Five months after the start of the movement, the emergency strike has never been so extensive, despite the bonus given at the beginning of the summer by the government, which will have to find other answers to relieve the tension.
Redon, Verdun, Bastia, Castres … Over the days, the list of emergency services on strike continues to grow. The collective Inter-Emergency, at the origin of this unprecedented social movement, counted 217 on Friday.
It is almost half of the public hospitals with an emergency structure – one third including private institutions, left out of the conflict.
It is also twice as much as in mid-June, when the Minister of Health, Agnès Buzyn, has released 70 million euros to appease the anger of the caregivers.
An amount initially intended to finance a monthly premium of 100 euros net for all the nurses and aides of public emergencies, as of July 1st.
Although the promise may have materialized on the payslips, the strikers have not disarmed and continue to demand more posts and hospital beds for patients.
"The solution is more resources immediately", summarizes Christophe Prudhomme, doctor at Samu 93 and delegate CGT.
The envelope announced by Ms. Buzyn was also to be used to recruit summer reinforcements so that "there are no holes in the guard lines".
Except in Paris, where half a dozen services stopped the strike, it was not enough: in Mantes-la-Jolie (Yvelines), Pithiviers (Seine-et-Marne), Lens (Pas-de-Calais ), Thouars and Parthenay (Deux-Sèvres), the interventions of the Smur ambulances had to be suspended several times.
In Sisteron (Alpes-de-Haute-Provence) and Sainte-Foy-la-Grande (Gironde), emergencies were even closed at night until further notice.
Often under-staffed, caregivers also work with the constant risk of aggression, as in recent days in Nice, Epinal (Vosges) and Semur-en-Auxois (Cote-d'Or). Sign that nothing has really changed in five months.
– The effect of a wringer –
Because everything started from a series of violence early March in a hospital in Paris. The drop too much for staff pushed to the end, like their services arrived at saturation.
In twenty years, attendance at emergencies has more than doubled, with 21.4 million passages recorded in 2017.
Patients sometimes crammed on stretchers for lack of space elsewhere: during the same period, some 100,000 beds were removed in hospitals, which now have less than 400,000.
These working conditions have the effect of a wringer on caregivers. "Many colleagues resign" or move part-time "to escape the hellish pace of work," says the Association of Emergency Physicians of France (Amuf), which in turn calls for more bonuses to "stop the leak" to the interim, better paid.
The disengagement also strikes the liberal practitioners, who, since the end of the obligatory guards in 2002, are becoming less and less voluntary to ensure the "permanence of care" the evening and the weekend.
"Everyone agrees on the report," admits the deputy (LREM) Thomas Mesnier, to whom Ms. Buzyn commissioned a report for the autumn with the leader of the Samu de Paris, Professor Pierre Carli.
If he reserves his first recommendations to the minister, who will receive at the end of August, the former emergency doctor ensures that he has "no taboo" on the subject and entrusts to work, inter alia, on "the model of financing emergencies ".
Not enough to convince the CGT, which still hopes to expand the movement to the entire hospital sector and calls for a day of action on September 11, the fourth since June.
The Inter-Emergency group will hold the day before a national general meeting in Paris. And its president, Hugo Huon, warns: "We will still be there to criticize the Carli-Mesnier report when it comes out".