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Bring together public and private hospitals: it is long and complex, but it can and it can be to the benefit of patients and public finance!

This shows that attempt to Nicolas Sarkozy on Thursday in the Seine-et-Marne. It will include projects in two cities: Fontainebleau, where he is, and her neighbor Melun. This second draft was presented by the Regional Health Agency (LRA) as the largest structure in future public-private hospital in France (850 beds, 85,000 square meters, about 2200 employees). It will bring on a site whose construction must take place from 2012 to 2015, three clinics in the city, merged, and its hospital. Its genesis shows how the reconstruction hospital has become indispensable in this pool of 350,000 inhabitants, as in many others.

"The rate of leakage of patients to Paris or the inner suburbs, 60 km away, reached 50%.It is difficult for families and this complicates the monitoring of patients after hospitalization, said Claude Evin, CEO of LRA Ile-de-France. In addition, surgery, continuity of care was discontinued at night, not having enough doctors in each facility and will be re-assured with the combination. "The project is not only to collect geographically existing facilities. The activity will be pooled (laundry, catering …) or shared: the public emergency, obstetrics, psychiatry or geriatrics, in private surgery.

The kind of cutting, which usually makes them howl unions to "privatize" or "the case of public service." "The medical project was approved unanimously by the representatives of each medical institution, says Andree Barreteau, director of health care provision of the LRA payday loans online.Unions in the hospital, including the CGT, not opposed. They are pragmatic and realize that without this, the reduced activity of the hospital in Melun will continue. "

176 million invested

"It's normal that there is reluctance in both directions, when people have never worked together. But working with the private sector do not sell themselves to the devil, in our case is rather fortifying "abounds Valletoux Frederick, Mayor of Fontainebleau. Background, again, high leakage rate, with a hospital centennial, the town has made the same choice (together his hospital and clinic), at a smaller scale. Objective: an opening in 2015, a project launched in 2005.

At Melun, the LRA has secured commitments of Liberals surgeons to maintain at least 60% of their activity without excess fees.Last point: if the old public-private project, which has had several incarnations, should finally see the day, it's probably also because of the shareholding is made up of relevant clinical physicians. Chains of clinics held by financial investors tend to reorganize their business between private schools they have.

The project represents an investment of Melun 176 million euros. ARS 20 million in funding, the institutions concerned defraying the rest. To balance the operation, the bet – "prudent", according to ARS – is that the leakage rate will fall by 5% with the new facility.

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Renault management will be held accountable to employees disoriented and increasingly frustrated. "Since the beginning of this case, teams are troubled because management has never been able to bring the three elements that warrant dismissal. This is all that some people complained of enjoyed a genuine will on the human level, "said one of them. But today, when leaders make about face, the executives, who had to take over two months during the certainties of management, are extremely frustrated and worried. Their confidence in top management crumbles to the rhythm of press revelations, "he says.

"We're clearly not happy and we are asking more questions about how the investigation was conducted and how decisions were taken. In any case, what has been done does not match what we expect of our leaders.It's very shocking because it is a denial of our culture. These three frames were attached to the company, as I am and my colleagues, "says an executive from a different direction. Resentment towards the top of the company is palpable. "We welcome the decision to return the frames unfairly jeopardized if it is confirmed that this is the case.We demand further that meet at an earlier board special for Patrick Pelata and Carlos Ghosn, the two CEOs of the company, speak on this matter and take everyone with their responsibilities, " said Friday a representative of the CFE-CGC.

"Ghosn must take the consequences"

Patrick Pelata, number two in the group, who said in Le Figaro that if there was no case of espionage, he "will draw all the consequences," accusing eyes are now turning to Carlos Ghosn, CEO . "I think that employees would not understand that the CEO does not resign, especially since it does not have a capital of sympathy particularly high," said a third frame. Many people accuse him of having undermined the group."Carlos Ghosn said he expressed his certainty in the media to protect the company, but in reality, if all that is wrong, it will have destroyed our reputation by falsely accusing employees. It must draw the consequences, "adds the frame.

