{"id":2862,"date":"2008-04-11T11:27:20","date_gmt":"2008-04-11T08:27:20","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2862"},"modified":"2014-05-21T01:40:12","modified_gmt":"2014-05-20T22:40:12","slug":"6197yi-bekleyenler-artik-sadece-eczacilar-degil","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2862","title":{"rendered":"6197’Y\u0130 BEKLEYENLER ARTIK SADECE ECZACILAR DE\u011e\u0130L"},"content":{"rendered":"

6197\u2019Y\u0130 BEKLEYENLER ARTIK SADECE ECZACILAR DE\u011e\u0130L <\/span><\/span><\/span><\/strong>\u00a0<\/span><\/strong><\/p>\n

6197 say\u0131l\u0131 yasa bilindi\u011fi gibi eczanelerin nas\u0131l a\u00e7\u0131laca\u011f\u0131, nas\u0131l i\u015fletilece\u011fi ile ilgili bir yasad\u0131r. Y\u0131llardan beri eczac\u0131 \u00f6rg\u00fctleri bu yasan\u0131n g\u00fcn\u00fcn \u015fartlar\u0131na uyarlan\u0131p daha iyi bir eczane eczac\u0131l\u0131\u011f\u0131 ve daha kaliteli bir sa\u011fl\u0131k hizmeti vermek i\u00e7in bu yasa ile ilgili olarak b\u00fcy\u00fck emek harcam\u0131\u015flard\u0131r. TEB b\u00fcnyesinde k\u0131l\u0131 k\u0131rk yaran komisyonlar olu\u015fturdular, ilgili uzman g\u00f6r\u00fc\u015fleri al\u0131narak bir\u00e7ok yasa tasla\u011f\u0131 haz\u0131rlad\u0131lar. Millet Meclisinde, Bakanl\u0131klarda, siyasi parti yetkilileriyle g\u00f6r\u00fc\u015ft\u00fcler. Ancak y\u0131llard\u0131r istenen b\u00f6yle bir yasa \u00e7\u0131karmak m\u00fcmk\u00fcn olmad\u0131. Bu yasa de\u011fi\u015fikli\u011fi \u00f6nerilerinde, genelde istenen eczanelerin say\u0131 ve mesafelerinin uygun hale getirilmesi. Eczac\u0131n\u0131n ge\u00e7im s\u0131k\u0131nt\u0131s\u0131n\u0131 giderme ve \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131 uygun hale getirme iste\u011fi idi.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Baz\u0131 sermaye kesimleri de bu s\u00fcre\u00e7te; d\u00fcnyadaki baz\u0131 \u00fclkelerde \u00f6rnekleri olan ila\u00e7ta marketing uygulamalar\u0131n\u0131 istiyordu. Eczanelerin sahiplerinin eczac\u0131 olmas\u0131na gerek olmad\u0131\u011f\u0131 ve mesul m\u00fcd\u00fcr marifeti ile birden fazla zincir eczane a\u00e7maya olanak sa\u011flayan d\u00fczenlemenin beklentisi i\u00e7indeydiler. Bunlar eczane say\u0131s\u0131n\u0131 \u00e7ok buluyorlar ve 8.000 civar\u0131 eczanenin yeterli olaca\u011f\u0131n\u0131 s\u00f6yl\u00fcyorlard\u0131. Bir iki giri\u015fimde bulunmalar\u0131na ra\u011fmen eczac\u0131lardan gelen bask\u0131lar ile bu isteklerine \u015fimdiye kadar ula\u015famad\u0131lar. Ama bunun yerine gerek sanayi, gerek da\u011f\u0131t\u0131m kanallar\u0131 ve gerekse h\u00fck\u00fcmet yapt\u0131\u011f\u0131 uygulamalarla yasa \u00e7\u0131karmas\u0131na gerek kalmadan eczane say\u0131s\u0131n\u0131 d\u00fc\u015f\u00fcrecek gibi g\u00f6r\u00fcn\u00fcyor. Bu geli\u015fmelere bir g\u00f6z atarsak:<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Piyasala\u015ft\u0131r\u0131lan sa\u011fl\u0131k sekt\u00f6r\u00fc iyice bozularak devletin y\u00fczde doksan\u0131n\u0131 sat\u0131n ald\u0131\u011f\u0131 ila\u00e7lar\u0131n re\u00e7eteleri hastane, sa\u011fl\u0131k oca\u011f\u0131 ve \u00f6zel hastane civar\u0131nda yo\u011funla\u015fmaya ve ila\u00e7 firmalar\u0131 temsilcileri eczane ve hastanelerin etik d\u0131\u015f\u0131 ili\u015fkileri sonucu re\u00e7eteler b\u00fcy\u00fck \u00f6l\u00e7\u00fcde buralarda tutulmakta, semt eczanelerine gidi\u015fi azalmaktad\u0131r. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

