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Les plateformes sont bien installées dans la vie quotidienne des Français, avec 40 % des consultations à distance par leur intermédiaire. Mais au lieu de jouer le rôle imparti de mise en relation, ces sociétés profitent d’une situation monopoliste pour en abuser et monétiser la détresse des patients en désert médical. Car en dépit de l’interdiction légale de tout frais supplémentaire pour les soins remboursés par l’assurance maladie, des plateformes de télémédecine contournent le cadre légal pour extorquer aux patients un ensemble d’options commerciales. Les unes proposent de payer pour avancer le rendez-vous et passer en priorité dans la file d’attente pour une dizaine d’euros. Les autres majorent le paiement selon les horaires ou facturent des pénalités abusives. Certaines dissimulent même le caractère optionnel de ces dépenses en les sélectionnant par défaut ou en masquant les alternatives gratuites sur l’interface. Or, le décret du 29 février 2024 portant reconnaissance des sociétés de téléconsultation interdit toute prestation commerciale à propos d’un acte pris en charge par l’assurance maladie. Les plateformes dissocient donc ces frais de l’acte de soin en les présentant comme des « frais de service technologique ». Ce faisant, elles contreviennent aux ","articles":[{"num":"unique","extrait":"Le chapitre unique du titre VIII du livre préliminaire du code de la santé publique est complété par un article L. 4081-5 ainsi rédigé : « Art. 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