\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u00fcrkiye\u2019de yerli yabanc\u0131 ila\u00e7 \u00fcreticilerinin \u00e7ok eskiden beri d\u00fc\u015fledikleri ve her platformda dile getirdikleri ve h\u00fck\u00fcmetlere bask\u0131 yapt\u0131klar\u0131 \u00fc\u00e7 istekleri vard\u0131. Bunlar ila\u00e7 fiyatlar\u0131n\u0131n serbest b\u0131rak\u0131lmas\u0131, ila\u00e7lar\u0131n reklam\u0131n\u0131n yap\u0131labilmesi ve bunlar\u0131n bedelinin kurumlar taraf\u0131ndan geri \u00f6denebilmesiydi.<\/span><\/p>\n<\/p>\n Fiyat ve reklam\u0131 serbest b\u0131rak\u0131lan \u00a0<\/span>ila\u00e7lar\u0131n bedellerinin, kurumlar taraf\u0131ndan geri \u00f6denmesinin sosyal g\u00fcvenlik kurumlar\u0131na ciddi bir ekonomik maliyeti olaca\u011f\u0131 hesaplanarak bu ila\u00e7lar\u0131n geri \u00f6deme sisteminin d\u0131\u015f\u0131nda b\u0131rak\u0131lmas\u0131 planland\u0131. <\/span><\/p>\n \u00a0<\/span><\/p>\n Re\u00e7etesiz ila\u00e7lar\u0131n fiyatlar\u0131n\u0131n serbest b\u0131rak\u0131lmas\u0131 ise AKP h\u00fck\u00fcmeti taraf\u0131ndan \u015eubat 2004\u2019te \u00e7\u0131kar\u0131lan kararname ile ilgili g\u00fcndeme getirilen de\u011fi\u015fiklik tasar\u0131s\u0131nda hayata ge\u00e7irilmek istenmektedir. Bu tasar\u0131 ile re\u00e7etesiz olarak s\u0131n\u0131fland\u0131r\u0131lan ila\u00e7lar\u0131n fiyatlar\u0131n\u0131n serbest b\u0131rak\u0131lmas\u0131 \u00f6ng\u00f6r\u00fclmektedir.<\/span><\/p>\n \u00a0<\/span><\/p>\n B\u00f6yle bir giri\u015fimin sinyalleri, y\u0131l i\u00e7erisinde bir \u00e7ok ilac\u0131n tedavi de\u011feri olmad\u0131\u011f\u0131 gerek\u00e7esiyle maliye bakanl\u0131\u011f\u0131nca geri \u00f6deme sisteminden \u00e7\u0131kar\u0131lmas\u0131 ve buna kar\u015f\u0131n, ila\u00e7 \u00fcreticileri ve ithalat\u00e7\u0131lar\u0131 taraf\u0131ndan hi\u00e7bir tepki g\u00f6sterilmemesi kurgu hakk\u0131nda ipu\u00e7lar\u0131 veriyordu.<\/span><\/p>\n \u00a0<\/span><\/p>\n Yine bu g\u00fcnlerde ila\u00e7 kurumu ad\u0131 alt\u0131nda, meslek \u00f6rg\u00fctlerini ve sivil toplum \u00f6rg\u00fctlerini d\u0131\u015far\u0131da b\u0131rakan, ila\u00e7 eczac\u0131l\u0131k ad\u0131na sonsuz yetkilerle donat\u0131lan, bakanl\u0131k g\u00fcd\u00fcm\u00fcndeki bir kurum olu\u015fturulmakta,\u00a0 <\/span>bir\u00e7ok ila\u00e7 yasas\u0131 birlikte,1262 say\u0131l\u0131 yasada devre d\u0131\u015f\u0131 b\u0131rakmakta ve ila\u00e7ta reklam\u0131n yolu a\u00e7\u0131lmaktad\u0131r.<\/span><\/p>\n \u00a0<\/span><\/p>\n \u0130\u015fte bu iki olgu yan yana d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde ila\u00e7 fiyat kararnamesiyle re\u00e7etesiz ila\u00e7 serbestli\u011fi getiriliyor, ila\u00e7 kurumu yasas\u0131yla 1262 say\u0131l\u0131 yasa ortadan kald\u0131r\u0131l\u0131p re\u00e7etesiz ila\u00e7lara reklam olana\u011f\u0131 tan\u0131n\u0131yor.<\/span><\/p>\n \u00a0<\/span><\/p>\n B\u00f6ylece halk\u0131m\u0131z eskiden sosyal g\u00fcvenlik kurumlar\u0131ndan \u00fccretsiz ald\u0131\u011f\u0131 ila\u00e7lar\u0131, reklam ve promosyon giderleri ve arz talep dengesi i\u00e7erisinde, \u00e7ok daha pahal\u0131 olarak ve gerekli,gereksiz kulland\u0131r\u0131lmak zorunda b\u0131rakt\u0131r\u0131l\u0131yor.