The spending figure comes from the Social Security Accounts Commission. The rest of this page is the Empire's rule, not a description of what already exists.
- €265.4bn
- health-insurance objective, 2025 outturn
- +3.4%
- on 2024
- €109.5bn
- hospitals
- €113.9bn
- care in town
Commission des comptes de la sécurité sociale, May 2026. Health-insurance accounts closed on 16 March 2026. The voted objective was €265.9 billion. The outturn was €265.4 billion.
The outlay
A system is financed. A treatment is not measured.
In 2025, spending inside the national health-insurance objective came to €265.4 billion, up 3.4% on 2024. Hospitals account for €109.5 billion of it, care in town for €113.9 billion. The envelope grows. The queues do not shrink on that account.
The Empire aims at €150 to €170 billion, not by closing beds, but by ceasing to make the hospital an administration. The minister is accountable for the balance and the quality. An envelope that is rolled over is not a health policy.
The hospital
Those who treat, treat. The paper disappears.
We dismiss or reclassify 30 to 40% of hospital administrators. A single piece of software, preferably free, replaces the triple paper. Casualty, intensive care, paediatrics and the heavy cases remain entirely public and free. That is where the market is not enough, and where the Empire does not retreat.
For the rest — planned surgery, imaging, physiotherapy, dentistry and ophthalmology — the patient's share is capped at 20%, in the public or the private as chosen. A compulsory private insurance, of €20 to €80 a month according to age and risk, covers that share. This is not an American copy. It is a visible price, in place of a contribution nobody reads any longer.
Experienced staff aim at €4,000 to €6,000 net, paid according to acts, complications, satisfaction, and a check by artificial intelligence. An appointment that is not urgent is obtained in seven to ten days. Waiting in casualty does not exceed thirty minutes. These are duties of the minister, not campaign slogans.
The card
One door for care. Not a file open to everyone.
A single card carries identity, health and the driving licence. Access is partitioned by trade. The chemist does not see the criminal record. The police do not see the prescription. The Citizen portal files what the State already holds. It does not give the State a new right to read everything.
Health is not a ministry of morals. Care is not rationed in order to hold a line. Enough beds are built, those who operate are paid, and we stop employing those who circulate the form.
The public where life is not negotiated. The private where competition shortens the wait. And nobody left to make a hospital into a prefecture.