{"id":2854,"date":"2006-09-04T11:11:29","date_gmt":"2006-09-04T08:11:29","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2854"},"modified":"2014-05-21T01:41:13","modified_gmt":"2014-05-20T22:41:13","slug":"eczacinin-ssk-cilesi","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2854","title":{"rendered":"ECZACININ SSK \u00c7\u0130LES\u0130"},"content":{"rendered":"<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECZACININ SSK \u00c7\u0130LES\u0130<\/strong><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">1945\u2019de kurulan SSK, \u00fclke gen\u00e7 n\u00fcfuslu oldu\u011fu i\u00e7in emekli say\u0131s\u0131 az oldu\u011fundan prim fazlalar\u0131 veriyor, hastaneleri yeni ve iyi olanaklara sahip oldu\u011fundan reva\u00e7ta oluyordu. Ne yaz\u0131k ki devrin h\u00fck\u00fcmetleri SSK\u2019n\u0131n parasal varl\u0131\u011f\u0131n\u0131 yanda\u015flar\u0131na d\u00fc\u015f\u00fck faizli uzun vadeli kredi olarak pe\u015fke\u015f \u00e7ekerek onun kaynaklar\u0131n\u0131 heba etmi\u015flerdir.<\/span><\/p>\n<p><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECZACININ SSK \u00c7\u0130LES\u0130<\/span><\/span><\/span><\/strong><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">1945\u2019de kurulan SSK, \u00fclke gen\u00e7 n\u00fcfuslu oldu\u011fu i\u00e7in emekli say\u0131s\u0131 az oldu\u011fundan prim fazlalar\u0131 veriyor, hastaneleri yeni ve iyi olanaklara sahip oldu\u011fundan reva\u00e7ta oluyordu. Ne yaz\u0131k ki devrin h\u00fck\u00fcmetleri SSK\u2019n\u0131n parasal varl\u0131\u011f\u0131n\u0131 yanda\u015flar\u0131na d\u00fc\u015f\u00fck faizli uzun vadeli kredi olarak pe\u015fke\u015f \u00e7ekerek onun kaynaklar\u0131n\u0131 heba etmi\u015flerdir. Daha sonraki h\u00fck\u00fcmetler se\u00e7im kazanmak u\u011fruna emeklilik ya\u015f\u0131n\u0131 geri \u00e7ekerek \u00fclkeyi gen\u00e7 emekliler cenneti haline getirmi\u015flerdir. Say\u0131lar\u0131 artan sigortal\u0131 n\u00fcfusa ra\u011fmen yeni hastaneler yap\u0131lmad\u0131\u011f\u0131 i\u00e7in sa\u011fl\u0131k kurumlar\u0131 k\u00f6hnele\u015ftirilerek giderek ihtiyaca yan\u0131t veremez hale getirildi. Hastanelere yeni personel al\u0131nmad\u0131, \u00e7al\u0131\u015fan personelse bezdirildi. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">T\u00fcm olumsuz geli\u015fmelere kar\u015f\u0131n, kimi SSK b\u00fcrokratlar\u0131n\u0131n \u00e7abalar\u0131 ile al\u0131nan, kimi tedbirlerle kurum varl\u0131\u011f\u0131n\u0131 s\u00fcrd\u00fcrebildi. Al\u0131nan tasarruf tedbirleri ile kurumun nefes almas\u0131 sa\u011fland\u0131. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">K\u00f6t\u00fc duruma d\u00fc\u015f\u00fcr\u00fclen kurum buna ra\u011fmen 38 milyon sigortal\u0131ya hizmet verme ad\u0131na ba\u015fta ila\u00e7 tasarrufu olmak \u00fczere bir tak\u0131m tedbirler alm\u0131\u015ft\u0131r. Toplu ila\u00e7 al\u0131m\u0131, ucuz e\u015fde\u011fer ila\u00e7 uygulamalar\u0131 bunlar\u0131n ba\u015f\u0131nda geliyordu. Bu uygulamalar ile kurumun ila\u00e7 giderleri % 40 geriledi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Ne yaz\u0131k ki bor\u00e7 bata\u011f\u0131 i\u00e7indeki h\u00fck\u00fcmetler buraya kaynak aktarmad\u0131\u011f\u0131 gibi kurumun kaynaklar\u0131n\u0131 kullanarak SSK\u2019nin t\u00fckeni\u015fi bilerek h\u0131zland\u0131rm\u0131\u015flard\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Zaman\u0131nda h\u00fck\u00fcmetler de\u011fi\u015ftiren T\u00dcS\u0130AD \u00fcyesi ila\u00e7 i\u015fverenleri 7-8 ay gibi zamanlarda, hem de yar\u0131 fiyat\u0131na verdikleri ila\u00e7lar\u0131n bedellerini SSK\u2019dan alamad\u0131lar,tahsilatta b\u00fcy\u00fck s\u0131k\u0131nt\u0131 \u00e7ektiler.. \u00c7\u00fcnk\u00fc SSK kurumunun akt\u00fceryal dengeleri bozulmu\u015ftu.