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A unified regional contact

There are 26 Regional Health Agencies (ARS), the cutting may not be superimposed on that of the regions. Indeed, the distribution is developed based on specific characteristics and needs of each territory.

Each ARS multi-agency previously responsible form of dispersed health policy in the regions and departments:

– DRASS (Regional Directorate of Health and Social Affairs)

– DDASS (Departmental Directorate of Health and Social Affairs)

– The Regional Agency for Hospitalisation,

– The Regional Union of Health Insurance, which includes the main plans: general system, agricultural system and RSI.

Prevention missions, organization and management

The Regional Health Agency operates both in missions to regional dimension that the most local level. These missions are twofold:

– Management of public health in the region. This control is based on safety and health monitoring (environmental monitoring, epidemics …), in coordination with the prefect.

– The organization of health care provision. The ARS is involved both with local doctors and health facilities (hospitals, clinics) or medical social (retirement homes, homes for the disabled).

Improving healthcare services

The ARS has four main objectives:

– Reduce territorial inequalities in health,

– Better access to care,

– Improve coordination between health professionals and health institutions and medical social,

– Ensure greater efficiency in health spending.

The ARS are preferred partners of health professionals and local authorities, who endeavor to promote and coordinate actions.

Controlling health expenditures in all their aspects

The mission of ARS is ultimately optimize the allocation and use of health resources. That is to make the most of every dollar of budget committed to a regional health policy.

ARS also did they have programs priority risk management (GDR). For the period 2010-2011, we find among them including transporting patients, chronic renal failure, the hospital prescriptions drugs performed in the city, medical imaging or efficiency of nursing homes (residential homes for the Elderly dependent). The diversity of these measures reflects the breadth and depth of intervention of ARS.

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The Japanese video game just accused its first loss since its IPO. Nintendo has been hit by a sharp decline in sales of its game console Wii aging room, to 9.8 million units, against 15.1 million for the previous fiscal year, ended March 31, 2011. In addition, sales of handheld 3DS are slightly below expectations at 13.5 million copies. Especially to reach this level of sales, a net reduction in price has been paid on this handheld that broadcasts stereoscopic images without needing to wear glasses. The free 3D has not generated the expected benefits. Instead, it was the source of problems.

In total, sales fell 36% to € 6.4 billion for fiscal year 2011-2012, which just ended. And the operating loss of 37.3 billion yen (370 million) over the period.

Recover the revenue, and return to profitability

Nevertheless, Satoru Iwata, Nintendo's CEO, is betting on a recovery in activity. Performance should not regain their 2010 level, however: the turnover is expected to rise by 26%. In addition, the group is betting on a return to profitability.

The key to the recipe for recovery is called "Wii U", the new generation of console gaming lounge, which combines a touch screen console. It should be presented in its final version in June, at the show E3 video games in Los Angeles. Combined with the lower prices of 3DS allegedly curbed by lower production costs, the group should reach nearly 200 million net profit for the fiscal year that just started.

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The French may well have low morale and closely monitor their spending, not about to give up one of their tasty treats: chocolate bars. This is one of the fastest growing segments (7%) on the market for chocolate confectionery, dominated by three heavyweights: Ferrero (Kinder Bueno, Country), Mars (Mars, Twix, Snickers) and Nestlé (KitKat, Lion). "In times of crisis, the French do not want to agree to give up small pleasures available, explains Christophe Bordin, Ferrero France. They arbitrate on other expenses. "Higher prices, less than 2%, due to soaring raw material, nothing changed.

Better growth potential remains high. The French consume on average only three chocolate bars a year, half that of tablets. However, public health campaigns against obesity, especially among children, they have seriously been shadowed. The bars have all but disappeared and fronts of boxes hypermarkets.

Nutrition a key priority

So, most actors, who have given up advertising per hour of after school, have made improving the nutritional profile of their bar one of their warhorses. This is one of the sinews of war fought in this market extremely dominated by Kinder Bueno (Ferrero), the youngest, born just twenty years ago. March, who has made improving his recipe one of the keys of his reconquest of the French market, has pioneered five years ago. There was urgency: mothers had diverted from his bar, which was the first in the French market in 1951, finding it too greasy and disgusting.

