late payment, a “scandalous situation” according to the unions

The inhabitants of the Doubs testify to this: in recent months the deadlines for the payment of daily allowances have considerably lengthened. To the point of putting many households in difficulty according to the FO and CGT unions which relay the testimonies of the agents of the Primary Health Insurance Fund (CPAM) of the department, “very impacted by the deep distress of the insured”.

Some residents, forced to take sick leave, have been waiting for their payment for months and find themselves without any income: some of them say they are on the point of “being evicted from their accommodation” and others “visibly edge of psychic rupture go so far as to threaten to end their lives in front of our organism”.

The explosion in the number of files

In short, a “scandalous situation” according to the FO and CGT unions of Doubs who sent a letter to the director general of the National Health Insurance Fund at the end of April. At that time, they said, “more than fifty situations of extreme urgency” were recorded daily by the telephone platform and the physical reception.

15 days ago, in our columns, the director of the CPAM du Doubs recognized the current difficulties: a consequence, she said, of the Covid crisis which exploded the number of files to be processed everywhere in France.

“A steady decline in its workforce”

In the eyes of the FO and CGT union delegates, the pandemic is not the only explanation: “If this delay is not able to be absorbed, it is in particular because the health insurance is a victim of a constant reduction in its workforce for strictly budgetary reasons”. A constant reduction in staff which is added according to the CGT and FO to a “technical problem linked to the deployment of IT tools which most often prove to be totally unsuited to the situation on the ground. »

“The first of a long series”

Result, according to the unions: numerous delays of several months in the payment of compensation and insured persons who despair of being able to reach the CPAM by telephone. The explosion of deadlines has in fact led to a de facto boom in calls that the platform has been unable to absorb. Result: at the end of April “80% of telephone requests” could “no longer be processed by the telephone advisers”.

The ebb of the epidemic should obviously allow a return to normal. But it will take time, said a union delegate. “And the basic problem will remain”. “This unprecedented crisis, believe FO and CGT, must lead to a major revision of national policy on the financing of social protection, otherwise this dramatic situation will only be the first in a long series. »

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