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Health, François Ruffin

Medical deductibles: Against the doubling of medical deductibles and their extension

Direction of change: unchanged, compared with current law.

The lever. Sums left for the patient to pay on medicines, consultations and transport, not reimbursed by national health insurance (Assurance maladie). Direction rule: ↑ higher deductibles.

« 2/ Le doublement des franchises médicales (annexe 9 du PLFSS), qui ont déjà doublé l’an dernier, et l’extension de ces franchises aux soins dentaires et aux dispositifs médicaux (article 18 du PLFSS) ! »1

Translation by the editors2/ The doubling of medical deductibles (annex 9 of the PLFSS), which already doubled last year, and the extension of these deductibles to dental care and medical devices (Article 18 of the PLFSS)!

Words of François Ruffin, Budget de la Sécurité sociale : alerte sur le handicap ! (blog), 23 October 2025. Position taken from public statements, not from a written programme.

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

Opposition to measures in the PLFSS 2026: the doubling of the amounts was not adopted, the raising of the ceilings (from €50 to €70) has been in force since October 2026 with no published yield, and the position does not say whether it should be cancelled.

Current law, sources and limits of the cost schedule

Current law. Charges (franchises) of €1 per box of medicine or paramedical procedure and €4 per transport; flat contribution of €2 per consultation or procedure (doubled in March and May 2024). Annual caps raised from €50 to €70 each, i.e. €140 combined instead of €100 (decree no. 2026-858 of 11 September 2026, from 1 October 2026). The €200 plan was abandoned.

Horizon. full year 2032, €bn/year

Limits. Abolition: central value and lower bound, €1.3bn (stable yield from 2009 to 2020, general scheme, REPSS) + €0.8bn (2024 doubling, government estimate) ≈ €2.1bn; upper bound, €1.5bn (2021 yield, REPSS) + 0.8 ≈ €2.3bn (editors' calculations). The values of €2.4bn and €2.8bn used until 18 October 2026 were not based on any cited source: withdrawn. The 2026 raising of the ceilings (yield not published) is not counted: it would slightly increase the cost of an abolition. A media outlet (Le Tribunal du Net) puts forward €2.5bn in 2025 without a checked primary source. The revenue figures are amounts due: €1.5bn of receivables remained to be collected at the end of 2024 (Cour des comptes, via iFRAP). Notable discrepancy: the PLFSS 2026 costed the initial plan (doubling of amounts and ceilings) at €2.3bn, while Caducée speaks of about €750m for the move to €200 alone.

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 François Ruffin

  1. Budget de la Sécurité sociale : alerte sur le handicap ! (blog), 23 October 2025. Words of François Ruffin. Position taken from public statements, not from a written programme. Read the source (Budget de la Sécurité sociale : alerte sur le handicap ! (blog)).

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