Democratizing prevention in France.
Prevention is not a nice-to-have. It is the only reform that adds up mathematically. And the only public health promise that has yet to be kept at scale.
These are the eight principles that guide our work. If you share them, you are already one of us.
France has a prevention problem.
of health spending goes to prevention in France, compared with a European average of 5.5%.
people in France projected to be living with a long-term condition by 2035 — nearly one in four.
in annual cost to French Social Security by 2035 if nothing changes — as much as France’s entire national education budget.
Sources: DREES · Assurance Maladie · Le Monde, March 2026.
Three forces are converging — for the first time.
Recent Social Security Financing Acts (LFSS) introduced prevention check-ups. For the first time, a structured prevention visit has entered France’s standard fee schedule.
Mental health (National Cause 2025). Endometriosis (2022–2025 Strategy). Cancer (2021–2030 Ten-Year Strategy, priority 1: “Building a prevention generation”).
Medical artificial intelligence that has become reliable (LLMs). Metabolomic analysis by nuclear magnetic resonance (NMR) at marginal cost. Biomarkers measured continuously by everyday devices. Everything is in place — except the orchestration.
The window is open now.
What guides us.
Prevention is a right, not a privilege.
The prevention check-up offered by French National Health Insurance (Assurance Maladie) must be accessible to every person in France at the 4 key ages (18–25, 45–50, 60–65, 70–75). With no upfront payment. With no income requirement. With no geographic inequality. Our job is to make that promise work in practice, everywhere.
The doctor remains the author of the plan.
We do not replace the consultation, the diagnosis or the prescription. AI structures, suggests and guides. The doctor validates, adjusts and signs. That is the non-negotiable condition for medical trust — and the only way to make prevention part of mainstream care.
We bring patients back into the system, not out of it.
Every check-up generates a referral letter to the patient’s regular doctor (médecin traitant). Every need triggers a targeted referral — cardiologist, gynecologist, occupational physician, multi-professional health centers, social worker. We reject closed ecosystems that hold on to patients. We build the bridge that brings them back to their doctor.
Scientific data in the service of everyday care.
249 metabolomic biomarkers measured by nuclear magnetic resonance, more than 3 million people in the reference databases, 950 peer-reviewed publications. But this science is only worth something if it makes it into the consultation, sourced and accountable. Data is not a diagnosis — it is a tool to support medical decisions.
Public funding first. Never a hidden out-of-pocket cost.
When a patient is eligible for Mon bilan prévention, France’s national prevention check-up program, and a health professional offers them this check-up, Sokrate operates within the public program. The patient pays nothing upfront: the professional bills the visit to French National Health Insurance — €30 in mainland France, €31.50 in the overseas departments and regions, a fee set by the decree (arrêté) of May 28, 2024, with no extra charges allowed. Once between 18 and 25, between 45 and 50, between 60 and 65, and between 70 and 75.
This funding covers the prevention consultation, not everything that may follow from it. Any tests prescribed afterward fall under their own reimbursement rules; Sokrate’s additional services, such as the metabolomic panel, are not part of the national program. We say so beforehand, never after.
Eligibility locks no one into this pathway. An eligible patient may prefer another prevention service offered by Sokrate — through their supplementary health insurer (mutuelle), their employer or an add-on offer — with coverage terms specific to that service. Conversely, no paid service is ever a condition for accessing the public check-up: it remains complete, fully covered (100%) by French National Health Insurance, with no upfront payment and nothing to buy.
Several pathways, several sources of funding — one single rule: public funding whenever it applies, and full transparency on who pays for what. That is the condition for making prevention part of mainstream care without creating two-tier medicine.
Hosted in France. Transparent about how data is used.
The main record is hosted in France on Google Cloud Platform, an HDS-certified health data hosting provider (a French certification). Our policy describes how data is used, who our partners are and what rights patients have. Processing by AI services and laboratories is kept separate from this hosting. Research is subject to information and a framework specific to each project.
Free content fuels reimbursed care.
Videos, podcasts, articles, short educational pieces: prevention starts with information. Not a marketing expense — a public health mission. The general public discovers, learns, then enters the care pathway through their health professional. Trust comes before the appointment.
Infrastructure, not an app.
We are not trying to digitize prevention. We are building the operational, clinical and technological infrastructure that makes it systematic. Delivered by health professionals themselves — doctors, nurses, laboratory physicians. Anchored in France’s three major national health causes: mental health, cancer, endometriosis.
France cannot afford to remain on the sidelines of a scientific instrument of this magnitude.
Prof. Philippe Froguel
Founding Director of EGID — European Genomic Institute for Diabetes · Professor of Genomic Medicine, Imperial College London · Corresponding Member of the French National Academy of Medicine
Letter to the Directorate General for Health (DGS), French Ministry of Health — April 2026 (translated from French).
To become the European leader
in prevention.
France
Prove it works.
The infrastructure is in production: medical centers, supplementary health insurer partners, patients supported every month. The model holds up — economically and clinically.
The norm
Make prevention a reflex.
Bring prevention into the everyday care pathway — not a privilege, a reflex. Anchored in the three major national causes and in prevention check-ups.
Europe
Export a sovereign model.
HDS sovereignty and AI Act compliance: a European model built to export, from France.
Prevention is waiting for its leader.
Let’s build it together.
Care is contagious.
Are you a patient, doctor, laboratory physician, nurse, business leader, elected official, journalist or engaged citizen? If this manifesto speaks to you, talk about it. Share it. Put it up for debate.
Prevention will only move forward if its story gets told.