Hospital Finance Watch: A new French study using public hospital provisional accounts says the overall deficit is set to reach about 2.1% of revenue in 2025 (around €2.3 billion), up from 2.7% in 2024 (€2.9 billion). Cost Pressures: Drees reports operating costs kept rising in 2025, with interest payments on loans still weighing on budgets, while staff wage cost growth slowed to +3.0% (from +4.1% in 2024). Investment Gap: Despite Ségur healthcare reform funding, public hospital investment fell to 4.8% of revenue in 2025 (€5.4 billion), down from 5.1% in 2024 (€5.5 billion). Local Relevance for Guadeloupe: For island health systems, the message is clear: stable staffing and debt management matter as much as new investment grants.