Taxi drivers gathered in a street in Paris, on May 19, 2025, during a national demonstration against the changes offered in the way the State finances medical transport services.

Representatives of  taxi drivers  are expected on Saturday, May 24, at the  Ministry of Transport  in the presence of  Prime Minister François Bayrou . They aim to find a resolution to a conflict that has escalated for almost a week regarding a new agreement governing the  transportation of patients .

The inter-union of taxi drivers initiated a mobilization on  Monday, May 19 , to protest against a project that aims to unify prices which are currently heterogeneous across different departments. The proposed pricing system will consist of a treatment of  €13 by health insurance , followed by a  kilometric rate . The system is designed to reduce  vacuum returns  and excessively long waiting times.

This new pricing structure is set to come into force on  October 1st . The objective is to  control the growth  of health transport expenditures that soared to  €6.74 billion  in 2024, with  €3.07 billion  attributed to approved taxis—an increase of  45% since 2019 .

The reimbursement of patient transport on prescription plays a pivotal role in the income of many taxi drivers. Thomas Fatôme, the director general of  health insurance , stated, _”The vast majority of taxis will benefit from this new model, as it encourages transporting more patients.”_

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The Government’s Stance

Among the demonstrators, several expressed concerns that the new pricing grid would significantly reduce their turnover. Yves Rubicondo, a taxi driver in  Pithiviers  (Loiret), claims that  95%  of his  income  comes from health insurance and he anticipates a  25% to 30% loss  in his earnings.

_”What the  CNAM  [Caisse nationale d’assurance-maladie] is proposing is not viable; we cannot do everything at once. For some, it’s a  60% loss in turnover! “_ lamented a taxi driver from the  Lyon region  who came to protest outside the  Gare du Nord  in Paris.

Taxi drivers are demanding the withdrawal of the  CNAM Convention  and the appointment of a mediator. However, the government reaffirmed, on the previous Friday, that it does not plan to _”backtrack”_ on the agreement.

Throughout the week, thousands of taxis have demonstrated, engaged in  snail operations , and instituted blockades near stations and airports to make their voices heard. In Paris, the actions centered around  boulevard Raspail , close to the Ministry of Transport, where demonstrations included honking and fireworks.

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Tensions have escalated multiple times, involving clashes with police, leading to four demonstrators in Paris facing legal action. Taxi organizations have also targeted  transportation vehicles with drivers (VTC)  like Uber or Bolt, accusing them of  unfair competition  and  irregular practices .

Interior Minister  Bruno Retailleau , responsible for regulating taxis, has instructed police to enhance  VTC controls . In a communication to prefects on Thursday, which was reviewed by France-Presse (AFP), he highlighted _”recurring incidents”_ over the past few months that demonstrate increasing tensions between taxis and VTC drivers.

The core issue, according to Retailleau, involves _”irregular practices from VTCs and the presence of fraudulent operators on public roads”_. The Minister urged authorities to implement three new fines targeting violations related to taxi profession laws.

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