{"id":2867,"date":"2006-09-12T17:48:39","date_gmt":"2006-09-12T14:48:39","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2867"},"modified":"2014-05-21T01:39:27","modified_gmt":"2014-05-20T22:39:27","slug":"6197-sayili-yasa-tasarisi","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2867","title":{"rendered":"6197 say\u0131l\u0131 yasa tasar\u0131s\u0131"},"content":{"rendered":"

6197 SAYILI YASA TASARISI <\/span><\/p>\n

\u00dcZER\u0130NDEN ME\u015eRU\u0130YET \u00c7ABALARI<\/span><\/p>\n

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

Yar\u0131m y\u00fczy\u0131ll\u0131k bir yasay\u0131 nihayet tart\u0131\u015fma g\u00fcndemine ta\u015f\u0131yabildik. \u00c7a\u011fda\u015f ve demokratik bir \u00fclke olmakla ne \u00e7ok \u00f6v\u00fcnsek yeridir. 18.12.1953 tarihinde kabul edilen 6197 say\u0131l\u0131 Eczac\u0131lar ve Eczaneler Hakk\u0131ndaki Yasa\u2019dan s\u00f6z ediyoruz.<\/span><\/p>\n

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

\u00a0<\/p>\n

1950\u2019li y\u0131llardan bug\u00fcne eczac\u0131lar ve eczaneler bu yasa ile y\u00f6netildi. Diliyle mant\u0131\u011f\u0131yla eczac\u0131l\u0131k mesle\u011fini planlamadaki yetersizlikleri ve cezai yapt\u0131r\u0131mlar\u0131 ile g\u00fcn\u00fcm\u00fcz eczac\u0131l\u0131\u011f\u0131n\u0131n sorunlar\u0131na \u00e7\u00f6z\u00fcm \u00fcretmekten uzak deyim yerindeyse \u00e7a\u011f\u0131n gerisinde kalm\u0131\u015f bir yasa.<\/span><\/p>\n

Oysa ki; bu \u00fclkede yar\u0131m y\u00fczy\u0131ll\u0131k zaman diliminin i\u00e7ine neler s\u0131\u011fd\u0131r\u0131lmad\u0131 ki!<\/span><\/p>\n

Egemen \u00e7evrelerin i\u015fine gelen pek \u00e7ok yasa de\u011fi\u015fiklikleri yap\u0131ld\u0131. Yasalar hatta anayasalar de\u011fi\u015ftirilirdi. Toplumsal ve siyasal ya\u015fam\u0131 alt \u00fcst eden pek \u00e7ok de\u011fi\u015fiklik ger\u00e7ekle\u015ftirildi. Toplumsal bir ihtiya\u00e7 olmas\u0131na kar\u015f\u0131n kimi yasalara ya da d\u00fczenlemelere ise hi\u00e7 dokunulmad\u0131. 6197 say\u0131l\u0131 Eczac\u0131lar ve Eczaneler Hakk\u0131ndaki yasada bunlardan biridir. Eczac\u0131 Odalar\u0131n\u0131n \u00f6zellikle de \u00e7a\u011fda\u015f eczac\u0131lar\u0131n g\u00fcndeme ta\u015f\u0131d\u0131\u011f\u0131 yasa ile ilgili de\u011fi\u015fiklik talepleri ise ya g\u00f6z ard\u0131 edildi ya da g\u00f6rmezden gelindi. Eczac\u0131l\u0131k meslek alan\u0131nda oldu\u011fu gibi ila\u00e7 ve sa\u011fl\u0131k alan\u0131nda da (224 say\u0131l\u0131 sa\u011fl\u0131k hizmetlerinin sosyalle\u015ftirilmesi yasas\u0131 d\u0131\u015f\u0131nda) elle tutulur do\u011fru ve sa\u011fl\u0131kl\u0131 bir politika da \u00fcretilemedi. D\u0131\u015far\u0131dan empoze politikalar bu s\u00fcre\u00e7te hep etkili oldu. Ge\u00e7mi\u015f t\u00fcm siyasi iktidarlar\u0131n bu politikas\u0131z d\u00f6nemle ilgili ortak sorumluluklar\u0131 var. \u00a0<\/span>Peki bug\u00fcn ne durumday\u0131z. <\/span><\/p>\n

Durum bug\u00fcn de \u00e7ok farkl\u0131 de\u011fil. IMF ve d\u00fcnya bankas\u0131 patentli politikalar ila\u00e7 eczac\u0131l\u0131k ve sa\u011fl\u0131k alan\u0131nda belirleyici olma i\u015flevini koruyor. AKP iktidar\u0131n\u0131n da bu alana ili\u015fkin belirlenmi\u015f bir politikas\u0131 yok. <\/span><\/p>\n

