{"id":2859,"date":"2007-06-19T16:01:17","date_gmt":"2007-06-19T13:01:17","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2859"},"modified":"2014-05-21T01:40:30","modified_gmt":"2014-05-20T22:40:30","slug":"jenerik-ilac-da-el-degistiriyor","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2859","title":{"rendered":"JENER\u0130K \u0130LA\u00c7 DA EL DE\u011e\u0130\u015eT\u0130R\u0130YOR"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bundan 10-15 y\u0131l \u00f6ncesine kadar ila\u00e7 \u00fcreten say\u0131l\u0131 \u00fclkelerden birisi T\u00fcrkiye idi. Ger\u00e7i ila\u00e7 hammaddelerinin tamam\u0131na yak\u0131n\u0131 ithal edilmekteydi ama \u00fclkede t\u00fcketilen ilac\u0131n % 90\u2019\u0131 yurti\u00e7indeki fabrikalarda \u00fcretilmekte, az da olsa bir miktar ila\u00e7 ihra\u00e7 edilmekteydi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Haziran 1995\u2019te 10 y\u0131l sonra 2005 y\u0131l\u0131nda uygulamaya ge\u00e7mesi ko\u015fuluyla kabul edilen Patent Yasas\u0131, Tansu \u00c7iller h\u00fck\u00fcmetince Eyl\u00fcl 1995 tarihinde \u00fclke \u00e7\u0131karlar\u0131 g\u00f6z ard\u0131 edilerek bir gece yar\u0131s\u0131 \u00e7\u0131kar\u0131lan Kararnameyle y\u00fcr\u00fcrl\u00fcl\u00fck tarihi 5 y\u0131l \u00f6ne al\u0131nd\u0131. Bu karar yabanc\u0131 ila\u00e7 firmalar\u0131na b\u00fcy\u00fck menfaatler sa\u011flarken, yerli ila\u00e7 sanayisinin geli\u015fimini engelliyordu. B\u00f6ylece Ocak 1999 tarihinde Patent Yasas\u0131 uygulanmaya ba\u015flad\u0131. Bunun \u00f6ncesinde 50 y\u0131l boyunca orijinal ila\u00e7lar\u0131n benzerleri dahil olmak \u00fczere, \u00fcretilen ila\u00e7lar\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fc jenerik dedi\u011fimiz, ayn\u0131 hammadde ve \u00fcretim teknikleri kullan\u0131larak \u00fcretilen ila\u00e7lard\u0131. H\u00fck\u00fcmetlerde ila\u00e7 firmalar\u0131n\u0131n bu uygulamalar\u0131n\u0131 verdikleri te\u015fviklerle destekleyerek kolayl\u0131klar sa\u011flad\u0131lar. O d\u00f6nemde Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131nca ila\u00e7lar\u0131n fiyat\u0131 s\u0131nai maliyet diye bilinen usule g\u00f6re belirlenirdi. (Hammadde fiyat\u0131 + i\u015f\u00e7ilik + ambalaj masraf\u0131 + genel giderler + %30 \u00fcretici k\u00e2r\u0131 + depocu k\u00e2r\u0131 + eczac\u0131 k\u00e2r\u0131 = perakende sat\u0131\u015f fiyat\u0131).<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">O d\u00f6nemde dahi baz\u0131 firmalar, \u00f6zellikle yabanc\u0131 olanlar, kendi firmalar\u0131ndan ithal ettikleri hammaddeler i\u00e7in \u015fi\u015firilmi\u015f proforma faturalarla y\u00fcksek fiyatlar alarak haks\u0131z kazan\u00e7 elde edebiliyorlard\u0131. Buna kar\u015f\u0131n o d\u00f6nemin \u00e7a\u011fda\u015f eczac\u0131 \u00f6rg\u00fctleri ila\u00e7 \u00fczerinde oynanan bu soygunlara kar\u015f\u0131 \u00e7\u0131k\u0131yor, her platformda bunlar\u0131 dile getiriyordu. Ayn\u0131 d\u00f6nemde bu oyunlar\u0131 g\u00f6r\u00fcp m\u00fccadele eden