Employees also questioned the management style that would have resulted in these abuses. "If these three executives were sanctioned on the basis of the testimony of one person, it means that person's word is worth more than the employees, accuses Fabien Gache, central delegate of the CGT. We call for a thorough review of the organization Renault employees must be respected and listened again.Today, all decisions come from above. "

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It's another year of strong recruitments in France that EDF plans for 2011. The group announced this morning that 4600 recruits (including 1,500 management posts), mostly young people, against 4300 last year. Meanwhile, about 3,800 departures were recorded last year at EDF and ERDF and 3750 are expected this year, giving a net job creation of 850 jobs.

The energy giant is facing a dual challenge: firstly, it must accompany the resumption of nuclear development in the world, extending the life of plants, and new construction projects of thermal power plants or hydraulic. On the other hand it must deal with a pyramid that will lead to retirement from 25 to 30% of workforce in France by 2015.A proportion that rises to half the actual maintenance and operating in the fields of manufacturing, engineering and distribution.

"We are since 2007 on the movement of medium and long term, with an increase in growth rate of our assignments. Over a period of five years and by 2013, the group has recruited 15,000 people in France.Increase the lifetime of nuclear power plants involves indeed predict trades at 15, the profiles necessary to recruit and train, "said Marianne Laigneau, HR group EDF.

Hiring energy group – which currently has 170,000 employees worldwide and 240 jobs – mainly concern the nuclear pole (engineering and operations), with around 2440 vacancies, but also R & D (70), the hydraulic (300), thermal (100), while that ERDF (the distribution center) will proceed to 1400 hires.

Marianne Laigneau also confirmed the group's commitment towards alternation. EDF is proposing this year 2400 offers alternating at all skill levels. Including personnel already in training in 2010, "more than 4,700 staff are currently in the group," she recalls.

The project will be unveiled Thursday at a symposium at Bercy, and haze rises gradually on the path towards the next tax reform heritage. This Tuesday on France 2, the budget minister Baroin said the government recognized two scenarios, developed after "two months of consistent work." The minister said that both proposals include the abolition of the tax shield. The divergence between the two scenarios for the future of the solidarity tax on wealth (ISF). One expects a "fundamental transformation" of the ISF, and the other "maybe" its removal, said Baroin.

For if the end of the tax shield, a key measure of government misunderstood by public opinion and finally considered inefficient, seems determined, the tax on capital is still under debate, even within the majority.The abolition of this tax is symbolic indeed politically risky, and some members, including Richard Maille, Gilles Carrez argue more for development – raising the threshold to reduce the number of taxpayers assessed and modified abatements to protect the primary residence – that for a simple disappearance. The Head of State, Nicolas Sarkozy, would prefer for his "real reform, with some drawbacks" to "a small reform, with all the disadvantages."

A bill expected in May

Since then, many test balloons were launched. Among the most significant, the idea discussed by Nicolas Sarkozy, to tax capital gains from the sale of a principal residence, which he himself finally rejected.Christian Saint-Etienne, professor at Paris-Dauphine, which campaigns for the end of the ISF suggests introducing instead a top slice of income tax and a tax on real estate capital. But "the more likely is that the TFR will be preserved and developed," he predicted.

The symposium on Thursday, chaired by the Ministers of Economy and Budget Baroin and Christine Lagarde, will bring together parliamentarians, economists and business leaders for an overview of the composition of French heritage and a comparison with foreign practices. A bill is expected as early as May "France needs a broad debate on its tax burden," says still in Les Echos on Tuesday the president of the National Assembly, Bernard Accoyer. However, it insite on the fact that the reform must be "fair" and does not worsen the deficits. "

For its part, the opposition has already sharpened his arguments: the government "cares about the wealthy less wealthy, rich or poor, rich or poor," joked the spokesman Benoit Hamon PS. Laurent Fabius (PS) said meanwhile that France was "not in a financial position that allows you to lose 4.5 billion in resources.""In this situation, there is no place for gifts, especially to people who are lucky enough to be the most fortunate," added the member of Seine-Maritime, reacting to remarks made by Baroin .

This indicated that the government recognized two scenarios for the ISF in its tax reform, its transformation from its abolition, and that the two hypotheses also predicted the end of the tax shield.

(With AFP)

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The respite will not last long on the market for European sovereign debt. The markets have once again played to scare Thursday and fears have focused on Lisbon. The return of Portuguese debt to ten years has indeed reached a level unprecedented since the creation of the euro, to 7.43%. The 7% threshold, estimated as the maximum interest rate for Portugal, has been crossed. The "spread" against German Bunds, that is to say, the premium demanded by investors to hold debt rather than Portuguese in Germany, rose to 440 points.