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">D\u00fcnya \u00fczerinde 3 sigortal\u0131ya 1 emekli d\u00fc\u015ferken \u00fclkemizde 1,2 sigortal\u0131ya 1 emekli d\u00fc\u015fer oldu.<span>\u00a0 <\/span>IMF ve D\u00fcnya Bankas\u0131n\u0131n bast\u0131rmas\u0131yla, SSK hastaneleri sahipleri ve \u00e7al\u0131\u015fanlar\u0131n\u0131n <span>\u00a0<\/span>r\u0131zas\u0131 d\u0131\u015f\u0131nda (\u0130\u015fverenler Sendikas\u0131, \u0130\u015f\u00e7i Sendikalar\u0131, Sa\u011fl\u0131k Emek\u00e7ileri Sendikas\u0131 ve T\u00fcrk Tabipleri Birli\u011fi) bedelsiz olarak Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na devredildi. SSK ve Ba\u011f-Kur\u2019un 4.7 trilyon devlet hastaneleri ve \u00fcniversitelere olan borcu bir gecede s\u0131f\u0131rlanarak bu kurum hastaneleri hizmet edemez duruma getirilerek \u00f6zel hastanelerin \u00f6n\u00fc a\u00e7\u0131ld\u0131. Devlet Kamusal bir hizmet olmas\u0131 gereken, sa\u011fl\u0131k hizmeti \u00fcretmekten vazge\u00e7ince,SSK poliklinik eczaneleride kapat\u0131ld\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Halk\u0131n tepkisini azaltmak i\u00e7in serbest eczaneden ila\u00e7 al\u0131m\u0131 sa\u011fland\u0131. Bunun yan\u0131nda \u00f6zel hastaneler devreye sokuldu. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130steyen hasta fark vererek oralara da gidebilecektir. Pop\u00fclizmin dozu daha da art\u0131r\u0131larak 150 bin SSK\u2019l\u0131ya t\u00fcp bebek i\u00e7in f\u0131rsat sa\u011fland\u0131. SSK\u2019n\u0131n b\u00fct\u00e7e a\u00e7\u0131klar\u0131 2000 y\u0131l\u0131nda 400 bin YTL iken, 2005 y\u0131l\u0131nda 7.411.667 bin YTL\u2019ye Ba\u011f-Kur\u2019un b\u00fct\u00e7e a\u00e7\u0131klar\u0131 ise 2000 y\u0131l\u0131nda 1.173.206 bin YTL iken, 2005 y\u0131l\u0131nda 6.880.353 bin YTL y\u00fckseldi. Yani 2005 y\u0131l\u0131nda SSK ve Ba\u011f-Kur\u2019un toplam a\u00e7\u0131klar\u0131 14.292.020 bin YTL\u2019ye y\u00fckselmi\u015fken siyasal yat\u0131r\u0131m olarak g\u00f6r\u00fclen sa\u011fl\u0131kta hesaps\u0131zl\u0131k doruklara \u00e7\u0131kart\u0131larak ye\u015fil kart uygulamas\u0131 yayg\u0131nla\u015ft\u0131r\u0131ld\u0131. Asl\u0131nda h\u00fck\u00fcmetin birinci g\u00f6revi insanlara yeni i\u015f sahalar\u0131 a\u00e7arak, ya da onlara i\u015f kuracak ortam\u0131 haz\u0131rlayarak prim \u00f6deyen bir yap\u0131ya kavu\u015fturmak olmas\u0131na ra\u011fmen, bor\u00e7lanmay\u0131 Cumhuriyet tarihinin en \u00fcst seviyesine \u00e7\u0131kard\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bor\u00e7 art\u0131\u015f\u0131<span>\u00a0\u00a0\u00a0\u00a0 <\/span>2001 Y\u0131l\u0131<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>123.5 milyar $ iken;<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\"><span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><span>\u00a0\u00a0\u00a0\u00a0 <\/span>2005 Y\u0131l\u0131<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>245.9 milyar $ a \u00e7\u0131kt\u0131(% 99.1 art\u0131\u015f)<\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Cari a\u00e7\u0131k<span>\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>2005 Y\u0131l\u0131<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>22.8 milyar $ (milli gelirin % 6\u2019s\u0131)<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Ekonomik olarak darbo\u011fazda olan eczaneler SSK pazar\u0131n\u0131 kendileri i\u00e7in can simidi olarak alg\u0131lad\u0131lar, ancak ya\u015fanan s\u00fcre\u00e7 bu beklentileri kar\u015f\u0131lamaktan uzakt\u0131, geli\u015fen olaylar\u2019\u2019Karaman\u0131n koyunu sonra \u00e7\u0131kar oyunu\u2019\u2019 atas\u00f6z\u00fcn\u00fc do\u011frular nitelikteydi. <span>\u00a0<\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Alternatifsiz b\u0131rak\u0131lan eczac\u0131 SSK taraf\u0131ndan dayat\u0131lan tek tarafl\u0131 ve sonu\u00e7lar\u0131 itibari ile eczaneye ciddi bir faturas\u0131 olan bu s\u00f6zle\u015fmeyi imzalamak zorunda kald\u0131. <span>\u00a0<\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bir y\u0131ll\u0131k bir uygulama sonucu ortaya \u00e7\u0131kan tablo \u015fudur:<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* \u0130la\u00e7 fiyatlar\u0131 % 8 d\u00fc\u015fmesine ve bir k\u0131s\u0131m ye\u015fil kartl\u0131n\u0131n y\u00fck\u00fc \u00fczerinden at\u0131lmas\u0131na ra\u011fmen SSK\u2019n\u0131n ila\u00e7 giderleri y\u00fczde 32.6 artm\u0131\u015ft\u0131r<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">*Toplu d\u00fc\u015f\u00fck fiyatl\u0131 al\u0131m, ucuz e\u015fde\u011fer uygulamas\u0131yla dahi eskiden firmalara ila\u00e7 \u00f6demesi yapamayan kurumun gelirlerinde kayda de\u011fer hi\u00e7bir iyile\u015fme olmad\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Kurum kaynak yaratmak i\u00e7in, eski bor\u00e7lar\u0131n\u0131 tahsil i\u00e7in \u00e7ok uzun vadeli aflar \u00e7\u0131kard\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Kurum sistemin i\u015fledi\u011fini g\u00f6sterebilmek, toplu tepkiyi \u00f6nleyebilmek i\u00e7in, sigortal\u0131n\u0131n y\u00fczde 70\u2019inin bulundu\u011fu \u0130stanbul, Kocaeli, Bursa, \u0130zmir d\u0131\u015f\u0131ndaki b\u00f6lgelerde eczac\u0131lar\u0131n \u00f6demelerini nispeten d\u00fczg\u00fcn yapmaya ba\u015flad\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Di\u011fer b\u00f6lgelerde, \u00f6zellikle SSK\u2019n\u0131n y\u00fczde 40-45\u2019inin ya\u015fad\u0131\u011f\u0131 \u0130stanbul\u2019da re\u00e7etelerin kontrol edilemedi\u011fini bahane edilerek eczanelerin 7-8 ayl\u0131k y\u00fczde 10\u2019lar\u0131n\u0131 \u00f6deyemedi.. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Eczac\u0131n\u0131n \u00fcretti\u011fi sa\u011fl\u0131k hizmetinden kazand\u0131\u011f\u0131 ve bununla ge\u00e7imini sa\u011flad\u0131\u011f\u0131, ya\u015fam\u0131n\u0131 s\u00fcrd\u00fcrd\u00fc\u011f\u00fc kazanc\u0131 ise bu % 10\u2019luk dilimdir.Geri kalan y\u00fczde 90 deponun yani sanayicinin paras\u0131d\u0131r. Eczac\u0131 bu paras\u0131n\u0131 da 90-100 g\u00fcnden \u00f6nce alamamaktad\u0131r. Buna kar\u015f\u0131n ila\u00e7 sanayicisi daha \u00f6nce yar\u0131 fiyat\u0131na verip 7 ayda alamad\u0131\u011f\u0131 paray\u0131 iki kat\u0131yla pe\u015fin almaktad\u0131r. Keyfi yerindedir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">* Da\u011f\u0131t\u0131m kanallar\u0131, kurum Iskontolar\u0131n\u0131n d\u0131\u015f\u0131nda tutularak korundu.Siyasi iktidar\u0131n da\u011f\u0131t\u0131m kanallar\u0131na yapt\u0131\u011f\u0131 k\u0131yak ile bu grup, s\u00fcre\u00e7ten y\u00fczde 0.5 karl\u0131 \u00e7\u0131kt\u0131.