When the desert advances... What levers can be used to combat the health divide, a factor of vulnerability?

Vulnerability isn't always where you think it is.

While it is common to all individuals, it is not evenly distributed. In recent decades, the term has become widely used, and is associated with exclusion and precariousness. It is used to talk about the risks we run in a context of growing uncertainty and our inability to control it.

Some situations of vulnerability are obvious (disability, chronic illness, childhood and old age...). Others, more recent, are less identified. Such is the case of populations living in medical deserts.

A health divide that continues to widen... 30% of French people live in a medical desert.

It is widely acknowledged that territorial inequalities in access to healthcare are worsening. Over the past thirty years, public policies have failed to reverse this trend.

... and reveals a new form of vulnerability. The loss of opportunity that results from this growing inequality of access to healthcare is an intolerable attack on the republican pact and the social contract. These public health issues call for systemic change. How can physicians' civic responsibility play a greater role in reducing territorial inequalities in access to healthcare? What measures are urgently needed to redress the balance of power and opportunity?

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