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HEALTH

Will France bring back mandatory mask-wearing?

France's public health watchdog is reportedly "studying" the possibility of bringing back compulsory face coverings on public transport - we look at what happens next and what Covid rules remain in place this autumn.

Will France bring back mandatory mask-wearing?
French Prime Minister Elisabeth Borne adjusts her face mask during a session of questions to the government at The National Assembly in Paris on July 19, 2022. (Photo by Christophe ARCHAMBAULT / AFP)

Amid its eighth wave of Covid-19, the return of mandatory masking in certain places is “under study” by French health watchdog, Covars. 

Face-coverings have remained compulsory in a few specific places – such as hospitals – but since May have only been “strongly recommended” on public transport.

Now experts disagree on whether a return would be possible. The question is legally complicated, as France is no longer in a state of emergency, and the law that allowed the government to make masking mandatory (le loi relative à la gestion de la sortie de crise sanitaire) expired on August 1st. 

Since May, masks have been ‘recommended‘ rather than ‘required’ on public transport and only remained compulsory in hospitals and other health centres.

In the airplanes, masking “remains nevertheless recommended”, as indicated on the Paris airport website.

Trains have similar messaging – as SNCF also says wearing masks are “strongly recommended in our stations and in our trains.” The Paris public transport service RATP also “strongly recommends” that passengers wear masks, although in reality few do.

Only hospital directors, doctors and pharmacies have retained the right to require masks to be worn.

According to RFI, obligatory masking “could be made compulsory again in the form of ministerial or prefectural decrees, depending on the evolution or degradation of the health situation; if a new problematic variant of the virus is identified.”

However, legal experts disagree on the methods France could use make masks obligatory again, as well as how likely such a measure would be.

Legal expert Guillaume de Durat told Le Parisien that he does not see any legislative avenue to reinforce compulsory masking, outside of care settings.

De Durat speculated that if Prime Minister Elisabeth Borne wanted to require face coverings on public transport, she might be able to do so by passing an order using “general police power with the risk that the Council of State may oppose it.” 

“There are many opponents to wearing the mask, so there would inevitably be appeals,” he said.

Another legal expert, Serge Slama said that up until now, compulsory face coverings have been required because a legal text authorised doing so (the law placing France in a public health emergency).

However, the legal framework that replaced the loi relative à la gestion de la sortie de crise sanitaire does not mention masking requirements. Additionally, passing a new law could be complicated with the current parliamentary layout, as President Macron’s coalition does not have an absolute majority. 

Lawyer Caroline Lantero told Le Parisien that “it would be necessary to really face a real public health threat for [compulsory masking] to be validated.” 

The Covid-19 situation in France

On Tuesday, the French health authority, Santé publique France, recorded 21 percent rise in positive coronavirus tests when compared to the previous week. 

Hopsitalisations are also on the rise – 49 percent higher on Tuesday, October 4th when compared to last week’s figures.

As a result, the Minister of Health, François Braun, said on Tuesday evening that the new public health watchdog, Covars (Comité de veille et d’anticipation des risques sanitaires), which replaced the Scientific Council, was studying the return of mandatory masking in certain places, such as public transport.

Brigitte Autran, the head of Covars, said that France should “take cues from Asian populations who have been wearing masks for a very long time” and that doing so “should become a kind of civic gesture.”

While she said there is “no obligation” currently, Covars of the mandatory mask in certain places was “under study” in the new scientific committee. 

What is the government recommending?

Several French government officials, including Prime Minister Elisabeth Borne, have recommended continued mask-wearing.

Borne said over the summer that people should wear masks “in closed spaces, where there are many people, particularly in [public] transport.”

In addition to masking, the French government is tackling rising Covid-19 rates by beginning its fall vaccination campaign for vulnerable populations.

READ MORE: France launches autumn Covid booster campaign with new dual-strain vaccine

As of October 3rd, dual-strain Omicron adapted vaccines became available for use amongst certain groups. You can read more if you qualify HERE.

What about France’s neighbours?

Germany decided to make it compulsory to wear a FFP2 mask in long-distance trains on October 1st.

In addition, each German state has the possibility to impose it in other types of public transport, such as the subway and the bus.

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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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