<span>\u00a0 <\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Genellikle 200 YTL\u2019nin \u00fczerinde olan y\u00fczde 10 meslek hakk\u0131 bulunan s\u0131f\u0131r \u0131skontolu pe\u015fin al\u0131nan \u00fcr\u00fcnlerden, kan \u00fcr\u00fcnleri ki bunun y\u00fczde 3,5\u2019i \u0131skonto olarak verilir ve global de\u011ferlendirilip ortalama y\u00fczde 20 k\u00e2r edilmi\u015f gibi vergisi verilir, Eczanelerin genel giderleri zaten y\u00fczde 10-12 civar\u0131ndad\u0131r. Bunlar sadece dostlar al\u0131\u015fveri\u015fte g\u00f6rs\u00fcn i\u015fidir. Ve bir\u00e7ok eczac\u0131 verememektedir. (\u0130la\u00e7 fiyat kararnamesi tuzak h\u00fckm\u00fc)<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">SSK g\u00fcya bunlar\u0131 \u00f6ncelikle kontrol edip \u00f6demesini yapacakt\u0131. B\u0131rak\u0131n \u00f6nceli\u011fi sudan sebeplerle bunlar\u0131 \u00fc\u00e7 ay sonra iade ediyor.). Eksikleri tamamlanan re\u00e7eteler geri veriliyor, bu sefer de \u201cvallahi bilgisayara giremiyoruz, girsek d\u00fckkan sizin!\u201d gibisinden cevaplar veriliyor. B\u00f6yle bekleyen 3000 kan \u00fcr\u00fcn\u00fc re\u00e7etesi oldu\u011fu s\u00f6yleniyor. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Bir ba\u015fka defans raporlu re\u00e7eteler, ki Bunlar iki, \u00fc\u00e7 ayl\u0131k ilac\u0131 kar\u015f\u0131layan pahal\u0131 re\u00e7etelerdir. Bunlar\u0131n <span>\u00a0<\/span>mutlaka bir kusuru bulunuyor. Bunlar da iade ediliyor ve ne hikmetse iade edilece\u011fi bilinen re\u00e7eteler bir aydan \u00f6nce kargoyla \u015fehir i\u00e7indeki eczanelere ula\u015fam\u0131yor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">*Bir ba\u015fka ilgin\u00e7lik, eczac\u0131lar\u0131n uymas\u0131 gereken kurallar\u0131 g\u00f6steren emir-komutlardad\u0131r. Bunlar SSK\u2019n\u0131n internet sitesinde yay\u0131nlan\u0131yor. Bunlardan birinde SSK yetkilileri elle yaz\u0131lan eski raporlar\u0131 iptal etmek istiyor; t\u00fcm raporlular hastanelere h\u00fccum edince gelen bask\u0131larla, Haziran ay\u0131na kadar elle yaz\u0131lan raporlar\u0131 kabul edece\u011fini yay\u0131nl\u0131yor. Bunu eczac\u0131 da aynen uyguluyor. Daha sonra yaz\u0131 siteden kald\u0131r\u0131l\u0131yor ve Haziran \u00f6ncesi elle yaz\u0131lan raporlar eczanelere iade ediliyor. Eczac\u0131ya da biz b\u00f6yle bir \u015fey yazmad\u0131k diyorlar.<span>\u00a0 <\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Yurtd\u0131\u015f\u0131 sigortal\u0131lar\u0131na ait re\u00e7eteleri \u00f6dememek i\u00e7in her t\u00fcrl\u00fc yolu deniyorlar.