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Health, Raphaël Glucksmann

Public hospitals: End of fee-for-service pricing in hospitals, better pay for carers

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.

« Attribuer temps, respect et pouvoir d’agir aux soignants : mieux les rémunérer, améliorer leurs conditions de travail, concentrer leur missions sur le soin et les associer aux décisions. […] Contrer la financiarisation du système de santé, en finir avec la tarification à l’acte à l’hôpital, proposer un financement global, territorial et pluri-annuel »1

Translation by the editorsGive carers time, respect and the power to act: pay them better, improve their working conditions, focus their duties on care and involve them in decisions. […] Counter the financialisation of the health system, put an end to fee-for-service pricing in hospitals, propose global, territorial and multi-year funding

Place publique, « Acte un – Notre vision pour la France » (codirecteurs de la publication : Aurore Lalucq et Raphaël Glucksmann), 23 June 2025. Position taken from a document of the candidate’s party or movement, not from a presidential programme.

Encoding being checked: position recorded at the source, not yet reviewed by the editors.

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.

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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

End of fee-for-service pricing and better pay for carers, with no amount or rate: 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.

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, « Acte un – Notre vision pour la France » (codirecteurs de la publication : Aurore Lalucq et Raphaël Glucksmann), 23 June 2025, p. 50. Position taken from a document of the candidate’s party or movement, not from a presidential programme. Read the source (Place publique, « Acte un – Notre vision pour la France » (codirecteurs de la publication : Aurore Lalucq et Raphaël Glucksmann)).

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