yurtsever Dr. Cengiz Yurto\u011flu bir s\u00fcr\u00fc engellemelere ra\u011fmen bu oyunlar\u0131 bozan jenerik ila\u00e7 \u00fcretimi faaliyetleri i\u00e7ine girdi. Yurto\u011flu ila\u00e7 firmas\u0131 ad\u0131 alt\u0131nda e\u015fde\u011ferlerinin \u00e7ok ucuzuna \u00fcretimlerle ila\u00e7 tekellerinin oyunlar\u0131n\u0131 g\u00f6zler \u00f6n\u00fcne serdi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Ayn\u0131 d\u00f6nem i\u00e7erisinde yerli jenerik ila\u00e7 \u00fcretimi \u00fclke eczac\u0131lar\u0131 taraf\u0131ndan da desteklendi. Eczac\u0131lar e\u015fde\u011fer olarak yerli ucuz jenerik ila\u00e7lar\u0131 tercih ediyorlar, yabanc\u0131 firma \u00fcr\u00fcnleri yerine yerli e\u015fde\u011ferlerini vererek yerli firmalara b\u00fcy\u00fck destek oluyorlard\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Sosyal G\u00fcvenlik Kurumlar\u0131n\u0131n a\u00e7\u0131klar\u0131n\u0131 azalt\u0131lmas\u0131na katk\u0131 i\u00e7in \u0130stanbul Eczac\u0131 Odas\u0131 o d\u00f6nemde kurum yetkililerine ucuz e\u015fde\u011fer listeleri haz\u0131rlayarak bu \u00e7al\u0131\u015fmalara destek vermekteydi. Kurumlar da bu uygulamalarla ila\u00e7 giderlerinde b\u00fcy\u00fck oranda tasarruf etmekteydi. \u0130la\u00e7 firmalar\u0131yla yapt\u0131klar\u0131 toplu pazarl\u0131klar sonucu da eczane fiyatlar\u0131n\u0131n alt\u0131nda fiyatlarla kurumlar\u0131na ila\u00e7 ald\u0131lar. Bu da s\u0131nai maliyet uygulamas\u0131na ra\u011fmen bu ila\u00e7 firmalar\u0131n\u0131n ne kadar fazla k\u00e2r ettiklerini g\u00f6zler \u00f6n\u00fcne sermekteydi. Yine son iki senedir ya\u015fad\u0131\u011f\u0131m\u0131z ila\u00e7 fiyatlar\u0131ndaki d\u00fc\u015f\u00fc\u015fler de bu d\u00f6nemlerden sarkan \u015fi\u015firilmi\u015f fiyatlar\u0131n bir sonucudur.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">90\u2019l\u0131 y\u0131llara gelindi\u011finde t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de h\u00fck\u00fcmetler sosyal g\u00fcvenlik kurumlar\u0131n\u0131n a\u00e7\u0131klar\u0131n\u0131 kapatmak i\u00e7in, tasarruf ama\u00e7l\u0131, sigortal\u0131lara ila\u00e7 verilmesinde bir tak\u0131m yeni uygulamalara gittiler. Zaman\u0131n \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131 bu ama\u00e7la \u201cucuz e\u015fde\u011fer\u201d uygulamas\u0131n\u0131 hayata ge\u00e7irdi. 15 \u015eubat 2002 tarihinde Ba\u011f-Kur e\u015fde\u011fer ila\u00e7 uygulamas\u0131na ba\u015flad\u0131. Sadece 2002 y\u0131l\u0131 i\u00e7inde 550 trilyon lira tasarruf edildi\u011fi bizzat bakan taraf\u0131ndan ifade edildi. Emekli Sand\u0131\u011f\u0131 da 1 Mart 2003 tarihinde \u201cOrtalama Fiyat\u201d uygulamas\u0131na ge\u00e7ti.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Zamanla globalle\u015fen d\u00fcnyada pazar\u0131 en fazla b\u00fcy\u00fcmeye aday \u00fc\u00e7 \u00fclkeden biri olan T\u00fcrkiye ila\u00e7 pazar\u0131nda ucuz e\u015fde\u011fer uygulamalar\u0131yla d\u00fc\u015f\u00fcnd\u00fckleri sat\u0131\u015flar\u0131 yapamayan \u00e7okuluslu firmalar taraf\u0131ndan (ba\u015fta Pfizer olmak \u00fczere) \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131 dahil her kesime, Amerika ve AB yetkilileri arac\u0131l\u0131\u011f\u0131yla bask\u0131lar yap\u0131ld\u0131.