France backs down on plan to make patients pay more for healthcare

The charges, known in France as franchises médicales, apply to medicines, paramedical care, medical transport and consultations. The government announced the planned increase in July as part of efforts to curb rising health spending.

“We are now working on a fair reform, based on indexation to inflation since 2005,” Health Minister Stéphanie Rist told Le Figaro on Thursday. “The increase will therefore be significantly lower than initially planned.”

The cap has stood at €100 since 2005 and has never been adjusted. Rist said that compared with the rising cost of living, its value had effectively fallen.

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Pressure from patients

The original proposal faced opposition from France Assos Santé, the country's main patient federation, as well as MG France, a doctors' union, and Convergence Infirmière, a nurses' union.

France Assos Santé called the plan “a monumental mistake”, saying it would make vulnerable people and those with multiple health conditions feel guilty for needing significant amounts of care.

Rist admitted the proposal had been difficult to understand.

“The doubling that was announced was not understood and could have appeared brutal,” she told the rightwing daily.

“We have decided to change our proposal. Associations, health professionals and patients told us that immediately doubling the cap in one go seemed excessive. We heard them.”

A full doubling would have cost less than two euros a month on average across the French population and four euros a month for patients with long-term illnesses, Rist said, but acknowledged that a change based on the cost of living was “fairer and easier to understand”.

The French news agency AFP said the Health Ministry did not specify how large the new rise would be.

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The bigger savings picture

The revised plan comes as the government looks for savings ahead of the 2027 state and social security budgets. France's social security deficit exceeded €21 billion in 2025.

The 2026 social security budget provides for health spending to increase by 3.1 percent, or €8.2 billion.

Four decrees due to be published by the end of this week will also change reimbursement for certain medicines and medical devices whose effectiveness is judged lower by the National Authority for Health.

The most effective medicines, including innovative treatments, will continue to be covered as they are now.

People with long-term illnesses will not be affected when the medicines concerned are used to treat their condition, covering 14 million people. Those receiving France's subsidised complementary health cover will also be protected, Rist said.

France is also facing rising healthcare costs as its population ages and more people live with chronic illnesses, while innovative treatments can be highly effective but expensive.

“Fair and relevant savings” were needed to guarantee access to the best care, Rist said.

(with newswires)