Consumers do not win, but dentists can rejoice. The senators voted Wednesday for the removal of the requirement for practitioners to mention the purchase price of prostheses they provide to their patients. This indication was made mandatory since the implementation of the "hospital, patient, health, territory" (HPST) in March 2010 and aimed to introduce more transparency in the prices charged by dentists.
For the price of hearing varies almost by a factor of two firms, analyzed the organization last February mutuelle.com. Rates that depend on several factors: the quality of the prosthesis, the reputation of the dentist, the neighborhood where he practices, but also the level of medical coverage for the patient."It is almost a rule that the physician inquires about it, so that the topping facto contributes to drive prices up and enjoy in good part to the care provider," noted the Court of Auditors A report published last year.
No effect on import prices
Disparate rates are also particularly high. Citing a 2005 report published in Belgium, the Court of Auditors noted that the price of a prosthesis in France is 2.5 times that of a prosthesis in Germany, itself 25% more expensive that 'in the Netherlands.
Aggravating factor for the French practitioners: the growing share of imported models (about 15% in 2010 according to the French Dental Association) has never passed on the average price charged by dentists.Yet the cost of dentures made in China, Madagascar and North Africa is three times lower (40 euros against 120 euros) than models manufactured in France.
Competition poor '
Accordingly, it is 10% of the French population is forced to give dental care because of cost, says the Institute for Research and Documentation in Health Economics (Irdes). Generally, dental costs alone constitute more than half of medical benefits to which patients give up that ground.
It is under these facts that the Court of Auditors argued last year that the quotation offered to patients include the purchase price of the prosthesis. "Improving transparency would help to remedy a lack of competition today," thought the institution.
"Intensive lobbying"
The senators, however, have decided otherwise Wednesday. Gilbert Barbier, behind the amendment removing this requirement, explains: "The text was virtually unenforceable. If you want to calculate the cost of a prosthesis, we must delve a lot of ancillary costs, "he explains. Furthermore, why impose this requirement only to dentists, not the garage for example? "He asks. "Dentists have had the feeling of being stigmatized. Let us keep right, "came Wednesday in support of meeting the Minister of Health Xavier Bertrand.
Another argument advanced by Senators: prices of acts called "conservatives" (scaling, treatment of caries, decay …) would be undervalued by social security. "For ten years they have not been adjusted.This explains that dentists sometimes compensate by increasing their margin on prostheses, "suggests Gilbert Barbier. Yet, according to the ECA, some of these rates were revalued by 30% in 2006. Meanwhile, prices of prostheses continued to grow at an annual rate of more than 3% …
For UFC-Que Choisir, the situation is clear. "The intensive lobbying professionals was correct in the interest of patients," said Cedric Musso Thursday, director of institutional relations within the association, in the columns of "Paris-Today in France. "The dentists are not commercial professions. As health professionals, they do not make a profit on hardware sales. "