SGK\u2019n\u0131n haks\u0131z kesintileri ve pahal\u0131 ithal ila\u00e7lar\u0131n k\u00e2r marj\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131 bu ila\u00e7lardan k\u00e2r edilememesi, buna kar\u015f\u0131n vergide matrah art\u0131rmas\u0131na sebep olmas\u0131. <\/span><\/p>\n

Devletin eczane \u00f6demeleri geciktirdi\u011fi gibi eczac\u0131n\u0131n esas kazanc\u0131n\u0131 te\u015fkil eden kat\u0131l\u0131m paylar\u0131n\u0131 aylarca \u00f6dememesi.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u0130la\u00e7 firmalar\u0131n\u0131n sat\u0131\u015f politikalar\u0131n\u0131 b\u00fcy\u00fck hacimli eczanelerden yana kullan\u0131p mal fazlas\u0131, iskonto ve vadede b\u00fcy\u00fck olanaklar sa\u011flarken, d\u00fc\u015f\u00fck al\u0131m yapan eczaneler bu olanaklardan yararlanamamaktad\u0131rlar. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Mamalar ve \u0131triyattan sonra dermokozmetik \u00fcr\u00fcnler ve besin takviyesi vitaminlerin eczane d\u0131\u015f\u0131na kayd\u0131r\u0131lmas\u0131 i\u00e7in baz\u0131 sermaye guruplar\u0131 yo\u011fun \u00e7aba i\u00e7indedirler. <\/span><\/p>\n

T\u00fcrkiye\u2019de \u00fcretilen jenerik ila\u00e7lara, fiyat kararnamesiyle de\u011ferinin \u00fczerinde fiyatlar verilip daha sonra bask\u0131lanan d\u00f6viz fiyatlar\u0131 yan\u0131nda ila\u00e7 fiyatlar\u0131 d\u00fc\u015f\u00fcr\u00fclerek eczanelerden bedelsiz kamula\u015ft\u0131rma yapt\u0131r\u0131lmas\u0131. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u0130la\u00e7lar\u0131 re\u00e7eteli-re\u00e7etesiz olarak ay\u0131r\u0131p, re\u00e7etesiz yap\u0131lan jenerik ila\u00e7lar\u0131na fiyat ve reklam serbestisi sa\u011flanmas\u0131, b\u00fcy\u00fck sermaye gruplar\u0131n\u0131n da bunu eczane d\u0131\u015f\u0131na \u00e7\u0131karma \u00e7al\u0131\u015fmalar\u0131. <\/span><\/p>\n

Eczaneler \u00fczerindeki her t\u00fcrl\u00fc denetimin eczac\u0131lar\u0131 bezdirecek duruma getirmesi.<\/span><\/p>\n