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">PhRMA (Amerikan ara\u015ft\u0131rmac\u0131 ila\u00e7 \u00fcreticileri) adl\u0131 kurulu\u015f, uluslararas\u0131 ila\u00e7 tekellerinin hak ve \u00e7\u0131karlar\u0131n\u0131 koruma ama\u00e7l\u0131 lobi faaliyetleri y\u00fcr\u00fcten Amerika merkezli bir dernektir. Amerikan kaynakl\u0131 olmas\u0131na ra\u011fmen \u00fcyeleri b\u00fct\u00fcn d\u00fcnyan\u0131n en b\u00fcy\u00fck ila\u00e7 \u015firketleridir. 2001 y\u0131l\u0131nda lobi faaliyetleri i\u00e7in 11,2 milyon dolardan fazla para harcam\u0131\u015ft\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">PhRMA, 2002 y\u0131l\u0131nda ABD ticaret temsilcili\u011fine sundu\u011fu, T\u00fcrkiye\u2019yi \u015fikayet etti\u011fi raporunda \u201cT\u00fcrk h\u00fck\u00fcmeti T\u00fcrkiye\u2019de mevcut bulunan jenerik ila\u00e7lar aras\u0131nda en ucuzunun geri \u00f6denmesine izin veren bir karar\u0131 \u00fclkenin en b\u00fcy\u00fck sosyal g\u00fcvenlik kurulu\u015funda uygulamaya ba\u015flad\u0131. Bu durum di\u011fer daha k\u00fc\u00e7\u00fck sosyal g\u00fcvenlik kurulu\u015flar\u0131na da yay\u0131lmaktad\u0131r ve Amerikan \u015firketleri i\u00e7in negatif bir ortam yaratmaktad\u0131r. Ara\u015ft\u0131rmaya dayal\u0131 Amerikan \u015firketlerinin pazar pay\u0131 ciddi \u015fekilde azalmaktad\u0131r. T\u00fcrkiye acil olarak uyar\u0131lmal\u0131 ve bu fiyat politikas\u0131n\u0131n geri \u00e7ekilmesi sa\u011flanmal\u0131d\u0131r\u201d demektedir. Ayr\u0131ca PhRMA yetkilileri \u201cen ucuz e\u015fde\u011fer uygulamas\u0131n\u0131n kendilerini olumsuz etkileyece\u011fi, uygulaman\u0131n devam\u0131nda yeni geli\u015ftirdikleri hayati ila\u00e7lar\u0131 T\u00fcrkiye\u2019ye vermeyecekleri ve T\u00fcrkiye\u2019deki yat\u0131r\u0131mlar\u0131n\u0131 durduracaklar\u0131, olan yat\u0131r\u0131mlar\u0131 da geri \u00e7ekecekleri\u201d tehdidini zaman\u0131n Sosyal G\u00fcvenlik Bakan\u0131 Ya\u015far Okuyan\u2019a ileterek sosyal g\u00fcvenlik kurumlar\u0131nda ucuz e\u015fde\u011fer uygulamas\u0131yla haks\u0131z rekabet yap\u0131ld\u0131\u011f\u0131 sav\u0131yla T\u00fcrkiye\u2019yi AB\u2019ye \u015fikayet ettiler.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Uluslararas\u0131 ila\u00e7 tekellerinin Avrupa\u2019daki temsilcileri EFPIA (Avrupa Farmas\u00f6tik End\u00fcstrisi ve Dernekleri Federasyonu) T\u00fcrkiye\u2019yi AB Komisyonu Ticaret Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019ne \u015fikayet etti. \u201c\u015eeffaf olmayan, ayr\u0131m g\u00f6zeten ve ticarette k\u0131s\u0131tlama getiren\u201d diye niteledi\u011fi T\u00fcrk mevzuat ve uygulamalar\u0131n\u0131n de\u011fi\u015ftirilmesini istiyordu. Ayr\u0131ca \u015fikayet metninde \u015fu ifadelere yer