Liberal doctors strike from January 5 to 15 against social security budget

Thousands of liberal doctors begin a strike from Monday, January 5, through January 15, protesting measures in the social security budget passed on December 16. Consultations and scheduled operations will be halted, with hospital disruptions from January 10 to 14. A demonstration is planned in Paris on January 10.

The anger of liberal doctors has reached a breaking point over the 2026 social security budget, narrowly passed by the National Assembly on December 16, 2025. All unions, including the Confédération des syndicats médicaux français (CSMF), have called for a nationwide strike from January 5 to 15. “Enough is enough. Angry liberal medicine is preparing for a ‘wake of arms’,” states Franck Devulder, president of the CSMF. “From January 5 to 15, it will cease to respond,” he adds.

Starting Monday, medical offices will close for routine consultations, and scheduled operations in clinics will be canceled. From January 10 to 14, hospital activities will be disrupted, potentially affecting public hospitals. A large demonstration is scheduled in Paris on Saturday, January 10, to protest these “unprecedented attacks” on liberal medicine.

Practitioners oppose measures such as increased oversight of sick leave prescriptions and authoritarian tariff cuts for certain procedures, bypassing social dialogue. The CSMF union estimates that 85% of its members will join, making the movement “extremely well-followed.”

In response to this mobilization, Health Minister Stéphanie Rist says she has coordinated with Regional Health Agencies (ARS) and facilities to ensure continuity of care. “We can also resort to requisitions if needed,” she warns in an interview with La République du Centre. She justifies the reforms by the rise in fee overruns, which leads some patients to forgo care for financial reasons.

This conflict highlights ongoing tensions in the French health system, where budget cuts clash with professionals' demands.

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French Senate chamber during vote on 2026 social security budget, showing 196-119 approval amid ornate surroundings.
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French senate adopts revised social security budget for 2026

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The French Senate adopted on Wednesday afternoon its heavily revised version of the 2026 social security financing bill (PLFSS), with 196 votes in favor and 119 against. The joint committee (CMP) of deputies and senators then failed to reach an agreement in the evening, sending the text back to the National Assembly for a new reading. This Senate version restores several government measures, such as the retirement reform, and brings the deficit to 17.6 billion euros.

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.

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Six medical unions joined forces on Thursday against the Health Ministry to demand a separate statute, distinct from the general framework under negotiation. They threaten indefinite actions, including a possible strike, if there are no advances. Meanwhile, other health unions have secured commitments at the negotiation table.

The expected savings from reducing sick leave compensation in the public sector are not materializing as hoped. Public sector employees are adopting strategies to retain their full salary despite the reform. Announced in October 2024, this measure aimed to curb costly absenteeism for the state.

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Following the National Assembly's narrow approval last week, the French Senate rejected the 2026 Social Security Financing Bill (PLFSS) on Friday via a procedural motion, sending it back for a final Assembly vote on Tuesday. The rejection underscores right-wing and centrist opposition to the bill's deficit reduction approach.

The National Assembly adopted on Wednesday, November 5, an increase in the generalized social contribution (CSG) on capital income, proposed by the socialists to fund the suspension of the pension reform. Jérôme Guedj's (PS) amendment, supported by part of the government camp, aims to raise 2.8 billion euros in 2026. The measure passed with 168 votes in favor against 140, despite opposition from the right and the National Rally.

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In the ongoing 2026 French budget crisis, following the failed joint parliamentary committee in December 2025 and adoption of a temporary special law, representatives from major parliamentary groups—excluding La France insoumise (LFI) and Rassemblement national (RN)—will meet at Bercy on January 6. Led by Ministers Amélie de Montchalin and Roland Lescure, the session targets key blockages to enable a full budget by month's end.

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