After declining the use of saturated fatty acids and fats, March flatly reduces the size of its bar (- 7%). And to inject a little "dream" in his communication, he revived his pub in 1995 and the American imagination of the Wild West, while reviving its historic slogan ("A March, and it goes again") creditreport. Mission accomplished in two years, he won a million new consumers. "Our goal is to become a leader in the segment of chocolate bars," says Thierry Gaillard, president of Mars Chocolat France, whose cult brand is celebrating his eighty years.

Quest for respectability

Even fighting for KitKat (Nestle), one of the most bars sold in the world (17.6 billion in 2010), which in 2008 launched a light version for women ("Senses", 165 calories). Before going out early 2012 "Singles", a single bar to 80 calories.

The battle is fierce. "As this product pulse that are not on the shopping list, the key remains visible in stores and media, based on strong brands," said Thierry Gaillard. Even more than innovation, the "classic" generate most sales. Face Ferrero, who has the largest sales force in the market (400 sales), March 85 vendors hired last year to push its promos. In the agribusiness sector, Ferrero France – who recruited the tennis champion Jo-Wilfried Tsonga to the pub Kinder Bueno – advertising remains the largest investor with 215 million euros (+8%) in 2011.

In this quest for respectability, chocolate bars have an asset in France: the famous "taste" of children, sacred pause in the Hexagon. On this particular field that Kinder Bueno has succeeded in widening the gap with its competitors. Because it is perceived to be lighter, moms do not hesitate to give their children for their "four hours" instead of biscuits and pastries.

 

For the second consecutive month, the fuel consumption in France is declining. According to statistics released Monday by the French Union of Petroleum Industries (UFIP), according to data of the Professional Committee of oil (PDCC), fuel shipments in March were down 3.5% from the month of March of last year, reaching 4.2 million cubic meters.

The unleaded fall of 9.1% and diesel, which now accounts for 81.2% market share in France, 2.1%. In February, fuel deliveries had fallen by 1.6% YoY: -7.3% for super, -0.3% for diesel.

This decline in consumption is observed when the pump prices hitting their highs. 1.6619 euro at the average price of a liter of unleaded 95 (SP95) April 6 calculated by the government sprays the peaks of summer 2008 (1.4971 euro June 20, 2008), while the SP98 s' flies to 1.7121 euro per liter.

The euro weakened against the greenback

Gas stations in Paris, who occasionally exceeded the symbolic price of 2 euros per liter, have recently attracted national publicity which they would be well spent business card templates. The preferred fuel of the French, the diesel was selling for an average of 1.4347 euro per liter on April 6, just below the record 2008 which corresponded to a barrel to $ 147, against about $ 120 currently.

The pump price multiplied records while crude oil is trading for less than four years ago, because meanwhile the euro weakened against the greenback, currency exchange gold black. Expressed in European currency, the barrel is the highest.

Consumption of petroleum fuels in France fell by 1.6% from 2007 to 2010. Within this time, the evolution of cars, which account for new models increasingly sober, has had an impact on demand.

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It is an exercise that required this year, just days before the presidential election, takes a turn for controversy. The government on Wednesday presented to the finance committees of the Parliament of the stability program years 2012 to 2016. Designed in Brussels, this document describes how France has reduced to zero by 2016 the cumulative deficit of the state of the social security and local authorities. Consolidation that will reduce gradually the weight of public debt to national wealth in 2014.

To balance its accounts, France must find 115 billion. The government has chosen, policy, to focus the effort on spending two thirds (74 billion) and third on revenue (41 billion). This is the roadmap that Nicolas Sarkozy has taken in its election manifesto. "Just focus on revenue, tax advocate hype as some ignoring the impact it would have on growth, is clearly not a political alternative," says Valérie Pécresse, Minister for the Budget, in an allusion to thinly veiled Francois Hollande.