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">*D\u00fczeltilmesi m\u00fcmk\u00fcn re\u00e7eteler di\u011fer kurumlar\u0131n yapt\u0131\u011f\u0131 gibi iade edilmiyor, eczac\u0131n\u0131n hastas\u0131na verdi\u011fi ilac\u0131n bedeli insafs\u0131zca kesiliyor. Kesilen bu bedele kar\u015f\u0131 hi\u00e7bir belge verilmeyerek sat\u0131\u015fm\u0131\u015f gibi vergisi veriliyor, zarar katmerleniyor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Hangi \u00f6demenin, hangi kesintinin neye ait oldu\u011funu \u00f6\u011frenmek deveye hendek atlatmaktan zor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Kontrol eden eczac\u0131 ve hekimler ila\u00e7 te\u015fhislerini farkl\u0131 farkl\u0131 yorumluyor. Kurumda en \u00e7ok kullan\u0131lan laf \u201cbence olur, bence olmaz\u201d oluyor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Psikiyatri ila\u00e7lar\u0131nda te\u015fhisten kaynaklanan, b\u0131rak\u0131n eczac\u0131y\u0131; ilgili hekimleri bile \u00e7\u0131ld\u0131rtan haks\u0131z kesintiler yap\u0131yorlar. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Re\u00e7ete kolilerinin teslimi ise tam bir insanl\u0131k ay\u0131b\u0131. Eczac\u0131 ve eczane personeli, t\u00fcm \u0130stanbul\u2019da sadece bir yerden al\u0131nan, teslim \u015fartlar\u0131 devaml\u0131 de\u011fi\u015fen, yetersiz personelle saatlerce bekletilen,ayn\u0131 zamanda poliklinik hizmeti de verilen bu yerde,g\u00fcvenlik taraf\u0131ndan bir sa\u011fa bir sola itilerek bekledi\u011fi kuyrukta ki bu kuyruk, izdihama d\u00f6n\u00fc\u015fmeden ikinci bankoyu devreye sokmayan bir muameleye tabi tutulmaktad\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">* Re\u00e7ete ve rapor eksikli\u011finden kaynaklanan, hasta ve hasta yak\u0131nlar\u0131n\u0131n \u00e7ektiklerini, vesaire, bunlar\u0131 daha da<span>\u00a0\u00a0 <\/span>uzatmak<span>\u00a0\u00a0 <\/span>m\u00fcmk\u00fcn.<span>\u00a0\u00a0\u00a0\u00a0 <\/span><span>\u00a0<\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bunlardan da g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi SSK belli b\u00f6lgelere \u00f6zellikle \u0130stanbul\u2019da y\u00fckte hafif pahada a\u011f\u0131r re\u00e7eteleri iade ederek veya \u00f6demeyerek, en ac\u0131s\u0131 da milyarlarca liral\u0131k doktorun hastas\u0131na gerekli g\u00f6rd\u00fc\u011f\u00fc ilac\u0131 verdi\u011fi i\u00e7in eczac\u0131lar zarara u\u011frat\u0131larak, g\u00fcn\u00fc kurtarmaya \u00e7al\u0131\u015fmaktad\u0131rlar. Korkunun ecele faydas\u0131 yoktur. Hesap bellidir. Sosyal g\u00fcvenlik kurumlar\u0131 \u00f6deme \u00e7\u0131kmaz\u0131na sokulacakt\u0131r. Yine ayn\u0131 i\u015fbirlik\u00e7i tayfa ortaya \u00e7\u0131k\u0131p devlet bu sa\u011fl\u0131k sigortas\u0131n\u0131 beceremiyor, \u015fartlar\u0131 da uygun hale getirip (zaten h\u00fck\u00fcmet bunlara \u015fimdiden g\u00f6z k\u0131rp\u0131yor) \u00f6nce devlet imkanlar\u0131n\u0131 kullan\u0131p \u00f6zel sigortalara devredilecektir.Sosyal g\u00fcvenlik kurumlar\u0131yla birlikte eczanelerden batanlar batar. Kalan sa\u011flar onlar\u0131nd\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Zaten Maliye Bakanl\u0131\u011f\u0131 ile 2006 y\u0131l\u0131nda yap\u0131lan kademeli iskonto anla\u015fmas\u0131nda da eczac\u0131lar kategorize edilmeye ba\u015fland\u0131. Bundan sonra da \u00f6zelle\u015fen sigortalar \u015fimdikiler gibi eczane se\u00e7meye ba\u015flayacaklard\u0131r. Aaa zincir eczaneler mi gelmi\u015f? <\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Peki ne