veriyordu: \u201c\u2026 Farmas\u00f6tik \u00fcr\u00fcnlerin \u00f6n\u00fcndeki ticari engeller kald\u0131r\u0131larak T\u00fcrkiye gibi h\u0131zl\u0131 b\u00fcy\u00fcyen \u00fc\u00e7\u00fcnc\u00fc d\u00fcnya \u00fclkesinde e\u015fit muamele g\u00f6rmesinin g\u00fcvence alt\u0131na al\u0131nmas\u0131 ya\u015famsal \u00f6nem ta\u015f\u0131maktad\u0131r. Dahas\u0131 AB\u2019nin ticari ortaklar\u0131n\u0131n WTO(D\u00fcnya Ticaret \u00d6rg\u00fct\u00fc)Anla\u015fmalar\u0131na kar\u015f\u0131 y\u00fck\u00fcml\u00fcl\u00fcklerini yerine getirmelerini sa\u011flamak da \u00e7ok \u00f6nemlidir\u2026\u201d denilmekte ve T\u00fcrkiye\u2019nin bu uygulamalarla GATTS ve TRIPS anla\u015fmalar\u0131n\u0131 da ihlal etti\u011fi iddia edilmi\u015fti.. Ayn\u0131 AB Komisyonu raporunda \u201c&#8230; ila\u00e7 end\u00fcstrisi AB nin en b\u00fcy\u00fck i\u015fverenlerinden birisidir.2001 y\u0131l\u0131nda sekt\u00f6r 580000 civar\u0131nda insan istihdam ediyordu,ihracattaki pay\u0131da %19 la \u00f6nemli bir sekt\u00f6rd\u00fcr\u2026\u201d korunmas\u0131 gerekti\u011fini sav\u0131yla bir inceleme ba\u015flatm\u0131\u015f ve konuyla ilgili cevaplar i\u00e7in 30 g\u00fcn i\u00e7erisinde cevaplama ko\u015fuluyla T\u00fcrkiye h\u00fck\u00fcmetine 2003 y\u0131l\u0131nda \u00fcltimatom g\u00f6ndermi\u015fti. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/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;\"><span>\u00a0<\/span>B\u00fclent Eczac\u0131ba\u015f\u0131 da o d\u00f6nemde T\u00fcrkiye\u2019de \u201cikinci kalite\u201d hatta \u201csahte ila\u00e7lar\u201d\u0131n oldu\u011funu s\u00f6yleyerek bu kesime destek vermi\u015ftir. Bunun sonucu \u00fclkedeki t\u00fcm ila\u00e7lar Avrupa\u2019da dahi biyoe\u015fde\u011ferlik \u00e7al\u0131\u015fmas\u0131na gerek duyulmayanlar da dahil olmak \u00fczere tanesine 50.000 -150.000 Euro verilerek tamam\u0131na yak\u0131n\u0131 yabanc\u0131 \u00fclkelerde olmak \u00fczere biyoe\u015fde\u011ferlik \u00e7al\u0131\u015fmas\u0131 yapt\u0131r\u0131lm\u0131\u015f, sonu\u00e7ta d\u00fcnya ortalamas\u0131n\u0131n alt\u0131nda (%3) hata bulunmu\u015ftur. Bu yerli firmalara b\u00fcy\u00fck mali y\u00fck getirmi\u015f, \u00fclke ihtiyac\u0131 olan d\u00f6vizin yurtd\u0131\u015f\u0131na gitmesine sebep olmu\u015f ve \u00fclkede \u00fcretilen ila\u00e7lar\u0131n B\u00fclent Eczac\u0131ba\u015f\u0131\u2019n\u0131n s\u00f6yledi\u011fi gibi sahte ve ikinci kalite olmad\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Babas\u0131 Nejat Eczac\u0131ba\u015f\u0131 da zaman\u0131nda, uygulamas\u0131n\u0131 be\u011fenmedi\u011fi, \u00e7\u0131karlar\u0131na ters d\u00fc\u015fen, Sa\u011fl\u0131k Bakan\u0131 i\u00e7in \u201cBu \u00fclkede sa\u011fl\u0131k sorunu yoktur, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 sorunu vard\u0131r.\u201d diyerek, bakan\u0131n g\u00f6revden al\u0131nmas\u0131n\u0131 istemi\u015f ve yapt\u0131rm\u0131\u015ft\u0131r.