“Security fraud: who steals money from our health?”, This is the theme dealt with this Sunday, September 4, 2022 in the Zona Interdite program on M6. An investigation presented as “revolting” by Ophélie Meunier, but which did not quite have the desired effect. Because if viewers were truly outraged to discover the extent of health insurance scams, they were also shocked by some practices aimed at blocking them.
This Sunday, September 4, 2022, M6 offered a new issue of Forbidden Zone on the topic of health insurance fraud. A report that began with the example of a young hairdresser, officially on sick leave, but suspected by her boss of actually opening a parallel business. In an attempt to verify her allegations, she called a private investigator who was able to very quickly photograph the hairdresser’s comings and goings at her clients, with professional equipment, toiletries, towels etc. In addition to being in perfect health, the professional has made an effort to steal the clientele of the salon that employs her.
Every year one billion euros goes up in smoke, in the pockets of imaginary patients. In particular in question: the French who take advantage of the system but also the doctors who are a little too complacent. A show reporter was thus easily able to get sick leave for his wife and himself, for the need to take a family vacation. Huge flaws in the system that Internet users have lamented on Twitter. But not as much as the methods of a certain doctor-controller …
According to the report, 83% of stops are never checked. But to reduce the risk of fraud, the health inspectors go to meet some declared patients, at their home …. One of these doctors was followed by the cameras of the Forbidden Zone: he went first to an inmate, who did not open the door. The ax then fell: she considered absent out of the authorized hours, she risks being subtracted from the daily allowance by the employer. On Twitter, this sentence was considered harsh: what if the person slept or was unable to get up?
A traumatic check
On the way to his next checkup, the medical examiner told M6 reporters about the risks of his job. Among other things, he explained that he had already been attacked by dogs, insulted and even strangled. Working conditions that could only inspire compassion. However, a few minutes later, many tweeters denounced his working methods, which were also deemed “violent”. On his unannounced visit to a young man’s home, the doctor carried out a harsh and incriminating interrogation to understand the reasons for his two-week suspension from work. “Do you have a recipe?” he asked first, to which the young man replied in the negative: “I only have the stop”.
He explained that he was very tired, unable to concentrate, waking up at 4am every night without being able to go back to sleep for two hours, and suffering at work because he was forced to lie to clients. While explaining that he had the impression of endangering his own health by pulling the rope, the doctor-controller seemed a bit doubtful: “at this point?” for these reasons it is “excessively long.” “What is the pathology that requires 14 days of rest? […] In any case, the explanation seems a bit limited “, he continued coldly. Feeling accused, the patient then specified that he had called the occupational psychologist who considered the break necessary, and that he was content to follow the instructions of his doctor when asked. of the journalist “How did you experience this control?”, the young man replied: “I found it a bit violent”.
And the tweets were of his opinion. Many of them found the examining physician’s intervention to be very harsh or even unfair. In the face of this frail man who showed all the warning signs of a burnout, his methods were even considered dangerous. According to them, he couldn’t do better to push him further and make him feel guilty …