Health, David Lisnard
Public hospitals: Abolish the ARS (regional health agencies); mayors to chair the boards of directors
Direction of change: change of another kind, or uncertain direction, 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.
« Nous voulons supprimer les ARS, transférer les responsabilités aux préfets et aux élus, redonner aux maires la présidence des conseils d’administration des hôpitaux. »1Translation by the editorsWe want to abolish the ARS, transfer responsibilities to prefects and elected officials, and give mayors back the chairmanship of hospital boards of directors.
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
Abolition of the ARS (regional health agencies) with their tasks transferred to prefects and elected officials: no costed net saving has been read.
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.
- Programme Nouvelle Énergie, Santé. Read the programme page.
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