Among other things, the reform provides for a reduction in pick-up rates<\/strong>, as well as a restriction on billing for journeys without passengers<\/strong> (so-called “empty” returns after a patient has been dropped off). According to industry representatives, these new rules will permanently undermine the economic equilibrium of many independent drivers, who are already faced with competition from VTC platforms and ever-increasing charges. <\/p>\n\n\n\n According to the FNDT<\/strong>, the financial impact of these measures could represent several hundred million euros in losses<\/strong>, jeopardizing the survival of thousands of craft businesses. The unions also fear a deterioration in access to care for patients who depend on medical transport. <\/p>\n\n\n\n Faced with this situation, the professionals are announcing their intention to step up the movement<\/strong> by organizing blockades on the roads, in stations and at airports<\/strong>, until the government agrees to open new negotiations.<\/p>\n\n\n\n The central point of disagreement concerns the new pricing regulations for contracted medical transport<\/strong>, due to come into force in October 2025<\/strong>.<\/p>\n\n\n\n While the reform provides for a harmonization of packages<\/strong> and a slight increase in rates<\/strong>, it also introduces a measure that is highly contested by professionals: the limitation of empty return journeys<\/strong>.<\/p>\n\n\n\n In concrete terms, after dropping off a patient at a medical establishment, a licensed driver would no longer be able to bill for the return journey without a passenger<\/strong>, except in strictly defined cases. These journeys represent a significant proportion of the business, particularly in rural and semi-urban<\/strong> areas, where demand is lower and more dispersed. <\/p>\n\n\n\n According to the F\u00e9d\u00e9ration nationale du cab (FNDT<\/strong>), this reform could lead to a 25-30% drop in sales<\/strong> for many contract drivers. Today, medical transport accounts for almost half the income of<\/strong> many small-scale cabs. <\/p>\n\n\n\n The unions estimate that the overall loss of revenue<\/strong> for the sector could reach 100 to 150 million euros a year<\/strong>, an economic impact likely to have a lasting weakening effect on the profession. This situation is of particular concern to the self-employed and small craftsmen<\/strong>, who rely heavily on agreements with the Caisse primaire d’assurance maladie (CPAM)<\/strong> to maintain their business. <\/p>\n\n\n\n In the long term, some fear a reduction in the number of contract drivers available<\/strong>, which could complicate access to care for the most vulnerable patients.<\/p>\n\n\n\n <\/p>\n\n\n\n This action follows on from the spring demonstrations<\/strong>, which had already disrupted several towns with blockades on main roads \ud83d\udea7,<\/strong> major slowdowns \u23f3<\/strong> and a few one-off incidents with the forces of law and order \ud83d\udc6e<\/strong>.<\/p>\n\n\n\n \ud83d\udccc Also read<\/strong>: Taxis vs VTC – After the June 11, 2025 strike, the government attempts a fragile compromise<\/strong><\/em> (source and details here<\/a><\/strong>).<\/p>\n\n\n\n The cab unions have clearly expressed their intention to “paralyze the country”<\/strong> in order to force the government to reconsider the reform of healthcare transport and take their demands into account.<\/p>\n\n\n\n To achieve this objective, a national action plan<\/strong> has been put in place:<\/p>\n\n\n\n The drivers plan to target the most sensitive infrastructures:<\/p>\n\n\n\n Escargot operations<\/strong> are also planned on the main urban and motorway routes, to slow down traffic in the metropolises.<\/p>\n\n\n\n Some unions are threatening to paralyze fuel supplies<\/strong>, which could quickly have nationwide repercussions on mobility.<\/p>\n\n\n\n This strike remains separate from a broader inter-professional movement<\/strong>, scheduled for September 10, 2025, which will involve the SNCF, urban transport and certain hospital and civil service sectors. The drivers hope to send out a strong signal<\/strong> and exert additional pressure<\/strong> ahead of that day. <\/p>\n\n\n\n The unions warn that if the government fails to respond, September 5 could be just the first stage<\/strong> in a prolonged movement, with a real risk of economic and logistical paralysis on a national scale<\/strong>.<\/p>\n\n\n\n The cab strike on September 5, 2025<\/strong> is part of a particularly busy social climate<\/strong>, marked by a series of mobilizations since the start of the school year. Several strategic sectors are planning similar actions, faced with reforms or budget constraints<\/strong> perceived as threatening their economic equilibrium: <\/p>\n\n\n\n Against this backdrop, the cab strike appears to be the first spark of a wider social movement<\/strong>, likely to intensify rapidly if the demands of each sector remain unanswered.<\/p>\n\n\n\nAt the heart of the conflict: the reform of medical transport tariffs<\/h2>\n\n\n\n
\ud83d\udd17 Related articles<\/h3>\n\n\n\n
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Read also : Cab training, the essential steps to obtain your license<\/strong><\/a><\/h3>\n\n\n\n
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<\/figure>\n\n\n\nThird mobilization of the year<\/h2>\n\n\n\n
The aims of the strike on September 5, 2025<\/h2>\n\n\n\n
\ud83d\udd39 Blockades of strategic sites<\/h3>\n\n\n\n
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\ud83d\udd39 Urban disturbances<\/h3>\n\n\n\n
\ud83d\udd39 Potential blockage of fuel distribution<\/h3>\n\n\n\n
\ud83d\udd39 Coordinated but autonomous mobilization<\/h3>\n\n\n\n
A tense social context<\/h2>\n\n\n\n
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Private practitioners, nurses and care assistants are sounding the alarm about the lack of resources, bed closures<\/strong> and healthcare funding reforms<\/strong>. Some hospital unions are already calling for workers to join the movement on September 10<\/strong>, fearing a deterioration in the quality of care<\/strong>. <\/li>\n\n\n\n
The SNCF and several urban transport networks (RATP, TCL in Lyon, RTM in Marseille) have announced a national mobilization<\/strong> to denounce the freeze on investments<\/strong>, internal reorganizations and new budget constraints imposed by the State<\/strong>.<\/li>\n\n\n\n
Pharmacists’ unions are also planning days of closure<\/strong>, to protest against lower drug margins<\/strong>, the gradual closure of rural pharmacies<\/strong> and the reform of target-based remuneration.<\/li>\n\n\n\n
With strikes planned in several key sectors – healthcare, transport, pharmacies and cabs – September 2025 could see a partial paralysis of the French economy<\/strong>. The unions are counting on this cumulative effect<\/strong> to force the government to open genuine negotiations. <\/li>\n<\/ul>\n\n\n\nKey points<\/h2>\n\n\n\n
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