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Leaked Audit Faults France’s Medical Council Over Spending and Disciplinary Failures

Inspectors propose a governance overhaul centered on tighter controls, patient representation and measurable patient‑safety goals.

Overview

  • A 44‑page Inspection générale des finances pre‑report leaked on March 17 criticizes the Conseil national de l’Ordre des médecins for irregular management and lavish expenses funded by mandatory dues within a €111 million budget, including about €105 million from contributions.
  • Documented outlays include business‑class travel, taxi bills exceeding €15,000 for a single councillor in 2024, a €1.7 million congress in November 2024, and a 1,200 m² villa with a pool in the Alpes‑Maritimes purchased for €3.9 million to serve seven full‑time equivalents.
  • Allowances reached €13.7 million in 2024 for 3,327 departmental councillors, while the 58 national council members averaged roughly €66,000 each in indemnities and reimbursements.
  • Inspectors cite control failures with nearly a quarter of national council spending executed outside public‑procurement rules and highlight weak complaint handling, referencing the Joël Le Scouarnec case and a doctor convicted of homicide who remained listed in January 2025.
  • The IGF urges consolidating departmental and regional structures and refocusing the regulator on enforceable patient‑safety objectives with external oversight, while the national council declines substantive comment during the ongoing review and says it has cooperated.