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a liberal economy, there aren't many way preserve the quality of Monegasque pensions The Government has accepted my proposal to
to increase employees' income. For their at a replacement rate that is higher than the stop adding to this fund, and I would draw on
net income to increase, at equivalent cost, European average. We are also confident this reserve if it were necessary to supplement
employers should revise their salaries to about the Monegasque complementary the financing of dependency care, which is the
remain attractive in comparison to French pension fund... responsibility of the State budget.

What part of social policy is included in the
State budget?
The budget of the Social Welfare Office, which
finances all the State's social security will be
between 40 and 45 million euros by 2025, out
of a budget of 2 billion euros.

What lessons have you learnt from the
health crisis linked to the Covid epidemic,
particularly with regard to vital professions,
© Direction de la communication such as medical care personnel? Particularly
in view of the strain on staff.
In the first year of the Covid crisis, there was a
great deal of emotion about these professions,
which were at last rightly recognised. But as
Forum de l’Emploi / Job Forum
memory is short, I have the feeling that
and Italian competition. The 2 solution is to The government is no longer talking about France has gone back to the way things were
nd
reduce charges, but these are already lower in the financing of care for people who are before, and that this positive feeling has been
the Principality than in other countries, and I dependent on others. What is the state of erased by the discontent of healthcare system
would remind you that social security payouts play? users, who blame healthcare professionals,
are financed by charges. There is no income The development of home care has significantly forgetting that they are not responsible for
tax in Monaco and therefore no other source reduced the need for retirement homes. Today, this situation.
of social contribution... The 3 solution is to the people who need to be institutionalised My appointment as Minister of Health and
rd
set up a profit-sharing scheme for employees. are those with profiles known as GIR 1 and Social Affairs bears witness to the importance
Some employers would be prepared to do this 2, who are totally dependent and who need attached to health in the Principality. Health
on condition that the redistribution is free to be cared for in long-term care units (such is priceless. As demonstrated by the Pasteur
from charges. In my opinion, this is not a good as CRIII) rather than in a nursing home (A system that has been set up in Monaco, which
thing, because the risk is that the part that is qietudine, Cap Fleuri). At present, we have no is more advantageous than what has been
offloaded will increase more than the part of shortage of nursing home beds, especially done in France.
the salaries that is taxed, resulting in a loss as the Hector Otto Foundation was recently The subsidy for the CHPG and its satellites,
of resources for the social security funds and, converted into a nursing home (80 beds). We which is paid by the State, is around €40 million
in the longer term, for the employees, with a do, however, have a residual list of requests a year, excluding investments.
reduction in their pensions. If instead of having for places in long-term care units. As far as non-healthcare staff are concerned,
100% of your income taxed, you only have 50%, The results of the new actuarial study that before the Covid crisis there was no more
this means that your pension will be calculated I have commissioned should be available or less consideration or respect for these
on half your income, not the whole! My role is soon enough to confirm these findings. The employees, who are nonetheless necessary
to ensure that Monaco's advantageous pension French healthcare sector is experiencing the and essential to the functioning of all
conditions are preserved for the future. same phenomenon. The Rainier III Centre activities... In some Latin countries, people
will undoubtedly have to be upgraded to are looked at in terms of their job, and if
Speaking of the social model, are there any increase its long-term care unit capacity, that job is considered to be of little value,
plans to reform the pension system? rather than building the 3 residential care people are not valued very highly. However,
Nothing is envisaged at the moment, apart homes recommended in the previous study. in the Netherlands for example, people are
from specific schemes. Of course, we will One should suffice, perhaps on the grounds grateful to a dustman for helping to keep
have to keep a close eye on developments of the former CHPG, once the new hospital is their surroundings clean, and consider that
in the general scheme and carry out regular up and running. To the best of my knowledge, every job, whether intellectual or manual,
actuarial studies to assess its soundness. there are no definite plans to build on these is essential. As far as I'm concerned, when
Without the 2012 law, the scheme would be in sites. I was Head of Department at the Princess
difficulty. Nevertheless, we will probably have Financing dependency care is not a problem. Grace Hospital, I considered that the cleaner
to think about a reform in 10/15 years' time, There is a dependency fund of €16 million, who kept the ward clean was as essential as
which will probably not be as major as the 2012 which more or less corresponds to the cost the nurse who gave care or the doctor who
reform. For me, the most important thing is to of a full year's dependency care in Monaco. operated.

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