The idea is to better fund the care of seniors in a context of continuous increase of life expectancy and of the expenditure related to old age.
The Parliament finally adopted on Thursday the draft law on the social debt, that dig heavily the “trou de la Secu” after the coronavirus and have validated the creation of a fifth branch of “autonomy”. The two texts – organic and conventional – have been adopted by 331 votes to 56 and 43 abstentions for the first, and freehand to the second, with the support of the majority LREM, MoDem and Act. The other groups mainly voted against, or abstained.
This fifth branch of social Security, dedicated to the support of the loss of autonomy, must be added to the four existing branches : sickness, retirement, family, work-related accident. The government boasts a turning point, “historic”, so that”by 2040, more than 10 million people will be 75 years old or more, is two times more than today”.
expenditures devoted to climb
The minister in charge of the Autonomy Brigitte Bourguignon has defended a text that “guide for a long time the system of social protection”, seeing in the creation of this new branch, the “first stone of a great reform” of great age, and autonomy. Of 30 billion euros per year (of which $ 6 billion based on households), the expenditures related to the great age could grow to over 9 billion by 2030 because of the papy-boom, according to the report Libault delivered last year.
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These expenses consist primarily of costs related to health care, aid to the specific care of the loss of autonomy, or the accommodation establishment. Nearly 80% of them are today funded by the government via social Security or by local authorities, among others.
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Currently, the elderly are already taken care of by the social Security within one of the four “branches” of the system of French protection. It is in particular made up of the pension system, whose main mission is the distribution of the various pension, retirement or widowhood, grants and of the minimum age for all compulsory schemes of basic or supplementary. With this new branch, the idea is precisely to provide better funding support for seniors in a context of continuous increase of life expectancy.
The creation of a “branch autonomy”, will require a detailed presentation of expenditures and revenues allowing the Parliament to assess the progress and discuss it. This 5th branch will be entrusted to the national Fund of solidarity for autonomy (CNSA), created in 2004 in the aftermath of the heat wave of 2003 to manage, in particular, the allocation of the funds collected during the day of solidarity in support of the elderly.
The issue of funding
The idea suggested by the head of the State as of April 2018, and which aims to provide a better coverage of risks related to dependence and ageing in a context (already) critical for the long-term care facilities is not new. Before him, in 2007, Nicolas Sarkozy had already announced its desire to establish a fifth risk of social welfare in the framework of the reform on dependency, but had been forced to renounce in 2012, the lack of financial resources. A question that is still today at the heart of the problem.
The terms and conditions and the crucial question of the financing have been referred to a report that must be submitted to the Parliament before September 15, after a consultation led by Laurent Vachey, inspector general of finance. He was asked to “identify sources of funding to mobilize as soon as 2021”. The bill provides for an increase in funding of the loss of autonomy of 2.3 billion euros per year, only from 2024.
Several tracks are being considered, a part of the generalized social contribution, the CSG, could be reallocated to the dependent elderly people. The idea of a new day of solidarity, has been advanced also, as a new Pentecost Monday worked. “The contribution of the reserve Fund for pensions could be envisaged, but there are also other tracks,” explained the minister of Health Olivier Véran in front of the social affairs committee of the Senate, 23 June.
Brigitte Bourguignon recalled that the goal is to reach “at least a billion euros by 2021”. Several elected officials from the majority of them have bragged in the wake of a decision “historic”, with the creation of the 5th branch, Cyril Isaac-Sibille (MoDem) waving a symbolic white stone is picked up “in the gardens of the Assembly”.
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But for the opposition, “neither the contours nor the financing of the new branch are not clear, the LR abstaining, in particular for this reason. Government and the majority are accused of having “put the cart before the horse” (Libertys and Territories) with “a wolf” on the financing (PS).
