Stéphanie Rist could not attend the event in La Baule, where the CSMF (Confédération des Syndicats de Médecins Libéraux) gathered in early October for their 32nd universities. She remained in Paris to finalize the social security budget. Despite her absence, she sent a video message of support to the attendees. Approximately 200 doctors were present at the Palais des congrès baulois amphitheater for the event. The gathering was likely stunned by news released the previous day about a projected urban underflow—essentially the percentage of the population living in cities—of just 1% for 2027, a significant drop from current levels. The highlight of the event was the presentation of two key documents: the White Paper Building Tomorrow's Private Medicine and the Manifesto for a Strong, Innovative, Responsible, and Solidary Private Medicine. These texts reflect thorough research and forward-thinking perspectives on the role of private medicine in France's healthcare system. The central question addressed in the White Paper is: what will private medicine look like in ten years? The CSMF emphasizes that demographic changes in France will be one of the most significant factors shaping the future. The aging population, the union says, will change the nature of health needs more than the quantity, leading to a healthcare system focused on "a journey medicine, continuity, and relevance," where general practitioners and specialists are seen as two parts of the same medical value chain. The CSMF stresses the importance of anticipating these demographic changes now. They argue that there must be a clear vision for each medical specialty and region, with a long-term perspective of at least ten years. This requires the creation of a specific observatory that integrates data on private and hospital services, current activity, technical platforms, future workforce changes, and trained medical interns by department and specialty. The White Paper also calls for private medicine to have a meaningful role in the committees that determine access to healthcare at the departmental level. Regarding the evolution of different healthcare professions, the CSMF acknowledges the changes but emphasizes that cooperation should not become a form of substitution. The White Paper also highlights the need for prevention to be the cornerstone of health policy. It argues that prevention must have its own economic model, achievable only through a multi-year prevention strategy with defined goals, measurable indicators, scientific oversight, and specific funding. Dr. Franck Devulder, head of the CSMF, summarized this week in the Quotidien newspaper: "we need a health programming law, as exists for justice and the military." He added, "One does not advance without a compass."