Overview
- The Cour des comptes presented its evaluation to the National Assembly, citing widespread social and territorial inequalities and calling for vigorous public action.
- Spending reached nearly €4.7 billion in 2023, up about 65% since 2015, with average out‑of‑pocket costs of €1,549 leading some women to forgo care.
- Organized screening has fallen below 50% uptake and is being undercut by individual paid exams lacking double reading, with proposals to oblige radiologist participation and ban fee overruns for organized mammography.
- The court urges digital image sharing and the use of AI to support second readings, addressing current paper‑based workflows that delay reviews.
- To improve safety and quality, the court recommends raising surgical authorization to about 150 operations per year and making personalized after‑cancer programs mandatory from 2027, while decrees for a 2025 after‑care law remain unpublished.