Health, Marine Tondelier
Where doctors set up practice: Setting up practice subject to ARS authorisation outside under-served areas
Direction of change: creation of a scheme, compared with current law.
The lever. Rules on where doctors set up practice across the country: freedom, incentives, or regulation in areas already well served. Direction rule: ↑ more regulation of where doctors set up practice.
« Réguler l’installation des médecins libéraux par une autorisation d’installation des médecins délivrée par l’Agence Régionale de Santé – de droit dans les zones sous-dotées et en lien avec la cessation d’activité d’un·e praticien·ne ailleurs. »1Translation by the editorsRegulate where self-employed doctors set up practice through an authorisation to set up practice issued by the Agence Régionale de Santé – granted as of right in under-served areas and linked to a practitioner ceasing activity elsewhere.
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
lever that cannot be costed
Lever with no coefficient in the cost schedule: the position is compared, not costed.
Current law, sources and limits of the cost schedule
Current law. Doctors are free to set up practice where they wish. Zoning and incentive payments by the ARS (regional health agencies). Selective agreements with health insurance (conventionnement sélectif) apply to other professions (nurses, physiotherapists). The cross-party Garot private member's bill on regulation was adopted at first reading in the National Assembly in 2025 (parliamentary shuttle not checked).
Horizon. Not applicable.
Limits. Regulating where doctors set up practice has almost no budgetary cost. Aid for setting up practice and the funding of the 4th year of general practice training can be costed, but are not sourced here.
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.
- Pour une prospérité écologique – Le nouveau programme des Écologistes (Projet 2027), version 1 of 25 August 2026, p. 151. Open the document at this page.
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