[Medical responsibility for more sober and resilient care]

MEDICAL RESPONSIBILITY FOR MORE SOBER AND RESILIENT CARE. It is urgent to integrate sustainable development into the healthcare system, as the Paris Agreement requires to significantly reduce the carbon footprint of healthcare services. We must also anticipate our adaptation to extreme climatic events, which will impact both outpatient medicine and hospital facilities. French healthcare system needs to envision more resource-efficient individual and collective practices in order to project its public solidarity model into a future constrained by climate change. Medical ethics are primarily particularistic, addressing a one-on-one relationship between caregiver and patient. However, environmental issues encourage to consider a more collective and equitable medical ethic, emphasizing prevention, early detection, and less energy-intensive therapeutic alternatives. The challenge is to preserve a human-centered medicine that serves the patient while projecting it within a viable and sustainable system, balancing concern for the individual with the welfare of the community and the prospects of future generations.