With this new record yield debt Portuguese, European Central Bank (ECB), which had suspended its buyback program for two weeks, had to return to duty. Traders said that the ECB had mainly bought the debt and Portuguese for relatively small amounts.The level of returns is then dropped to 7.404%.

Relief Fund: markets are getting impatient

Why this sudden adrenaline rush of investors? Thursday, no particular event or no ad would disrupt markets. Portugal has even done a show on Monday for which demand was sustained 6 billion euros for a 3-billion. Only the publication of inflation figures, which accelerated to 3.6% in January over a year, could "act as a trigger," said Patrick Jacq, a strategist at BNP Paribas.But it is especially for him a "pretext" seized by investors who wanted to get rid of their obligations Portuguese.

Indeed, a Malay would rather background behind these rate movements: Waiting for strong measures and reassuring European leaders, "markets are anxious and disturbed by the lack of communication," said Bertrand Michaud analyst at Louis Capital Markets. For several weeks the tension had fallen through discussions on increasing the financial stability of the Permanent Fund European (FESF), the European aid funds to countries in difficulty, and a convergence of economic policies of member states. Central banks had also reassured the markets by saying ready to intervene to redeem debt.Finally, the successful bond issues in Portugal and Spain in particular, and publication of economic indicators reassuring, particularly in Germany, contributed to this relaxation.

But markets are impatient again while discussions between member countries of the euro area have stalled. Last Friday, the leaders gathered at a special summit where Angela Merkel and Nicolas Sarkozy have called for a "pact of competitiveness" among the seventeen countries, including "structural reforms" and a "closer economic cooperation" . But the concrete application of these statements will not be discussed before the next summit. "The EU summit has led to nothing, which was more or less expected, said Patrick Jacq. It was also understood that the Franco-German proposals were not necessarily accepted by other countries.In short, it's back problems in the euro area ". Consequence: increased nervousness of investors resulting in runaway journeys, rational markets as was the case yesterday.

Recession fears

Concerns are still doing over Portugal designated as next on the list after Greece and Ireland for a new rescue plan. Lisbon yet strives to give positive signs. The Government has therefore set a priority to reduce the public deficit to 4.6% of GDP this year, against about 7% in 2010. "In 2011, Portugal will achieve one of the most profound and ambitious fiscal adjustments (…), necessary to ensure the credibility of our economy on the international front, funding of our economy and its growth," said Prime Minister Jose Socrates.Portugal has also reported an estimated GDP growth of 1.3% in 2010, after falling 2.6% the previous year.

But for many economists, recession fears persist. The austerity measures, including the higher taxes and cuts in salaries of civil servants, should indeed stopping domestic consumption. "Portugal is not released at the prospect of using the potential FESF said Patrick Jacq. At this stage, it is a choice on their part but if I were the Portuguese taxpayer, I would prefer that the state borrows under the FESF for a lower rate. " But Portugal is determined not to resort to European funds: "There is no reason to believe that Portugal does not qualify to continue to appeal to markets.Quite the contrary, has said yesterday the Minister of the Presidency Pedro Silva Pereira, who has condemned the attacks speculative pushing up rates of bond yields in Portugal.

Patrick Jacq, interest rate movements important as that of yesterday are relative, however, given the current liquidity conditions. "This is not a significant degradation of the image of Portugal." The peripheral states of the euro area remains under pressure however, pending the outcome of the forthcoming summit of EU leaders on March 11.

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Save the 3900 points this season. This seems to be the mission this week, the Paris Bourse. The CAC 40, which was chained Monday its fourth session in the red, troubled by rising Chinese interest rates, has opened higher Tuesday morning. He climbed from 0.27% to 3872.70 points at the opening and wins more openly 0.42% at 3878 points just before noon. Same atmosphere in the rest of Europe: the DAX index of the Frankfurt Stock Exchange has opened up 0.20% to 6984.85 and gained 0.15% to 6980.89 points at midday. The Footsie dozing However, London remained closed until tomorrow what should once again limit the volume of trade in Paris, already very quiet this summer.