Indeed, the government does not reduce expenses but limit the increase to 0.4% plus inflation, from 2012 to 2016. The 74 billion is savings compared to the natural drift. "The rise in government spending was 0.3% in 2010 and 0% in 2011, the never-seen since 1960. This shows that our target of 0.4% is credible, "says Valérie Pécresse personal loan for poor credit. To reach it, the government will pursue the course of recent years (knowing also that the reforms already enacted will generate even 39 billion savings in 2016): non-replacement of one out of two official journal of programs for lower government spending, freeze state transfers to local, rising Medicare spending limited to 2.5%.

Optimistic growth forecasts

On the revenue side, Bercy believes that tax increases enacted since late 2010 (on the plane niches, rising 7% VAT …) will generate 33 billion in revenues in 2016. It would be only 8 billion to find. Much less optimistic about the performance measures already adopted, the PS 22 billion talks to find and Nicolas Sarkozy accused of hiding tax increases to voters. Both candidates are fishing perhaps assuming a too strong economic growth (1.75% in 2013 for both, 2% from 2014 in the stability program taken up by Nicolas Sarkozy, Francois Hollande to 2.25%) . But less growth means less revenue and more social spending.

However, Nicolas Sarkozy, unlike Francois Hollande, said the return to balance a priority, regardless of the growth. Francois Hollande and provides a zero deficit in 2017 alone. "We go out of adjustment in 2016, we take a serious risk, if not more," warned Baroin before the Members of the Finance Committee.

 

The CEO of Geodis would flip-flop. According to Libération on Monday, the freight subsidiary of SNCF should ultimately maintain its takeover offer Sernam. "I say again very clearly that we have made an offer with the intention to resume Sernam. [...] We will present in court Tuesday, "assured the head of Geodis, Pierre Blayau.

These comments contrast with those held this weekend in the columns of the Sunday newspaper. Pierre Blayau there considered "not dramatic" the hypothesis of a carrier's bankruptcy. And remember that Geodis accompanied its takeover offer on two conditions.

The first, on the € 642 million illegal aid demanded by Brussels, has been fulfilled. The European Commission agreed Wednesday that the buyer does not inherit Sernam the repayment obligation. But the second, concerning the financial health of the carrier and the state of its cash, however would default. Geodis claimed that Sernam to work only for 30 to 45 days, which would require a cash of about 30 million euros.

Government pressure

Earlier in the week, Pierre Blayau, who considers the financial position of Sernam very poor, had signified to the unions that the recovery was compromised. "It made us realize that it will not be able to maintain its offer," explained Alain told AFP Wednesday Delpuech CGT carrier. According to Libération, Pierre Blayau has even said that the resumption of Sernam could "endanger jobs at Geodis."

For the newspaper, citing several sources, only pressure from the government would explain the reversal of Geodis. "The Elysee has called this weekend for Blayau maintains its offer," says a source close to release the file.

The transport minister, Thierry Mariani, has so far invested actively in this matter. The effect of the liquidation of an enterprise of 1441 employees on the eve of the presidential election is considered disastrous. The Commercial Court of Nanterre travel Tuesday its decision on the future of Sernam.

 

The main presidential candidates did not wait for the election to take one of their promises. Determined to fight for the Made in France, they sent their activists dressed in Finistere. In January, the campaign manager Francois Bayrou has commanded Armor Lux 5000 T-shirts.

Since then, Young Pop, the UMP and, more recently, the PS bought at MSY Finisterian its famous knitwear knitted cotton. In total, 17,000 Armor Lux has sold T-shirts in the colors of political parties. "From the mesh knitting, dyeing, through cutting and making up the printing of the logo, everything is done here in Quimper," said Jean-Guy Le Floch, CEO of the SMEs of 550 employees, which distributes its products under the Armor Lux, Land and Sea and Bermuda.

Riding this wave of local purchasing, the leader readying ammunition for the coming weeks. He launched the production of gray fabric needed to manufacture 100,000 pieces. "Until the second round of the presidential election, our online t-shirt will turn right", says he. The price difference is however quite sensitive: depending on the model, Armor Lux sells between 7 and 5.50 euros each, while made in China is on the market at around € 1.20.

