Health Minister Stéphanie Rist faces multiple challenges

Following ten days of strike by liberal doctors, Health Minister Stéphanie Rist, in office since October 2025, faces a partial legislative election in Loiret on January 18 and 25, which could determine her future in government. Although the social security budget has been adopted, her performance in debates has not won universal approval. She met with unions to ease tensions.

Stéphanie Rist begins her fourth month as Health Minister on avenue de Ségur, under increased pressure from the strike by liberal doctors that lasted from January 5 to 15. This dispute, featuring varied demands by specialty but united in defending professional autonomy, mobilized unions who initially refused a meeting with her, preferring Prime Minister Sébastien Lecornu.

On Thursday, January 15, between union appointments, the minister received Le Monde in her office. She reiterated that if not re-elected in the Loiret partial legislative election, she would resign: “It seems normal to me, if there is a sanction at the ballot box.” This vote, set for Sundays January 18 and 25, comes amid political instability, with threats to the executive over the budget.

Despite the adoption of the social security budget, described as a “technician,” her debate performances divide opinions. On Friday, she formalized concessions, including an amendment to remove sick leave oversight and the “mise sous objectifs” procedure from the anti-fraud bill, a red line for general practitioners. These openings aim to defuse the revolt, but uncertainty lingers over her government position.

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French senators in session overhauling the 2026 budget with proposals for corporate tax cuts and deficit control.
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French senate begins overhauling 2026 budget with tax cuts

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The Senate's finance commission adopted a series of amendments to the 2026 budget draft on Monday, November 24, aiming for lower corporate taxes and more savings while keeping the deficit target at 4.7% of GDP. Amid the blockage in the National Assembly, Prime Minister Sébastien Lecornu called for votes on absolute priorities such as defense and agriculture. The Senate also rejected government-proposed restrictions on sick leave.

Health Minister Stéphanie Rist faces a partial legislative election in Loiret's 1st constituency on January 18 and 25, following her deputy's refusal to replace her in government. The 52-year-old rheumatologist must persuade voters of her new alternate's legitimacy, Marie-Philippe Lubet. If not reelected, she will submit her resignation.

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Health Minister Stéphanie Rist, the Renaissance candidate, led the first round of the partial legislative election in Loiret's 1st constituency, with around 34% of the votes according to sources. She outpolled Rassemblement National's Tiffanie Rabault and Socialist Ghislaine Kounowski. The second round is set for January 25.

Prime Minister Sébastien Lecornu announced several measures on Friday evening to amend the 2026 budget project, hoping to secure a compromise with opposition parties and avoid censure. Key announcements include an increase in the activity bonus and the abandonment of unpopular tax reforms. He has given himself until Tuesday to finalize an agreement, without specifying whether he will use Article 49.3 or ordinances.

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The French National Assembly adopted the 2026 social security funding bill (PLFSS) on December 9 by a narrow margin of 13 votes, thanks to a compromise with the Socialist Party. This success for Prime Minister Sébastien Lecornu includes the suspension of the pension reform, a key Socialist demand. The bill introduces several health measures but draws criticism from the right and far right.

Prime Minister Sébastien Lecornu announced on Monday, January 19, 2026, after a Council of Ministers, that he would engage the government's responsibility on Tuesday via Article 49.3 of the Constitution to pass the revenues part of the 2026 budget, despite his initial promise not to use it. This decision, driven by parliamentary deadlock, aims to reduce the public deficit to 5% of GDP and includes concessions to the Socialist Party, such as maintaining a corporate surtax at 8 billion euros. La France Insoumise and the National Rally plan to file no-confidence motions.

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France's Health Ministry announced on Friday the transfer of several missions from Santé publique France to central administration, sparking emotion, anger, and concern within the agency. The restructuring aims to boost reactivity to health crises and clarify public messages. The agency, pivotal during the Covid-19 pandemic, will see its strategic stock management and communication campaigns refocused on the ministry.

 

 

 

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