<\/span><\/p>\n \u00a0<\/span><\/p>\n Bir ba\u015fka tahlilsizlikte TEB\u2019in bu ay i\u00e7erisinde Denizlide d\u00fczenledi\u011fi b\u00f6lgeler aras\u0131 toplant\u0131n\u0131n g\u00fcndemine d\u00f6rt \u00e7al\u0131\u015fma grubundan biri olarak RE\u00c7ETES\u0130Z \u0130LA\u00c7LAR\u00a0 <\/span>grubunu getirmi\u015f olmas\u0131yd\u0131. Yap\u0131lan sunumda\u00a0\u00a0 <\/span>\u00a0<\/span>re\u00e7etesiz ila\u00e7larla tedavinin, toplum sa\u011fl\u0131\u011f\u0131n\u0131n ana unsurlar\u0131ndan biriymi\u015f gibi g\u00f6sterilmesi\u00a0 <\/span>hayli ilgin\u00e7 bir saptama oldu! <\/span><\/p>\n \u00a0<\/span><\/p>\n Ger\u00e7i \u0130stanbul delegesi olarak o toplant\u0131da bu konuyla ilgili rahats\u0131zl\u0131\u011f\u0131m\u0131z\u0131 ve sak\u0131ncal\u0131 y\u00f6nlerini dile getirdik, elbetteki ila\u00e7larda re\u00e7eteli re\u00e7etesiz ay\u0131r\u0131m\u0131 olabilir, as\u0131l olan bu ay\u0131r\u0131m\u0131n\u0131 Maliye Bankl\u0131\u011f\u0131 taraf\u0131ndan de\u011fil, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 marifetiyle, bilimsel bir kurul ve sivil toplum \u00f6rg\u00fctlerinin tart\u0131\u015farak belirleyici olmalar\u0131d\u0131r ve mutlaka bu ila\u00e7lar\u0131n sat\u0131\u015f\u0131n\u0131n eczane i\u00e7inde kalmas\u0131d\u0131r.<\/span><\/p>\n \u00a0<\/span><\/p>\n T\u00fcrkiye gibi sa\u011fl\u0131k sorunlar\u0131 \u00e7\u00f6z\u00fclmemi\u015f, n\u00fcfusunun b\u00fcy\u00fck \u00e7o\u011funlu\u011funun a\u00e7l\u0131k ve yoksulluk s\u0131n\u0131r\u0131nda olmas\u0131 ,e\u011fitim seviyesinin d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda geli\u015fmelerin kayg\u0131 verici boyutu kendili\u011finden ortaya \u00e7\u0131k\u0131yor. .<\/span><\/p>\n \u00a0<\/span><\/p>\n Yaz\u0131n\u0131n ba\u015f\u0131nda s\u00f6yledi\u011fim gibi ila\u00e7 \u015firketlerinin y\u0131llard\u0131r hayal ettikleri \u0130LA\u00c7 F\u0130YATLARININ SERBEST b\u0131rak\u0131lmas\u0131 ve \u0130LACIN REKLAMININ SERBEST olmas\u0131 h\u0131zla hayata ge\u00e7irilmek istenmektedir. Bu halk sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan k\u00f6t\u00fc bir durumdur ama en ac\u0131s\u0131 \u015fairin dedi\u011fi gibi ne yaz\u0131k ki baltan\u0131n sap\u0131n\u0131n bizden olmas\u0131d\u0131r.<\/span><\/p>\n \u00a0<\/span><\/p>\n Taslakta d\u00fc\u015f\u00fcn\u00fclen de\u011fi\u015fikliklerin bir tanesi de eskiden ila\u00e7 fiyatlar\u0131 i\u00e7in baz \u00a0<\/span>al\u0131nan en ucuz be\u015f \u00fclke say\u0131s\u0131 artt\u0131r\u0131larak \u00a0\u00a0<\/span>(AB) \u00fcyesi t\u00fcm \u00fclkeler referans al\u0131nabilmesidir. Bundan kas\u0131t Polonya gibi ucuz \u00fclkeleri baz al\u0131p ila\u00e7 fiyatlar\u0131n\u0131 daha d\u00fc\u015f\u00fck tutmak ve sosyal g\u00fcvenlik kurumlar\u0131n\u0131n a\u00e7\u0131klar\u0131n\u0131 kapatmakt\u0131r.<\/span><\/p>\n \u00a0<\/span><\/p>\n Yine ayn\u0131 taslakta ila\u00e7lardaki fiyat de\u011fi\u015fiklikleri euroya endeksliyken, d\u00f6viz sepeti kavram\u0131 getirilmesidir. Buna g\u00f6re 1 euro\u00a0 <\/span>kar\u015f\u0131l\u0131\u011f\u0131 YTL+1 amerikan dolar\u0131 \u00a0<\/span>kar\u015f\u0131l\u0131\u011f\u0131 YLT\/2 form\u00fcl\u00fcndeki d\u00f6nemsel d\u00f6viz sepetindeki kesintisiz, ila\u00e7lar\u0131n %10\u2019nunu kapsayacak \u015fekildeki %5\u2019lik 30 g\u00fcn s\u00fcreli de\u011fi\u015fiklikler dikkate al\u0131nacakt\u0131r. bundan ama\u00e7 fiyat art\u0131\u015flar\u0131n\u0131 frenlemek ve sosyal g\u00fcvenlik kurumlar\u0131n\u0131n a\u00e7\u0131klar\u0131n\u0131 azaltmak iste\u011fidir. Ancak burada bu yap\u0131l\u0131rken jenerik ila\u00e7larla ilgili orijinal fiyat\u0131n %80\u2019 \u00a0<\/span>ibaresi de\u011fi\u015fmemi\u015ftir. B\u00f6ylece maliyeti \u00e7ok daha d\u00fc\u015f\u00fck olan ve d\u00fcnyada orijinalinin %50\u2019si civar\u0131nda olan jenerik ila\u00e7lar\u0131n \u00e7ok y\u00fcksek fiyatlara sat\u0131lmas\u0131 sa\u011flanm\u0131\u015ft\u0131r.