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L’Académie française de médecine estime, dans un rapport de 2023, que 30 % de la population française vit dans un désert médical. Or, la demande de soins de premier recours augmente sous l’effet de la croissance démographique, du vieillissement et des progrès induits par les techniques médicales. Selon les chiffres publiés en 2023 par la direction de la recherche, des études, de l'évaluation et des statistiques (DREES), l’accessibilité moyenne aux médecins généralistes s’établit en 2022 à 3,3 consultations par an et par habitant. Elle était de 3,4 consultations par an et par habitant en 2021, et 3,8 en 2015. (1) L’offre de soins connaît donc une baisse tendancielle, en particulier pour les médecins généralistes, les pharmaciens et les chirurgiens-dentistes. Selon un récent rapport de la Cour des comptes (« Organisation territoriale des soins de premier recours », mai 2024), le nombre de médecins généralistes libéraux est passé, de 2012 à 2022, de 64 000 à 57 000. L’Académie française de médecine estime que le nombre de médecins généralistes en activité diminue de 1 % chaque année. Par ailleurs, au sein de cette offre globale, les différences de densité de médecins entre territoires sont structurellement sensibles, et se sont aggravées ces dernières années. La DREES estime en 20","articles":[{"num":"1er","extrait":"L’article 81 du code général des impôts est complété par un 40° ainsi rédigé : « 40° Les revenus procurés par une activité relevant du régime d’assurance vieillesse des professions libérales et mentionnés à l’article L. 643-6 du code de la sécurité sociale. 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