Eczane alacaklar\u0131n\u0131n ve kat\u0131l\u0131m paylar\u0131n\u0131n takip edilememesi ve eczac\u0131n\u0131n takipten vazge\u00e7irilmesi noktas\u0131na getirilmesi.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Eczac\u0131lara e-s\u00f6zle\u015fme \u00f6nerilerek onlar\u0131 \u00f6rg\u00fcts\u00fcz ve g\u00fcvencesiz hale getirilme \u00e7al\u0131\u015fmalar\u0131 yap\u0131lmas\u0131.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Eczanelerin b\u00fcy\u00fck bir k\u0131sm\u0131n\u0131n \u00f6deme dengeleri bozuldu\u011fundan banka kredisi kullanmas\u0131, k\u00e2rl\u0131l\u0131k d\u00fc\u015ferken masraflara bir de banka faizi eklenmesi. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Ge\u00e7ti\u011fimiz d\u00f6nemde, ba\u015fta TEB olmak \u00fczere baz\u0131 meslek odalar\u0131m\u0131z\u0131n s\u00fcrece etkin m\u00fcdahalelerde bulunmamas\u0131. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Eczanelerin b\u00fcy\u00fck \u00e7o\u011funlu\u011funun, olu\u015fan bu olumsuz ko\u015fullarda eczanelerin sa\u011fl\u0131kl\u0131 bir \u015fekilde \u00e7al\u0131\u015fma ve ya\u015fam\u0131n\u0131 devam ettirmesinin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 a\u00e7\u0131kt\u0131r. Bir\u00e7ok eczane bu \u015fartlara dayanamay\u0131p eczanelerini kapatmakta, bir k\u0131sm\u0131 da gizli iflas i\u00e7inde ya\u015famlar\u0131n\u0131 s\u00fcrd\u00fcrmeye \u00e7al\u0131\u015fmaktad\u0131rlar. Art\u0131k eczac\u0131lar\u0131n 6197 say\u0131l\u0131 yasa beklentilerinin \u00fcst\u00fcnde acil ya\u015fam sorunlar\u0131 vard\u0131r.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Meclis g\u00fcndeminde bekleyen 6197 say\u0131l\u0131 yasay\u0131 art\u0131k eczac\u0131lardan \u00e7ok daha fazla, y\u0131llardan beri bu piyasada g\u00f6z\u00fc olan, haz\u0131rl\u0131klar\u0131n\u0131 buna g\u00f6re yapan h\u00fck\u00fcmete yak\u0131n sermaye gruplar\u0131 \u00fcmitle beklemektedirler. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Eczac\u0131lar ve eczac\u0131 \u00f6rg\u00fctlerinin meclisteki bu s\u00fcreci takipte \u00e7ok dikkatli olmalar\u0131 gerekmektedir. \u0130ste\u011fimiz d\u0131\u015f\u0131nda bir sonu\u00e7 ihtimali varsa, yasa meclisten geri \u00e7ekilmelidir.<\/span><\/p>\n

Eczaneleri bug\u00fcn ya\u015fad\u0131klar\u0131 s\u0131k\u0131nt\u0131lar\u0131 gidermek i\u00e7in, kamu re\u00e7etelerinin eczanelerin konumlar\u0131na g\u00f6re adaletli bir da\u011f\u0131t\u0131m mutlaka hayata ge\u00e7irilmesi gerekmektedir. Bu uygulama etik d\u0131\u015f\u0131 bir\u00e7ok sorunu da ortadan kald\u0131racakt\u0131r. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

6197\u2019Y\u0130 BEKLEYENLER ARTIK SADECE ECZACILAR DE\u011e\u0130L \u00a0 6197 say\u0131l\u0131 yasa bilindi\u011fi gibi eczanelerin nas\u0131l a\u00e7\u0131laca\u011f\u0131, nas\u0131l i\u015fletilece\u011fi ile ilgili bir...<\/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-2862","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\/2862","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=2862"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2862\/revisions"}],"predecessor-version":[{"id":3990,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2862\/revisions\/3990"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2862"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2862"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}