Public vs private sector in 2026: what are the salary differences for European doctors?

📌 Key Takeaway:
In 2026, European doctors generally earn more in the private sector than in the public sector in France, but both offer distinct advantages: stability and security for the public, flexibility and higher pay for the private sector. High national demand allows access to a wide range of positions.

1. Public vs. Private Sector: Why Is This Distinction Important?

In France, the choice between a public hospital and a private clinic/structure has a direct impact on:

• 💶 the monthly salary,
• ⏱️ the work pace,
• 📈 career evolution,
• 📍 the location of available positions.

This choice particularly affects European doctors settling in France, especially after registering with the DREETS and the Medical Council:

• 📝 Authorization to practice: DREETS
• 🆔 RPPS: Medical Council

2. Salaries in 2026 in the Public Sector

The public sector offers a structured salary based on a national scale. It varies according to:

• 🎓 seniority,
• 🩺 specialty,
• 🌙 on-call and standby duties,
• 🏥 the type of establishment (CH, CHU, rural hospital).

In 2026, trends show:

• 💼 Junior doctors: stable income level but lower than private
• 🌙 On-calls paid according to nationally set rates
• 📉 Little room for salary negotiation

✔ Public Sector Advantages:
• Job security
• Multidisciplinary team work
• Possibility of university or hospital advancement
• Solid retirement and social coverage

3. Salaries in 2026 in the Private Sector

The private sector is generally more lucrative. Clinics, private care centers, and associative structures often offer higher salaries to European doctors.

Trends observed in 2026:

• 📈 Higher pay than the public sector (on average +15 to +35%)
• 📊 More flexible bonuses
• 🤝 Conditions directly negotiated with the establishment
• 🔄 Possibility of mixed practice (private + freelance)

✔ Private Sector Advantages:
• Higher pay
• Ability to negotiate salary and hours
• Sometimes reduced administrative burdens
• Modern equipment depending on the clinic

4. Private vs. Public: Which Doctors Are Most Affected?

Depending on the specialties, the salary difference between public and private is more or less significant.

• 🦷 Dentists → predominantly in private, significant income.
• 🩺 General Practitioners → high flexibility, opportunities in both sectors.
• 🧠 Psychiatrists → often higher private income.
• 🩻 Radiologists → significantly more rewarding private sector.
• 🔥 Emergency Physicians → similar pay, but more freedom in private.

5. Which Sector to Choose as a European Doctor?

The choice depends on your profile, goals, and lifestyle.

• ✔ You seek stability → public sector
• ✔ You wish to maximize your income → private sector
• ✔ You want total flexibility → mixed practice

To compare your future salary: Euromotion salary simulators

6. The Role of ARS in Your Setup

Regardless of the chosen sector, the ARS organize the healthcare offer at the regional level and facilitate the integration of European doctors.

• 📍 validation of hospital positions,
• 📍 welcoming in public and private structures,
• 📍 monitoring territorial medical offer.

7. Conclusion: A Very Favorable Market in 2026

The French market remains one of the most dynamic in Europe. Public or private: both options offer excellent opportunities for European doctors.

• ✔ high national demand,
• ✔ attractive salaries,
• ✔ clear administrative procedures via DREETS and the Order,
• ✔ high quality of life in France.

❓ FAQ — Public vs Private in 2026

Does the private sector always pay better than the public sector?

Generally yes, especially for specialists. But the public sector offers stability and work-life balance.

Can I easily switch from public to private?

Yes. Your registration with the Order remains valid regardless of the sector.

Do I need to redo the paperwork if I change regions?

The Order automatically transfers your files.

Can European doctors negotiate their salary?

Yes, especially in the private sector. Many establishments are willing to adjust offers to attract European practitioners.

🚀 Ready to Compare Your Opportunities in France?

Euromotion Medical assists you for free in finding the sector and position that match your profile.

• 🔎 Job offers: see positions
• 📘 Practical guides: start your procedures
• 💼 Find a position via: Mediirect
• 📩 Direct contact: nicetomeetyou@euromotion.care
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