Abstract
A paediatrician who has been practicing for over 30years in Seine-Saint Denis tells of the difficulties encountered by parents of autistic children living in this Paris suburb. He describes the serious shortfalls in the integration of these children in full-time schooling, the interweaving of social, cultural, educational and medical factors, the focus on diagnosis and research at the expense of follow-up and assistance to families, the shortage of professionals with an interest in these issues, and the “accounting” logic of hospital medicine. As he nears retirement, he worries about the drastic reduction in general practitioners and paediatricians in this suburban area, where the children from underprivileged families are dually penalised, on account of their illness and on account of their social situation.
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