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Early childhood and old age, Raphaël Glucksmann

Old age and long-term care: A Grand Âge (old age) law, more staff in care homes (EHPAD), better-paid jobs

Direction of change: increase, compared with current law.

The lever. Care for dependent older people: care homes (EHPAD), home help, staff, and funding (autonomy branch of social security, out-of-pocket costs). Direction rule: ↑ more public resources for old age.

« une grande loi pour le Grand Âge s’impose comme une priorité nationale. […] Revaloriser les métiers du Grand Âge, c’est former, mieux rémunérer et reconnaître celles et ceux qui accompagnent nos aînés, à domicile comme en établissement. C’est renforcer les effectifs dans les EHPAD »1

Translation by the editorsa major law on old age (Grand Âge) is imperative as a national priority. […] Revaluing old-age care jobs means training, paying better and recognising those who support our elders, at home as well as in care facilities. It means increasing staffing in EHPAD

Place publique, « Mobilisation “Les vieux méritent mieux” », 21 October 2025. Position taken from a document of the candidate’s party or movement, not from a presidential programme.

No programme released. Positions taken from public statements, words of associates or documents of the candidate’s party, each dated and sourced; last recorded on 21 October 2026.

Encoding

No cost-schedule parameter for this position: see the costing for the reason.

Costing

Announced by the candidate

not announced

The cited source does not cost this measure.

Published costings

none

No external costing of this position recorded to date.

Our calculation

not costed

Grand Âge law with no costed content or staffing numbers: no option in the cost schedule relates to it without interpretation.

Current law, sources and limits of the cost schedule

Current law. Autonomy branch of social security, personalised autonomy allowance (APA), three-part pricing of care homes (EHPAD) (care, dependency, accommodation). Tax credit for employing a home worker: €6,856m forecast for 2025 (CGI (General Tax Code), Art. 199 sexdecies), partly for old age.

Horizon. €bn per year in 2018 GDP-point equivalent, compared with 2018; not restated for the 2032 horizon

Limits. Parameter “Ehpad places” (18 October 2026): annual public operating cost of a place, calculation by the editors: €13,359m of recurrent care funding from the autonomy branch to nursing homes (Ehpad) in 2024 (PLFSS 2026, annex 6) ÷ 609,970 places installed at the end of 2023 (Drees), i.e. about €21,900 (€0.22bn for 10,000 places, lower bound), plus the APA (personalised autonomy allowance) in establishments, €4,940 per beneficiary in 2023 (Drees; €0.05bn for 10,000 places), hence €0.27bn. Relating 2024 funding to 2023 places slightly overstates the cost per place; conversely, residents' community healthcare, non-recurrent funding and the increase in allocations since 2024 are not counted. Not counted: accommodation (paid by residents or by departmental social assistance), housing benefits and investment (construction, aides à la pierre), which is one-off. Residents of new places could have been helped at home (APA at home): this substitution is not deducted (static costing). The Libault report dates from 2019: part of it has been implemented since (Ségur, creation of the autonomy branch in 2021), so the extra cost compared with current policies is below €9.2bn. The figure includes demographics, to be removed if the reference scenario already incorporates them. The 25% increase in the staffing ratio in care homes (EHPAD) (13 FTE per 100 residents) is not isolated in euros in the passages read. No official costing later than 2023 has been read. Annual public cost of an additional place in a care home (Ehpad) (health insurance care package, dependency) not found in a recent official source: commitments expressed in numbers of places remain not costed.

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 Raphaël Glucksmann

  1. Place publique, « Mobilisation “Les vieux méritent mieux” », 21 October 2025. Position taken from a document of the candidate’s party or movement, not from a presidential programme. Read the source (Place publique, « Mobilisation “Les vieux méritent mieux” »).

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