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110km/h speed limit in France: Macron delays decision

Proposals to lower the speed limit on French motorways sparked controversy and reminded France of last year's 'yellow vest' protests. Now, President Emmanuel Macron has chosen to postpone the debate on the topic altogether.

110km/h speed limit in France: Macron delays decision
Photo: AFP

As he presented the first conclusions of France's Citizens' Convention on the Climate (CCC) on Monday, Macron said that he believed an ecological transition should not be at the expense of rural and isolated areas of France and who depended on their cars to get around.

“Those who spend 45 minutes or an hour every day on the highway to go to work (..) will say to themselves, 'there is no place for me in their project, it's an urban project where I do not exist',” the president told the 150 CCC representatives present.

“That is why I believe that the debate on 110 km/h must be postponed,” he said.

 

The CCC is a group of members of the public who have spent nine months putting together a far-reaching plan to lower France's carbon emissions by 40 percent by 2030.

The proposal to lower the limit on French motorways from 130km/h to 110km/h is one of the CCC's 149 proposals.

Macron said the government would retain 146 of the 149 proposals, which span over a wide range of topics from transport to the workplace and shopping and eating habits.

His announcements came the day after a Green surge dominated France's local elections – the French greens won in a series of important cities and the president's party did poorly – putting increased pressure on Macron to show that he would deliver on his promises to pave the way for a greener future for France.

French local elections: Greens achieve major gains while Macron's party slumps

None of the other proposals caused as much stir as the speed limit reduction, which has been a touchy subject in France for years.

When the French government in July 2018 lowered the speed limit on secondary routes – which largely run through rural areas – from 90km/h to 80km/h in a move aimed at cutting road casualties the move sparked a storm of protest.

 

It became one of the early rallying cries of the'yellow vest' protesters, who saw it as an extra tax that would disproportionately affect countryside dwellers.

Speed cameras on secondary roads were regularly attacked and burned out and at one point the government estimated that 80 percent of the country's speed cameras were inoperable.

After a year of protests, the government decided that it would give local authorities the power to reverse the change if they wanted to, so ow some areas have the limit at 80km/h and others have it at 90km/h.

OPINION: No, this doesn't mean France will get a Green president

Now, the Citizens' Convention on the Climate – paradoxically also itself a result of the 'yellow vest' protests, as Macron created it in response to the protesters' demands for more direct democracy – had asked to decrease the speed limit as an environmentally oriented measure rather than a safety measure.

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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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