Investors do not eventually follow the footsteps of their Asian counterparts.The latter, still under Chinese ads, heard the Tokyo Stock Exchange, which reacted negatively to several national macroeconomic statistics. The U.S. stock market, which reopened yesterday after a long weekend of Christmas, has closed its side in unity.

On Tuesday, several statistical trends could play during the day. In France, first, INSEE announced before the opening of markets, the growth of the French economy in the second and third quarters of 2010 was revised slightly downward, respectively up 0.6% (cons + 0.7% previously) and + 0.3% (against + 0.4%).Moreover, housing starts of new homes in France rose 9.5% year on year for the period September to November, while building permits edged up 1.5%, announced Tuesday Department of Ecology.

Most importantly, the United States, in the afternoon, will be published index of house prices, the index of investor confidence and the index of consumer confidence in December.

On the currency markets, the euro strengthens its rise against the greenback in a relatively sluggish. It trades at mid-session against 1.3244 dollars (0.62%).

Alcatel-Lucent is paying for corruption

As for values, Alcatal-Lucent was awaited.The telecoms group has agreed to pay more than $ 137 million under a settlement of a case where he was accused by the U.S. court of having bribed some officials to win contracts in America Latin America and Asia payday loans. Last February, Alcatel-Lucent said it had provisioned 93 million euros in the framework of the case. The Exchange finally responds well: in mid-session, shares climbed 1.57% to 2.199 euros and signed the second largest increase in the CAC 40, behind Michelin (2.11% to 55.14 euros) which recovering from his emotions yesterday.The automotive industry has indeed been penalized in Europe after the announcement of Beijing to limit drastically new car registrations in 2011.

In an interview with Echo, Bénézit Michel, executive director of refining and marketing of Total (+0.36% at 40.14 euros), announces that "strikes the month of October has cost 150 million euros in total" .

JCDecaux (0.73% to 23.32 euros) and Paris Airport (-0.44% to 58.92 euros) announced Tuesday the creation of a joint venture to operate the airport advertising.

Lafarge (+0.76% to 47.305 euros) sold its assets to aggregate and concrete Portugal, Alsace and Switzerland for 120 million euros.

The General Assembly of SIIC de Paris (stable at 17.85 euros) has approved the transaction Contributed by SFL (flat at 35.99 euros) in two buildings in the business district of La Defense exchange of 29.99% stake in the company.

Risc Group (+ 4.55% to 0.23 euros), which specializes in IT services, has endorsed the sale of four of its foreign subsidiaries to the STS software company for 6.1 million euros.

The banks are well oriented, rebounding after their difficulties from the previous day, especially due to the closure of London and the concerns about the Chinese rate hike, even if banks are less exposed to China: Credit Agricole (1.01 %), BNP Paribas (+0.49%), Societe Generale (1.08%) and Natixis (-0.08%) are among the highest increases.

Side of the few stocks showing a decline are Technip (+0.26% at 70.18 euros) and Accor (-0.76% to 33.31 euros).

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What could he fail to Babies rollers, Evian, a video viewed 140 million times on the Web and creative crowned with numerous awards including a Silver Lion at Cannes International Advertising at Cannes? Demonstrate that the viral is not a gadget or entertainment, but a sign of market efficiency. That's done. Monday night, the Union of Advertisers (UDA) and the Association of communication agencies (AACC) has awarded the Grand Effie 2010 at BETC Euro RSCG, for this clip already entered the "Guinness Book of Records" .

Sales of Evian in France rose last year by 7%, excluding the effect of promotions (source Nielsen). An achievement in a context where water sources have now won the favor of consumers."We can never reverse the trend, but maintains its Evian and volumes shown in this, an incredible strength," says Marielle Durandet, Vice-President of BETC Euro RSCG. In general, there is 40% price difference between a premium brand and its equivalent in a label. Between spring water and mineral water, the difference reaches 300%. This is a situation unprecedented in the history of marketing and mass consumption. "

Protect its brand

The Babies rollers "were also allowed to" Evian progress on all items (youth, health, purity overnight pay day loans…) that make up its image, "says Marielle Durandet. Full marks, therefore, for a campaign that has given only two TV waves in France. Evian media spending of around 5 million euros a year in France.For the rest, it is consumers who have appropriated the film, including the online distribution reflects the plebiscite. "It is the role of creativity in advertising. She weaves the link and guarantees public acceptance, "says Marielle Durandet.

