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HEALTH

Chinese help for coronavirus gets wary reception in France

An operation by France's Chinese community to help limit the spread of the coronavirus by distributing masks, disinfectant and gloves has prompted questions and legal problems for some of its backers.

Chinese help for coronavirus gets wary reception in France
A nurse equipped with a thermometer and face masks prepares to welcome visitors at the Saint Roch hospital, which houses a COVID-19 testing centre, in Montpellier, southern France: AFP

Sceptical of the French government's response to the epidemic, the Chinese embassy, business leaders and ex-pat associations have handed out so-called “COVID kits”, masks and other protective equipment to their compatriots.

But this landed some in trouble with the law. Among the masks given out were the highly sought-after FFP2 type, which in times of critical supply shortages have been reserved for medical personnel on the frontlines of France's coronavirus battle.

Early in the outbreak, France had requisitioned all face mask stocks and production for distribution to doctors, nurses and caregivers.

Yet on April 5, police in Paris detained two representatives of Chinese associations for possession of some 15,000 masks.

Two days later, three students were arrested while handing out Chinese embassy-sponsored “COVID kits” in the Paris suburbs, an operation which caused people to amass in contravention of France's strict social distancing regulations to stem the virus spread.

FFP2 masks were included in some of the kits, along with protective gloves, disinfectant wipes and Chinese traditional medicine.

The Chinese embassy in Paris insisted in a statement that there was nothing illegal. It was doing “its best… to defend the rights and legitimate interests of Chinese compatriots in France.”

'Chinese health diplomacy'

The health crisis has strained ties between Paris and Beijing. France this week summoned the Chinese ambassador to protest a string of controversial comments by Beijing's embassy in Paris on France's handling of the coronavirus.

And French President Emmanuel Macron told the Financial Times that things “happened that we don't know about” in the response to the virus by China, where the pandemic originated.

The “COVID kit” initiative came in response to a letter dated March 31, in the form of an urgent appeal signed by about 20 bodies representing France-based Chinese people, whom they judged to be “in danger”.

Faced with “the inability (of the French authorities) to take appropriate protective measures”, said the authors of the letter, penned in Mandarin, they were launching an appeal for “certain protective products and medical materials”.

Two days after it was sent out, the Chinese embassy in Paris launched a distribution programme of “COVID kits”, using students who organise deliveries with the help of popular Chinese messaging app WeChat.

There are 125,000 Chinese nationals living in France on residency permits, a small proportion of all foreigners residing in the country.

If ex-pats granted French nationality are included, the number could be as high as 700,000, according to local groups.

Many are keen to go home to China, which they believe is in control of the epidemic five months after the coronavirus outbreak started there last December.

But “Beijing wants to avoid the returns for fear of having imported cases,” said Simeng Wang, a researcher at France's CNRS institute.

“So the government decided to help the Chinese abroad, to calm the situation. This can be called Chinese health diplomacy,” she said.

Pedestrians wear face masks in the main street of Sceaux, south of Paris on April 8, 2020: AFP

'Non-official channels'

Besides official aid, there has been massive private mobilisation, including the supply of millions of masks via “non-official channels,” said Tamara Lui, president of the Chinese Association of France.

She said the community felt itself “marginalised”, partly because they insisted on wearing face masks even as the French government refuted their efficacy as a means of virus control for the general public.

“Teleconsultations with doctors based in China has exploded,” she added. Chinese national Jimmy Gov's father, was among those arrested on April 5.

“We wanted to help the nationals who do not speak (French) well. The community is shocked. We were there to help and we received a slap on the wrist,” said Gov, whose father is to appear in court in September.

The community stresses it is extending a helping hand beyond its own, tight-knit group.

In the 13th district of Paris, where many Chinese ex-pats live, associations and business leaders are “using their networks to distribute masks to health personnel,” said Laetitia Chhiv, president of the Association of Chinese Youth in France.

Just on Thursday, 250,000 masks were delivered to the municipal council in the district for redistribution.

“The entire community is mobilised on this issue,” said Adeline Dai, who handles logistics for several Chinese associations.

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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