yapmal\u0131? <\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Eczac\u0131n\u0131n ve halk\u0131n \u00e7ilesi olan SSK provizyon sistemi mutlaka d\u00fczeltilmelidir. Eczac\u0131ya tuzak kuran halk\u0131n ila\u00e7 al\u0131m\u0131n\u0131 s\u0131n\u0131rlayan anlay\u0131\u015fla de\u011fil bilimsel kriterlere dayal\u0131 rasyonel bir sistem mutlaka ya\u015fama ge\u00e7irilmelidir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">*Avrupa \u00fclkelerinde bulunan d\u00fc\u015f\u00fck insan g\u00fcc\u00fc, y\u00fcksek bilgisayar teknolojisi ile cal\u0131\u015fan,saatte bir milyon re\u00e7ete kontrol eden,re\u00e7ete kontrol sistemlerinin devreye sokulmas\u0131 gerekmektedir. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\"><span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>* \u0130la\u00e7 Fiyat de\u011fi\u015fikli\u011finin euro\u2019ya, Eczac\u0131 meslek hakk\u0131n\u0131n YTL\u2019ye endeksli oldu\u011fu, pahal\u0131 ila\u00e7larda eczac\u0131y\u0131 zarara sokan, \u0130la\u00e7 Fiyat Kararnamesi de\u011fi\u015ftirilmelidir.<span>\u00a0 <\/span><\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* \u0130thal ila\u00e7lara s\u0131n\u0131rland\u0131rma getirilmeli bunlar\u0131n h\u0131zla y\u00fckseli\u015fi durdurulmal\u0131d\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Sosyal g\u00fcvenlik kurumlar\u0131 halk\u0131n kurumlar\u0131d\u0131r, Ya\u015fat\u0131lmal\u0131d\u0131r. Eczac\u0131lar\u0131n gelece\u011fi bu kurumlar\u0131n gelece\u011fi ile i\u00e7 i\u00e7edir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 27pt; text-align: justify\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">* Eczac\u0131 ve Eczanelerin varl\u0131\u011f\u0131ndan rahats\u0131zl\u0131k duyan, onlar\u0131n meslek haklar\u0131nda g\u00f6zleri olan zincir merakl\u0131s\u0131 yerli ve hele yabanc\u0131 b\u00fcy\u00fck gruplarla bizlerin ekonomik olarak m\u00fccadele etmemiz olanaks\u0131zd\u0131r, her t\u00fcrl\u00fc siyasi ve ekonomik bask\u0131y\u0131 yapan bu \u015firketlerin b\u00fct\u00e7eleri \u00fclkemiz b\u00fct\u00e7esine yak\u0131nd\u0131r. Hi\u00e7bir eczac\u0131 bunlarla ekonomik olarak m\u00fccadele edece\u011fini sanmas\u0131n. Biz eczac\u0131lar\u0131n g\u00fcc\u00fc \u00f6rg\u00fctl\u00fc olarak yan yana gelip birlikte hareket etmekten ge\u00e7er bu bizim en b\u00fcy\u00fck g\u00fcc\u00fcm\u00fczd\u00fcr. Bunu ba\u015farabilirsek ayakta kal\u0131r\u0131z. Birbirimizi rakip g\u00f6r\u00fcp yan yana duramaz isek yok oluruz.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECZACININ SSK \u00c7\u0130LES\u0130\u00a0 \u00a0 1945\u2019de kurulan SSK, \u00fclke gen\u00e7 n\u00fcfuslu oldu\u011fu i\u00e7in emekli say\u0131s\u0131 az oldu\u011fundan prim fazlalar\u0131 veriyor,&#46;&#46;&#46;<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[],"class_list":["post-2854","post","type-post","status-publish","format-standard","hentry","category-ecz-sedat-guclu"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2854"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2854\/revisions"}],"predecessor-version":[{"id":4045,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2854\/revisions\/4045"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2854"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}