Among the fifteen trophies awarded Monday night, Nespresso has distinguished himself by winning his fourth consecutive Effie awards, including a grand prize last year. Evidence that the agency McCann Paris manages to renew the saga starring George Clooney, without boring the audience. In addition, it is far time that the launch of the Nespresso was teaching on the market. The war rages and pods, like Evian, Nespresso has to protect its mark against the attacks of distributors.Her Effie 2010 is even more deserving.

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"The commodity markets are very nervous and agricultural change on significant levels of volatility," says Lionel Porte, specialist commodity derivatives to Euronext as part of a conference organized by the French Association of Agricultural Journalists (Afja ). Faced with this uncertainty, farmers are increasingly likely to want to hedge on the futures markets to ensure a stable income. "We now have over 5000 clients that farmers operate directly on the futures markets," said Renaud de Kerpoisson, a farmer in the Cher and founder of a brokerage firm, Agricultural Supply and Demand (ODA) in Bourges. Personally I have covered 30% of my next wheat crop at 175 euros per ton, delivered in November 2011. An approach that is not isolated."10 to 12% of our members have hedged a portion of their harvest between 160 and 175 euros per tonne," said Francois Hallard on his side, commercial director of the Cooperative Grain Champagne. Intervene in markets but is not given to everyone. "It's like the casino you can be burned wings," said Sylvain breeder in Mayenne. I sold my wheat in March to 110 euros per tonne for deferred delivery in November 2010. I'm getting a good deal but it's finally my co-op that will pocket the difference, "says this farmer disillusioned. It is better to undergo specialized training to understand this mechanism and act knowingly. "With the help of financing the fund VIVEA, this amounts to 150 euros for a full day for the farmer," says the boss of ODA.

Moreover, the futures market can not be applied to all holdings."It depends on the operating model that the farmer wants: home or business, organic or conventional crops or livestock … says his side, Regis Hochart, the Confederation Paysanne. And this engineer agronomist room Beauvais added: European public policy through intervention stocks have almost disappeared. To avoid volatility, only the futures market is now presented as a solution while not halted for much speculation. " In addition, with devastating effects for developing countries.

At the international level, it created some tension on the supply of the poor. "Hunger and malnutrition are rapidly gaining ground since the 2008 food crisis.This brings to light both the inadequacy of the current global food system and the urgent need for structural changes, "said Jacques Diouf, FAO Director-General of the Forum Ministerial Cooperation Council (GCC) spent investment in agriculture. At this Forum, held in United Arab Emirates (UAE), involving representatives of Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the host country. It is no coincidence that the UAE just to create their own international trading company specializing in agricultural commodities. "To ensure its independence food or what country buys farmland abroad or he created his own trading," said a speaker from the London market.Nevertheless, in this great global monopoly, not all countries have the financial resources of the UAE to limit the effects of price volatility. Other means of intervention are to be created.

Meanwhile the markets, the price of wheat slight upturn in mid-day on a European futures market, Euronext, very cautious, watching for an easing of geopolitical tensions internationally. The milling wheat gained 1.50 to 1.75 euro (due January, 212.75 euros) less than 3.000 treated groups in the late morning showing caution operators.

"Forty lines (…) kept and modernized." Nicolas Sarkozy, on the road to Troyes on Thursday announced the signing between the state and SNCF an agreement for the benefit of interregional trains, those who are neither TER nor TGV. The agreement helps balance the exploitation of the activity. As those concluded with the regions, for example with the Ile-de-France for of the contract includes a bonus-malus system, conditioned upon compliance by the SNCF terms of quality of service, including a ponctualité.Dans interview with Le Figaro, Guillaume Pepy, the chairman of the public company, detailing the agreement. It also returns for the first time on the national social conflict that has affected the accounts and operations of the station without this time, the "block".Hats off, therefore the minimum service.

LE FIGARO – What is the purpose theINTERINSTITUTIONAL on interregional trains parNicolas Sarkozy announced yesterday?