<\/span><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Sosyal g\u00fcvenlik kurumlar\u0131nda ucuz e\u015fde\u011fer uygulamas\u0131yla orijinal pahal\u0131 ila\u00e7lar kurum listelerine giremiyorlard\u0131. Uluslararas\u0131 bask\u0131lar sonucu bu durumu \u00e7\u00f6zmek i\u00e7in h\u00fck\u00fcmet\u00e7e \u015eubat 2004 ila\u00e7 fiyat kararnamesi g\u00fcndeme getirilerek uygulamaya konuldu. Buna g\u00f6re orijinal ila\u00e7 fiyatlar\u0131 Avrupa\u2019n\u0131n en ucuz 5 \u00fclkesinin fiyatlar\u0131 \u00f6l\u00e7\u00fc al\u0131narak Euro\u2019ya ba\u011fland\u0131. Eczac\u0131 k\u00e2rlar\u0131 ise kategorize edilerek YTL\u2019ye endekslendi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Fakat burada yap\u0131lan en \u00f6nemli de\u011fi\u015fiklik \u015fu oldu: Yabanc\u0131 ila\u00e7 firmalar\u0131n\u0131n orijinal ila\u00e7lar\u0131n\u0131n kurumlarca sat\u0131n al\u0131nmas\u0131n\u0131 sa\u011flamak amac\u0131yla jenerik ila\u00e7larda hi\u00e7bir maliyet unsuru g\u00f6z \u00f6n\u00fcne al\u0131nmayarak otomatikman orijinal\u2019inin %80 fiyat verildi. D\u00fcnyada genelde orjinalinin %50 (%20-80 aras\u0131) ortalama fiyatla sat\u0131lan jenerik ila\u00e7lar ortalama %30 fazladan haks\u0131z fiyat art\u0131\u015f\u0131 ald\u0131lar. Bu uygulama yabanc\u0131larla beraber yerli firmalar\u0131n da ho\u015funa gitti ki seslerini kestiler. Bir \u00f6l\u00e7\u00fcde eczac\u0131lar da bu \u00fcr\u00fcnlerden mal fazlal\u0131\u011f\u0131 ald\u0131\u011f\u0131ndan yeterince ses \u00e7\u0131karamad\u0131lar. \u0130stanbul Eczac\u0131 Odas\u0131, \u00c7a\u011fda\u015f Eczac\u0131lar Derne\u011fi ve birka\u00e7 Eczac\u0131 Odas\u0131 d\u0131\u015f\u0131nda kar\u015f\u0131 duru\u015f olmad\u0131. En \u00fcz\u00fcc\u00fc olan da T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi\u2019nin (TEB) bu kararnameyi kamuoyuna bir devrim olarak sunmas\u0131, kraldan \u00e7ok kralc\u0131 olmas\u0131 idi. Sa\u011fl\u0131k Bakan\u0131n\u0131n s\u00f6yledi\u011fi gibi TEB\u2019in katk\u0131lar\u0131yla haz\u0131rlam\u0131\u015ft\u0131. Eczac\u0131 ve ilgili di\u011fer kamuoyunu jenerik ilaca haz\u0131rlamak i\u00e7in, TEB Denizli b\u00f6lgeleraras\u0131 toplant\u0131s\u0131nda, \u015eubat 2004 ila\u00e7 fiyat kararname tasla\u011f\u0131nda, re\u00e7etesiz ila\u00e7lara fiyat serbestli\u011fi de\u011fi\u015fikli\u011fi g\u00fcndemdeyken, OTC ila\u00e7lar\u0131yla ilgili bir \u00e7al\u0131\u015fma grubu olu\u015fturarak, haz\u0131rlad\u0131klar\u0131 raporda neredeyse OTC uygulamas\u0131n\u0131 toplum sa\u011fl\u0131\u011f\u0131n\u0131n vazge\u00e7ilmez bir par\u00e7as\u0131 olarak g\u00f6stermi\u015ftir. \u0130zmir\u2019de d\u00fczenlenen Ege Eczac\u0131l\u0131k G\u00fcnleri\u2019nde ise tek sosyal i\u00e7erikli oturumda TEB Ba\u015fkan\u0131 ve \u0130la\u00e7 \u0130\u015fverenleri Sendikas\u0131 Genel Sekreteri, jenerik ila\u00e7lar\u0131n faziletlerini anlatan sunumlar\u0131 sonucu bu ila\u00e7lar\u0131n pazardaki paylar\u0131n\u0131n art\u0131r\u0131lmas\u0131n\u0131 