60% of production is delocalized

In 2011, the company achieved a turnover of 82 million euros, against 75 the previous year. "We develop our downtown retail network a hundred square meters, and around the stores between 700 and 1 000 m². Undoubtedly, consumers want authentic products, "said Jean-Guy Le Floch. On the first two months of the year, sales to the public increased by 12%. Armor Lux has forty outlets and will open in the second half of four new stores, including one of 1,500 m² in Plaisir (Yvelines). A test for the Breton brand, wishing, after creating three stores in Paris, make its products known to Parisians.

This growth in business volume also comes from major public commissions won by the manufacturer. After the Post Office in 2003 and Aéroports de Paris and SNCF, the national police, the Regional Council of Brittany and Truffault Armor Lux entrust today to achieve the work clothes of their employees. Result: this sector represents 40% of the activity. But the logic of increasing prices dragged down leads Jean-Guy Le Floch to outsource nearly 60% of production in Morocco, Tunisia, Romania and Bulgaria. The presidential candidates are notified.

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This is a bad sign for the fledgling market for electric cars. The General Motors has decided to suspend production of its Volt plug-in hybrid for five weeks, the time to "align production with demand." This is an embarrassing decision for the manufacturer, which launched in late 2010 this car with a small engine used to recharge the battery of about 200 kg.

While rising fuel prices at the pump becomes a concern for motorists, the Volt should instead be of great interest. The high price of the vehicle with respect to its performance remains a problem. The sedan costs $ 41,000, not including a tax credit of $ 7500 awarded by the federal government, which wants to promote this technology in the name of reducing pollution. But GM has sold only 7,671 Volt last year in the United States, against 10,000 planned. Since the beginning of the year, just over 1,600 were purchased. The first deliveries of the European version, the Opel Ampera, should start soon.

Purchase long to return

The first American automaker plans to launch a national advertising campaign to boost sales of a vehicle denounced by some as an illustration of a public subsidy "politically correct", without consideration of market reality. GM, which the federal government is still the largest shareholder, was saved from bankruptcy in 2009 by an injection of public funds of $ 50 billion. Despite regular promotions elected by the Democratic Party, sales of electric and hybrid vehicles in the U.S. represent less than 3% of the market.

The main rival of the Volt is paradoxically the Cruze, another vehicle of the Chevrolet brand and look identical. With a conventional gasoline engine but more economical than previous generations of vehicles in this category, the Cruze costs almost twice as cheap. Consumer Reports, an independent private authority, believes it takes six years to the owner of the Volt to recover the sacrifice he had to agree in preferring the new technology rather than the Cruze. This period is far too long to allow the Volt to generate significant interest in the U.S. market.

The Volt was also hurt by a controversy. Protection of its large battery had to be reinforced after the discovery of spontaneous fires in cars immobilized for several days after a violent collision. Besides the surge in gasoline prices and the upcoming advertising campaign, two other factors are expected to boost sales of Volt in 2012: first orders of General Electric, which manufactures loading terminals for its fleet of company vehicles, and secondly the new California regulation: on motorways, expressways reserved for cars carrying more than one person at peak times will also be open to electric cars, even if they are occupied by only one person …

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An agreement, signed last week between the management of Air France and the main pilots' union of the company, the SNPL, already mitigates the impact of future legislation on guaranteed service in the airline, currently before Parliament.

Transposition of the 2008 Act applicable to the SNCF, the text of UMP Eric Diard plans to compel the workers of the company to declare 48 hours in advance. The goal: to inform travelers of disruptions to come, and ultimately, to minimize the effects through the reallocation of non-striking staff.

This second objective is partly compromising the agreement with pilots. According to Liberation, he states that their schedule "is stable [...] in all circumstances and at all times, without exception." This excludes de facto reallocation constraint non-striking staff in case of conflict. It remains permissible on a voluntary basis.

Appease the social climate

The management of Air France denies having given wrongly. "This new agreement ratifies simply clarification of an agreement dating from 2006, which was the subject of a dispute with the pilots," argues a spokeswoman. The company also advance security reasons for refusing to compel non-striking staff to take service if necessary.

But the agreement signed last week is primarily intended to appease a very tense social climate at Air France. Shocked at the beginning of February still a strike, it lies in the necessity of escalating tensions, "without which it knows will fail in the medium term," said Eric Diard.  

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