Guillaume Pepy – The President today marked the commitment of the State to sustain a public service, vital to the balance of the territory, which was threatened because he was not funded. I applaud the work of the Directorate General for Transport and Department of Ecology has resulted in this folder "encysted" for twenty years. We are talking about 340trains serving 370 cities through 40 French lines that carry 100,000 people daily. For these intercity trains, we conclude a contract with the State shall, on the existing base, port, frequencies and equipment. Funding of 210 million euros, equivalent to the current operating deficit, will be included in the draft budget law 2011.It includes a tax on the motorway companies (35 million), a tax on the outcome of the SNCF (75 million) and another on the turnover of the TGV (100 million). The fact that this activity is now profitable will be ambitious state plans to hire 300millions euros over three years to upgrade equipment, whose average age is 40 years, before a purchase program trains New from 1 to 2 billion euros from 2015. For the station, this project is that of a new generation of public service, offensive and stronger than ever.

The contribution of the TGV will she passed on to ticket prices? Will you also get the freedom to set prices that you claim to public authorities?

That contributes to the TGV trains balance of the territory is logical and expresses a form of solidarity between regions. Those serviced by the TGV enjoy a real plus.However the TGV can not go anywhere. Of course, prices should reflect costs of service, and we'll see what the impact in the development of tariffs in January 2011. By the end of the year, we should indeed have cordoned off the discussion, not on the total pricing freedom, but on the relaxations that appear necessary instant payday loans. Already we are starting from a shared diagnosis of the economic situation of the branch train.

Our goal is that the TGV is still popular, which is a French specificity that we are proud. Therefore, for example, to make "positive discrimination" to the families, for which the car can sometimes seem cheaper than the TGV, especially if one excludes from the calculation of the purchase price of the vehicle. Thus we will fulfill more of our trains.And profitability of the industry depends on this criterion provided that the tolls we pay to RFF must also be reasonable …

What was the cost of conflict on Pensions for the SNCF? Your earnings target for 2010 is positive he questioned?

We can definitely quantify the cost of the conflict in mid-November, but it should be around 10 million euros a day of strike. It is too early to discuss what our results in 2010, already affected by the strike of two weeks of spring, but it is certain that our leeway for 2011 will be reduced accordingly. However, what we can say today is that this conflict has been devastating for freight, not only for the station but for the thirteen operators of this profession in France. For seventeen days of strike, between one third and half of the freight trains could only travel.Switching stations remained closed, preventing delivery of factories, warehouses … The consequence is that the rail has lost the confidence of shippers, customers. It's alarming. If rail freight is not reliable, we can not achieve the goal of transferring more transport from road to rail.

And passenger side …

The strike followed a long and strong among train crews, was fireproof minimum service. And the station has won: the minimum service is also "renewable"! The right to strike was respected and the right to transport was provided. We managed, and customer surveys we prove to be present alongside the passengers and many of the administrative staff is down at the station during this period for this purpose. We have made information widely available and reliable every day for the next day.So much so that we have lessons to learn the information and assistance to customers on a daily basis.

Alstom has again criticized Thursday and attacked before different authorities, the contract between Eurostar, 55% owned subsidiary of SNCF, and Siemens for the supply of high-speed trains. Cecontrat should it be maintained?

I understood that both French and British governments have seized the issue of safety in the tunnel for trains new generation proposed by the manufacturers, that is to say, distributed power. Let them work!

The formation of 'Team France's nuclear ", defended by the Elysée, could take a new feat. Indeed, GDF Suezet Areva have resumed discussions for a partnership in nuclear power, Les Echos reported on Tuesday.

The agreement would focus on the development of medium-power reactor Atmea GDF Suez and also link to both the French group Areva nuclear and Mitsubishi of Japan, the economic daily said.

Such a perspective of association is not new. The two groups had signed a memorandum of agreement last January on an alliance between GDF Suez and Areva in the atom civilian. But tensions between Areva and EDF had put a spoke in the wheels of this partnership.The electrician saw lights from either side of a very dim view of the combination of these two jewels of the French energy industry, which could call into question his role as team leader of the French nuclear.

But the discussions have, this time, more chance of success. On the one hand, both groups have reviewed their ambitions down and they associate the Japanese Mitsubishi group, says Les Echos. On the other hand, the report Roussely and clearly stated will of the government to strengthen the French nuclear industry are all hallmarks of success of this partnership.

Furthermore, GDF Suez has made clear its interest in the reactor Atmea. And with the partnership group Mestrallet participate directly in the project development.

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