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HEALTH

French capital braces itself for tighter coronavirus restrictions

Paris was preparing on Sunday to be placed under maximum coronavirus alert as alarming Covid-19 infection numbers appeared to leave the French government little choice but to tighten restrictions in and around the capital.

French capital braces itself for tighter coronavirus restrictions
A restaurant employee removes tables on a terrace in Paris, on September 28, 2020, as bars and restaurants were forced to close earlier in the evening. AFP

Paris's trademark bars and cafes are threatened with complete closure as early as Monday after Health Minister Olivier Veran announced that only improved Covid-19 infection rates could prevent such a step.

If recent trends were confirmed “we'll have no choice”, he warned on Thursday, saying new restrictions would mean “no more family gatherings, no more evenings out, and a total closure of bars”.

But a reprieve looks unlikely after France reported 16,972 new coronavirus cases on Saturday alone, the highest daily number since the country began widespread testing.

Figures from the regional health agency ARS show new coronavirus cases remaining above 250 per 100,000 people in Paris, a threshold triggering the maximum alert protocol which has already hit the southern cities Aix-en-Provence and Marseille and their surroundings, as well as the French overseas territory of Guadeloupe.

“There is no justification for denial,” said the ARS director for the Paris region, Aurelien Rousseau, on Sunday. “The numbers are what they are, and they are weighing heavily,” he tweeted.

'We're French, we love to drink'

Interior minister Gerald Darmanin acknowledged that the looming closure of bars and cafes would be “tough” for everyone concerned.

“We are French, we love to drink, to eat, to live, to smile and to kiss each other,” he told broadcasters LCI and Europe 1 on Sunday. “But we're also doing this because the people want us to,” he added. 

A waiter serves customers at a terrace of a restaurant in Paris, on June 15, 2020. Martin BUREAU / AFP

BFM television on Sunday published a poll saying that 61 percent of people living in Paris and its suburbs were in favour of a complete closure of bars, which are currently authorised to remain open until 10 pm.

Paris mayor Anne Hidalgo told reporters on Sunday that “it's not a done deal, there is still work being done, we're still talking”. But she also conceded that the health situation was “very serious”.

The government has said it will target primarily establishments that “serve alcoholic drinks without food”.

Restaurant owners are still hoping that they can dodge a similar fate, at least for now.

ANALYSIS: Is France heading back into lockdown?

The health authorities are evaluating a proposal submitted by restaurants for voluntary restrictions — including registering the home addresses of their clients and limiting the number of people at each table — before submitting their recommendations to the government.

Other large French cities including Lille, Lyon, Grenoble and Toulouse are also hovering near the maximum alert threshold and similar measures as in the capital could be in store for them, too.

Employer organisation UMIH, which represents cafes, bars, hotels, restaurants, brasseries and discos, has warned that 15 percent of France's 220,000 establishments in the sector are threatened with bankruptcy because of coronavirus restrictions, with up to 250,000 staff facing unemployment.

The government has said it will take every precaution necessary to avoid a new state of emergency that would require a generalised lockdown like the one imposed at the height of the outbreak, from mid-March to mid-May.

The country's total death toll from Covid-19 is 32,198 after recording 49 more fatalities on Saturday.

EXPLAINED: How does France's Covid-19 alert system work?

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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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