Shrinkflation at AMETRA

Modern life is full of examples of lowering standards for no change in price (except upwards), such as the decreasing size of Quality Street boxes of chocolates, the removal of two Cadbury's Fingers from a box of biscuits, lighter weight packets of Walkers crisps, fewer wipes in a packet of Dettol wipes, and so on. Economists call it 'shrinkflation', according to the Daily Mail.

Natural shrinkage?

It's happening in services too, and I have one glaring example from my own experience. In France, it is obligatory for employees to have regular medical check-ups from the médecin du travail. I have been out of the UK for a long time, but when I started work, there was no check-up; perhaps things have changed?

Anyway, a few years ago, we used to have annual check-ups at AMETRA, a national association that specialises in work-place health. It used to be a legal requirement to have an annual check-up by a doctor, with a preliminary consultation with a nurse who asked us questions about our workplace, made us pee into a cup and passed us on to the doc.

Then, we stopped getting summoned to AMETRA, and no one cared a jot about our health for three years. THREE! So naturally, we didn't get the invoice for services non-rendered, right? Wrong! There it was, every year, a bill for 2500Eur or so. For nothing.

In the end, I complained. I was told that the company was having problems (no kidding!), and they were restructuring. Fine, I said, but why are you still invoicing us, and can we stop paying? Of course not! If you don't pay AMETRA you get into all sorts of trouble, a bit like with the impôts. It turns out that it's obligatory for us to pay, but if they can't deliver a service, we can't complain.

So I complained again, and looked around for another provider. There isn't one. They have us by the short and curlies, as it were, and as with any totalitarian state worth the name, you shut pay up or get into trouble.

Eventually, a service was resumed, of sorts. They had worked out their little problems, and the status of our health was to be checked again, but now every two years instead of annually. Was there a change in the invoice? Of COURSE, it was split in two!!

Joke.

We were sent convocations. We all went to see the nurse and then the doc. The nurse did not ask us to pee into a little cup. Pee's off, but there was no change in the invoice.

When I went to see the doc, she asked me lots of questions, checked my sight and took my blood pressure. She asked me what I had for brekkie (I can't remember how it came up), and I said I had a boiled egg every day. Horrified, she told me that I was eating WAY too many eggs, and that I should have no more than two per week. I tried to tell her that there were new guidelines, but she was having none of it.

I don't think she does much revision at home...

When I got back to work, I forwarded a mail to her from a reputable source stating that eggs were good and we could eat two per day with no problem. No need to thank me (she didn't).

A few months later we got another letter from AMETRA. From now on, when we get the summons to go every two years, one year in two we'll see just the nurse, so we'll only see a doc every four years. Is there a change in the invoice? Yeah, right.

So there you have it. A flagrant lowering of standards for absolutely no discernable benefit to the customer. Welcome to the modern world.

A Cerfa for Medicinal Side Effects

You live in France. You take medicine. You suffer from side effects and your doctor isn't listening. You can do something about it. Yes, you can! There is a form, but not an app, for that.

Oh happy France that loves its administration so much that there are 710 forms to declare just about anything:

• asking for a medal of honour for work (11796*01 Demande de médaille d'honneur du travail); 
• a declaration about your spouse (11355*08 Declaration concernant le conjoint) - "She can make a proper cup of coffee made in a proper copper coffee pot", "He sells sea shells on the sea shore"; 
• a request for spa treatment (14415*03 Demande de cure thermale);
• an individual statement of activity time (13704*03 Relevé individuel de temps d'activité) - "Got up, went to the loo, had breakfast, had a shower, fed the cat...".

There's no end to the fun you can have with a Cerfa.

Cerfa 15301 to declare side effects from medicine

As no one knows about this form, only 8000 people a year declare they've had side effects. There's another form for doctors to use (10011*04) but they don't seem to know about it either as only 13% of declarations come from them despite the fact that they are responsible for most prescriptions. Most come from hospitals, with 84%, as 128,000 people are hospitalised each year after taking their medicine! Funny how the pharmaceutical companies don't add a little remark in the notice about ways to declare side effects...

So, if you've had the flu vaccine and felt funny afterwards, if you've been taking pills and have come out in a nasty itchy rash, or something worse, don't suffer in silence thinking it'll pass. Get onto your computer, download the form, fill it in and send it off. You'll be doing us all a big favour!