istemi\u015flerdir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bir ba\u015fka cephe ise maalesef eczac\u0131 \u00f6rg\u00fctlerimizin y\u00f6neticilerinin verdi\u011fi deme\u00e7ler ve birey eczac\u0131lar\u0131m\u0131z\u0131n safiyane r\u00f6portajlar\u0131n\u0131 \u00f6ne \u00e7\u0131karan, ad\u0131m\u0131z\u0131 dahi alarak kendini meslek kamuoyuna tan\u0131tan, bizlere y\u00f6nelik ald\u0131\u011f\u0131 reklamlarla kazan\u00e7 sa\u011flayan ECZACI dergisi. Bu derginin, kendisine reklam veren bir tak\u0131m firmalarla, sekt\u00f6rden nemalanan bir tak\u0131m ki\u015filerle beraber, durumdan vazife \u00e7\u0131kararak, esas amac\u0131 olan ila\u00e7ta reklam serbestli\u011fiyle olu\u015facak milyar dolarl\u0131k pastadan pay kapmay\u0131 kamufle i\u00e7in Re\u00e7etesiz Sat\u0131lan \u0130la\u00e7lar Derne\u011fi\u2019ni kurmaya kalkmas\u0131 bizleri ne gibi tehlikelerin bekledi\u011finin a\u00e7\u0131k bir g\u00f6stergesidir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u201cAma\u00e7lar\u0131n\u0131n halka en yak\u0131n sa\u011fl\u0131k birimi olan eczanelerin ve eczaneler arac\u0131l\u0131\u011f\u0131 ile \u00fcr\u00fcnlerini halka ula\u015ft\u0131ran sanayici, \u00fcretici, ithalat ve hammaddecilerin ortak hedefleri do\u011frultusunda devlet, Bakanl\u0131k, kamu ve bas\u0131n ile ili\u015fkilerde bulunmak, seminerler, paneller d\u00fczenlemek, ara\u015ft\u0131rmalar yapmak, \u00fcyelerimizin hak ve \u00e7\u0131karlar\u0131n\u0131 korumak\u201d oldu\u011funu s\u00f6ylemektedirler.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bakar m\u0131s\u0131n\u0131z siz, Cumhuriyet gazetesinin s\u00f6yledi\u011fi gibi \u201ctehlikenin fark\u0131nda m\u0131s\u0131n\u0131z\u201d? Bizler y\u0131llard\u0131r ilac\u0131n \u00fcretiminden t\u00fcketimine her safhas\u0131nda eczac\u0131 olmal\u0131d\u0131r, diyoruz, \u015eimdi bizim d\u0131\u015f\u0131m\u0131zda herkes ila\u00e7la ilgileniyor. Biz bu kadar aciz hale mi geldik? Derhal bu derginin saltanat\u0131na son verilmelidir. \u201cRe\u00e7etesiz\u201di b\u0131rak\u0131n, ila\u00e7 ve eczac\u0131l\u0131kla ilgili \u201cdernek\u00e7ilik\u201d sizin haddiniz de\u011fildir!<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">K\u0131sa s\u00fcrede takke d\u00fc\u015ft\u00fc kel g\u00f6r\u00fcnd\u00fc. \u00c7okuluslu ila\u00e7 firmalar\u0131 gerek bask\u0131yla (veri koruma, veri imtiyaz\u0131, hammadde) gerekse de\u011ferinin \u00e7ok \u00fcst\u00fcnde fiyatlar vererek teker teker bu yerli firmalar\u0131 sat\u0131n ald\u0131lar. Tatl\u0131 k\u00e2rlar\u0131 g\u00f6ren yerli firmalar m\u00fccadeleden ka\u00e7t\u0131lar. Ama bu paralar\u0131n \u00e7o\u011fu yine Sosyal G\u00fcvenlik Kurumlar\u0131ndan, yani halk\u0131m\u0131zdan \u00e7\u0131kacakt\u0131r. \u00c7\u00fcnk\u00fc bu firmalar haks\u0131z olarak ald\u0131klar\u0131 y\u00fcksek fiyatl\u0131 jenerik ila\u00e7lardaki mal fazlalar\u0131n\u0131 ve iskontolar\u0131 yava\u015f yava\u015f geri \u00e7ekiyorlar. Bu fahi\u015f k\u00e2rlarla yerli firma sahiplerine \u00f6dedikleri paralar\u0131 k\u0131sa zamanda geri alacaklard\u0131r. Eczac\u0131larda bu i\u015ften \u00e7\u0131rak \u00e7\u0131kacakt\u0131r. