not sourced here.

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.

  1. debout-la-france.fr, Projet, « Équilibre du territoire ». Read the programme page.

Contest this encoding (prefilled email; procedure and deadlines)