Macron hits back over Algeria

French President Emmanuel Macron made sharp remarks about France’s relations with Algeria during a visit to Ariège on Monday. While discussing the situation of doctors trained outside the European Union, known in France as “Padhue,” Macron criticised the bureaucratic obstacles they face and pushed back against politicians who advocate a hard diplomatic line with Algiers.

Macron criticised the system for foreign-trained doctors

During a meeting with healthcare workers, Macron was asked about doctors with diplomas from outside the European Union. These doctors are often seen as a possible answer to medical shortages in parts of France.

Macron reacted strongly to the current system.

“The Padhue system is still a mess. It drives me crazy. They practise medicine, and when the time comes to make them permanent, they have to take another exam. We have a system that is upside down,” he said.

Doctors work in hospitals but face a long process

Doctors under this status work in French hospitals but are paid less than fully recognised colleagues.

To obtain official authorisation to practise, they must pass knowledge verification exams and then complete a two-year skills consolidation pathway before being registered with France’s National Order of Physicians.

Algeria became part of the debate

France’s National Order of Physicians said in a 2024 overview that the main countries where these doctors obtained their diplomas were Algeria, Tunisia, Syria and Morocco.

When a doctor trained in Oran, Algeria, raised the issue, Macron went further in his response.

“Tell that to the madmen”

Macron criticised those who argue that France should take a hard line against Algeria.

“Go and tell that to all the madmen who say we should fall out with Algeria,” he said.

The French president did not name anyone directly, but his remarks appeared to target parts of the right and far right that have pushed for a tougher diplomatic stance toward Algiers.

A message to the French right

Former Interior Minister Bruno Retailleau had previously argued that France was “weak” in its dealings with Algeria and called for a more confrontational approach.

On the far right, Jordan Bardella also used harsh language against Algeria, describing its actions as “provocations” and promising a diplomatic showdown if his party came to power.

Macron’s line appears closer to Nuñez

Interior Minister Laurent Nuñez has taken a softer tone toward Algeria since taking office. In a recent interview, he said those who claim that a power struggle and a brutal method are the only solutions are wrong.

Macron’s comments in Ariège appeared to echo that approach, presenting cooperation with Algeria as necessary, especially in areas such as healthcare.