<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span>G\u00fcn\u00fcm\u00fczde yerli ila\u00e7 sanayi\u00a0 <\/span>diye\u00a0 <\/span>bir \u015feyden s\u00f6z etmek art\u0131k olas\u0131 \u00a0<\/span>de\u011fildir. Bir ikisi hari\u00e7 hepsi yabanc\u0131lara sat\u0131lm\u0131\u015ft\u0131r, geri kalanlar\u0131n\u0131nda sat\u0131\u015f\u0131 eli kula\u011f\u0131ndad\u0131r. Orijinal ila\u00e7 tekellerinin yan\u0131nda jenerik ila\u00e7 tekellerine do\u011fru h\u0131zl\u0131 bir gidi\u015fat s\u00f6zkonusudur.<\/span><\/span><\/span><\/p>\n \u00a0<\/span><\/p>\n \u0130la\u00e7 fiyat kararnamesiyle ilgili bu t\u00fcr de\u011fi\u015fiklikler g\u00fcndeme getirilmek istenirken, ne hikmetse kategorize edilerek YTL\u2019ye endekslenen eczac\u0131 meslek hakk\u0131yla ilgili en ufak bir iyile\u015ftirme d\u00fc\u015f\u00fcn\u00fclmemi\u015ftir.<\/span><\/p>\n \u00a0<\/span>\u00a0<\/span><\/p>\n 2004 ila\u00e7 fiyat kararnamesi uyguland\u0131\u011f\u0131 \u00a0<\/span>s\u00fcre i\u00e7erisinde yap\u0131lan her t\u00fcrl\u00fc \u00a0<\/span>fiyat art\u0131\u015f\u0131 ile ucuz ila\u00e7lardan y\u00fczlercesi kategori \u00a0<\/span>de\u011fi\u015ftiriliyor ve dolay\u0131s\u0131yla bu ila\u00e7larda eczac\u0131 meslek haklar\u0131 da %25\u2019 den ba\u015flayarak \u00a0\u00a0<\/span>%10\u2019lara do\u011fru h\u0131zla erozyona u\u011fruyor. Gittik\u00e7e ucuz ila\u00e7lar\u0131n say\u0131s\u0131 azal\u0131rken pahal\u0131 ila\u00e7lar\u0131n say\u0131s\u0131 art\u0131yor. 100-200 YTL ve \u00fcst\u00fc ila\u00e7larda eczane giderleri, kurum \u0131skontolar\u0131 ve\u00a0 <\/span>\u00f6denen vergiler g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda ve verilen re\u00e7etelerinin bedellerinin depolara k\u0131sa s\u00fcrede \u00f6denmesi, bu re\u00e7etelerinin kurumlardan tahsilat\u0131n\u0131 \u00e7ok uzun zamanda olmas\u0131 nedeniyle ,bu ila\u00e7lar eczac\u0131lar taraf\u0131ndan ya zarar\u0131na \u00a0<\/span>kar\u015f\u0131lan\u0131yor veya hi\u00e7 kar\u015f\u0131lanam\u0131yorlar. Bu re\u00e7ete sahibi hastalar\u0131 ma\u011fdur etti\u011fi gibi \u00a0<\/span>re\u00e7etelerinde belli merkezlerde\u00a0 <\/span>yo\u011funla\u015fmas\u0131na sebep oluyor. Bu durumun acilen d\u00fczeltilmesi gerekiyor.<\/span><\/p>\n \u00a0<\/span><\/p>\n Eczac\u0131 kar marj\u0131n\u0131n yan\u0131nda,eczac\u0131 meslek hakk\u0131n\u0131nda ,pek \u00e7ok Avrupa Birli\u011fi \u00fclkesinde oldu\u011fu gibi art\u0131k ya\u015fama ge\u00e7irilmesi gerekiyor. <\/span><\/p>\n <\/span><\/address>\n","protected":false},"excerpt":{"rendered":" \u0130LA\u00c7 F\u0130YAT KARARNAME TASLA\u011eI VE OTC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u00fcrkiye\u2019de yerli yabanc\u0131 ila\u00e7 \u00fcreticilerinin \u00e7ok eskiden beri d\u00fc\u015fledikleri ve her platformda dile...<\/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-2857","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\/2857","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=2857"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2857\/revisions"}],"predecessor-version":[{"id":4029,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2857\/revisions\/4029"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2857"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}