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Yabanc\u0131lara sat\u0131lan en son ve en dramatik \u00f6rnek T\u00fcrk ila\u00e7 sanayi i\u00e7in ekol olmu\u015f, \u00f6nde gelen firmalar\u0131ndan Eczac\u0131ba\u015f\u0131\u2019n\u0131n sat\u0131\u015f\u0131d\u0131r. Eczac\u0131ba\u015f\u0131 ila\u00e7 sanayi, Eczac\u0131ba\u015f\u0131 Sa\u011fl\u0131k \u00dcr\u00fcnleri ile Eczac\u0131ba\u015f\u0131 \u00d6zg\u00fcn Kimyadaki ortakl\u0131k paylar\u0131n\u0131n %75\u2019ini, e\u015fde\u011fer ila\u00e7 alan\u0131nda Avrupa\u2019n\u0131n \u00f6nde gelen kurulu\u015flar\u0131ndan Zentiva\u2019ya devretti. Devredilen hisse pay\u0131n\u0131n de\u011feri, iki i\u015ftirakin toplam de\u011feri 613 milyon Euro\u2019nun % 75\u2019ine kar\u015f\u0131l\u0131k gelen 460 milyon Euro\u2019dur. Genel merkezi Prag\u2019da bulunan Zentiva\u2019n\u0131n 2005 y\u0131l\u0131 cirosu 398 milyon Euro, 2006 y\u0131l\u0131 cirosu 494 milyon Euro\u2019dur. Zentiva\u2019n\u0131n en b\u00fcy\u00fck hissedar\u0131 da % 24,9\u2019la tabii ki ila\u00e7 sanayi devlerinden Sanofi-Aventis\u2019tir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">B\u00fclent Eczac\u0131ba\u015f\u0131 g\u00f6r\u00fcn\u00fc\u015fte babas\u0131 Nejat Eczac\u0131ba\u015f\u0131\u2019n\u0131n 1952\u2019de kurdu\u011fu ilk modern ulusal ila\u00e7 firmas\u0131n\u0131n \u015fimdiki sahibidir. M\u00fclkiyetindeki her \u015fey gibi onu da satabilir. Ama o Eczac\u0131ba\u015f\u0131\u2019n\u0131n o hale gelmesinde y\u0131llarca yerli ila\u00e7 sanayiini koruma ad\u0131na yabanc\u0131 ila\u00e7lar yerine sizin yerli e\u015fde\u011fer ila\u00e7lar\u0131n\u0131z\u0131 vererek yabanc\u0131 ila\u00e7 firmalar\u0131na boykot uygulayan eczac\u0131lar\u0131n, bedeli halk\u0131n vergileriyle kar\u015f\u0131lanan devletin verdi\u011fi te\u015fvik ve korumalar\u0131nda pay\u0131 b\u00fcy\u00fckt\u00fcr. Sizin satt\u0131\u011f\u0131n\u0131z \u015fey bir fabrika binas\u0131, 5-10 tane ila\u00e7 \u00fcreten makine de\u011fildir, o de\u011ferin yarat\u0131lmas\u0131nda katk\u0131s\u0131 olan binlerce eczac\u0131n\u0131n \u00fclke sevgisini, \u00fclkesini ve halk\u0131n\u0131 seven toplum kesiminin beklentilerini de satt\u0131n\u0131z. En ac\u0131 olanlardan biri de Frankfurt\u2019a birlikte u\u00e7tu\u011funuz gazetecinin sordu\u011fu \u201c\u0130la\u00e7 i\u015finizin % 60\u2019\u0131na denk gelen hisse sat\u0131\u015f\u0131 karar\u0131 ald\u0131n\u0131z. Bu gidi\u015fle Holdingin ad\u0131n\u0131 de\u011fi\u015ftirmeniz gerekebilir.\u201d s\u00f6z\u00fcn\u00fc \u015fakaya vurarak \u201chaberim yok arkada\u015flar benden habersiz yapt\u0131lar herhalde\u201d deyip profesyonel CEO\u2019nuza d\u00f6nerek \u201cErdal bir \u015feyler mi satt\u0131n\u0131z?