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Health, Marine Tondelier

Medical deductibles: Abolish medical deductibles

Direction of change: abolition of a scheme, 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.

« Garantir un remboursement total des soins essentiels nécessaires au maintien de l’autonomie et de la qualité de vie par la prise en charge à 100 % par l’Assurance maladie. Supprimer les franchises. »1

Translation by the editorsGuarantee full reimbursement of the essential care needed to maintain autonomy and quality of life through 100% coverage by the national health insurance (Assurance maladie). Abolish the deductibles.

Encoding

Position linked to an option of the cost schedule, with no parameter to set: see the costing.

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

−€2.1bn

per year for the public accounts, revenue cut, range −€2.3bn to −€2.1bn.

The calculation

  • Total abolition of medical deductibles and flat-rate contributions: Option costed by the source: a cost of €2.1bn (2.1 to 2.3) per year.

Assumption by the editors. Reading adopted: the abolition covers the medical deductibles (franchises) and the flat-rate contributions (participations forfaitaires, €2 per consultation), which the text does not name, in view of the « prise en charge à 100 % par l'Assurance maladie » [“100% coverage by the Assurance maladie”] of essential care in the same proposal.

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 Marine Tondelier

  1. Pour une prospérité écologique – Le nouveau programme des Écologistes (Projet 2027), version 1 of 25 August 2026, p. 111. Open the document at this page.

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