\u201d diyecek kadar g\u00fcl\u00fc\u015fmeler i\u00e7inde i\u015fi hafife alman\u0131zd\u0131r. Bu durum biz eczac\u0131lar\u0131 derinden yaralam\u0131\u015ft\u0131r. Bu soru taraf\u0131n\u0131zdan bir espri olarak alg\u0131lanabilir, ama biz eczac\u0131lar art\u0131k ismimizin b\u00f6yle bir holdingde olmas\u0131n\u0131 istemiyoruz.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">370 milyar dolar borcu, n\u00fcfusunun %10 i\u015fsiz, bu i\u015fsizlerin b\u00fcy\u00fck \u00e7o\u011funlu\u011fu da tahsilli gen\u00e7lerken, bu \u00fclke yabanc\u0131 sermayeyi \u00e7ekebilmek i\u00e7in her t\u00fcrl\u00fc tavizi verirken, siz bu sat\u0131\u015ftan elde edece\u011finiz parayla Avrupa\u2019da seramik fabrikas\u0131 a\u00e7aca\u011f\u0131n\u0131z\u0131 s\u00f6yl\u00fcyorsunuz. Allah yolunuzu a\u00e7\u0131k etsin\u2026<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Daha \u00f6nce de Levent\u2019teki eski ila\u00e7 fabrikas\u0131 binas\u0131n\u0131 y\u0131k\u0131p b\u00fcy\u00fck bir al\u0131\u015fveri\u015f merkezi yapman\u0131z, ama daha \u00f6nemlisi s\u00f6z\u00fcmona y\u0131llarca yerli ila\u00e7 \u00fcretiminin bayraktarl\u0131\u011f\u0131n\u0131 yapm\u0131\u015f ve babadan o\u011fula \u0130la\u00e7 End\u00fcstrisi \u0130\u015fverenler Sendikas\u0131 (\u0130E\u0130S) ba\u015fkanl\u0131\u011f\u0131 yapm\u0131\u015f birisi olarak bu al\u0131\u015fveri\u015f merkezini de yerli firmalar\u0131 d\u0131\u015flay\u0131p yabanc\u0131 firmalar\u0131n cenneti haline getirmeniz bu i\u015flere nas\u0131l bakt\u0131\u011f\u0131n\u0131z\u0131n ipu\u00e7lar\u0131n\u0131 vermekteydi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">S\u00f6z\u00fcn \u00f6z\u00fc y\u0131llard\u0131r savundu\u011fumuz jenerik ila\u00e7lar da art\u0131k el de\u011fi\u015ftirmekte ve yabanc\u0131 tekellerin eline ge\u00e7mektedir. \u015eimdi biz eczac\u0131lar\u0131n i\u015fleri daha da zordur. Jenerik ila\u00e7lar\u0131n iskonto ve mal fazlas\u0131 yabanc\u0131 tekellerin iki duda\u011f\u0131 aras\u0131ndad\u0131r. Bunlar\u0131n niyetleri ila\u00e7lar\u0131 re\u00e7etesiz hale getirip yeni yasalar deste\u011fiyle reklam ve fiyat serbestli\u011fiyle verimli bir pazar olarak g\u00f6rd\u00fckleri \u00fclkemizde tabii ki yerli i\u015fbirlik\u00e7ileriyle zincir marketler yoluyla satarak paralar\u0131na para katmakt\u0131r.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bundan 10-15 y\u0131l \u00f6ncesine kadar ila\u00e7 \u00fcreten say\u0131l\u0131 \u00fclkelerden birisi T\u00fcrkiye idi. Ger\u00e7i ila\u00e7 hammaddelerinin tamam\u0131na yak\u0131n\u0131 ithal edilmekteydi ama&#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-2859","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\/2859","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=2859"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2859\/revisions"}],"predecessor-version":[{"id":4014,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2859\/revisions\/4014"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2859"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}