Ge\u00e7en yar\u0131m y\u00fczy\u0131ll\u0131k zaman s\u00fcrecinde ne eczac\u0131l\u0131k e\u011fitimi nede eczac\u0131l\u0131k meslek alan\u0131 planlanabildi. Sa\u011fl\u0131kl\u0131 bir planlama bir istihdam politikas\u0131 da olmad\u0131. Eczane sekt\u00f6r\u00fcnde istihdam daha \u00e7ok serbest eczane alan\u0131 ile s\u0131n\u0131rl\u0131 kald\u0131. \u0130zlenen bu politikalar sonucunda her sokak i\u00e7inde her ana artel \u00fczerinde her cadde de her sa\u011fl\u0131k \u00fcnitesinin kar\u015f\u0131s\u0131nda yan yana, dip dibe plans\u0131zca eczaneler a\u00e7\u0131ld\u0131. Plans\u0131z kentler benzeri, plans\u0131z eczaneler g\u00f6r\u00fcnt\u00fcs\u00fc ortaya \u00e7\u0131kt\u0131. Serbest piyasa ko\u015fullar\u0131 bu s\u00fcreci iyece tetikledi. Yasan\u0131n bo\u015fluklar\u0131ndan yararlanarak meslek alan\u0131m\u0131z\u0131 bir de muvazaal\u0131 eczaneler i\u015fgal etti. Bu eczanelerin a\u00e7\u0131lmas\u0131 siyasi iktidarlar taraf\u0131ndan istismar edildi. Ve sonu\u00e7ta piyasan\u0131n \u201cerdemli\u201d ellerine terk edilerek \u00fcretkenli\u011fi ve sayg\u0131nl\u0131\u011f\u0131 olan mesle\u011fin i\u00e7i bo\u015falt\u0131ld\u0131. Meslek eti\u011fi \u00f6nemli \u00f6l\u00e7\u00fcde deforme edildi, t\u00fcm deontolojik kurallar\u0131 t\u00fcketildi. Eczac\u0131lar kendine ve topluma yabanc\u0131la\u015ft\u0131r\u0131ld\u0131.<\/span><\/p>\n

Serbest eczaneler kamu sa\u011fl\u0131k hizmeti \u00fcreten kurumlar olarak de\u011fil, rant sa\u011flayan birer ticari i\u015fletme olarak alg\u0131land\u0131. Sermaye \u00e7evrelerinin, sa\u011fl\u0131k bezirganlar\u0131n\u0131n g\u00f6z\u00fcn\u00fc dikti\u011fi bir ticaret alan\u0131na d\u00f6n\u00fc\u015ft\u00fcr\u00fcld\u00fc. Bu ko\u015fullar\u0131n olu\u015fmas\u0131nda serbest piyasa ko\u015fullar\u0131na uyum yar\u0131\u015f\u0131 i\u00e7inde olan kimi meslekta\u015flar\u0131m\u0131z\u0131n pay\u0131n\u0131 da g\u00f6zard\u0131 edemeyiz.<\/span><\/p>\n

Bug\u00fcn gelinen noktada:<\/span><\/p>\n

\u0130la\u00e7 da\u011f\u0131t\u0131m tekellerinden birinin kontrol\u00fcnde y\u00fcr\u00fcyen fiili zincirlerden, tek ya da \u00e7ok ortakl\u0131 muvazaal\u0131 eczanelere, cemaat eczanelerine kadar uzanan yo\u011fun bir yasad\u0131\u015f\u0131 eczaneler zincirinin olu\u015ftu\u011funu g\u00f6r\u00fcyoruz. Son d\u00f6nemde serbest eczane pazar\u0131n\u0131n taliplileri bir hayli artm\u0131\u015f durumdad\u0131r. Boyner, For You ve benzeri marketler zincirlerinin de bu pazara talip olmas\u0131yla halkan\u0131n iyiden iyiye geni\u015fleyece\u011fi g\u00f6r\u00fcn\u00fcyor. <\/span><\/p>\n

Gecikmelide olsa g\u00fcndeme gelen yasa tasar\u0131s\u0131 eczac\u0131lardan \u00e7ok bu \u00e7evrelerin ilgi alan\u0131 i\u00e7inde. Her bir grup kendi bulundu\u011fu konumdan hareketle me\u015frula\u015fma \u00e7abalar\u0131 i\u00e7indeler ve yasa tasar\u0131lar\u0131n\u0131 bu noktadan zorluyorlar. <\/span><\/p>\n

\u00a0<\/span>B\u0131\u00e7ak s\u0131rt\u0131nda bir s\u00fcreci ya\u015f\u0131yoruz<\/span><\/span><\/span><\/strong><\/p>\n

AKP iktidar\u0131 eliyle \u00e7\u0131kart\u0131lan Genel Sa\u011fl\u0131k Sigortas\u0131 yasas\u0131 ile sa\u011fl\u0131k alan\u0131n\u0131n sosyal bir hizmet alan\u0131 olmaktan \u00e7\u0131kart\u0131l\u0131p \u00f6zelle\u015ftirilmesi, serbest eczane pazar\u0131na yat\u0131r\u0131m yapmak isteyen \u00e7evreleri cesaretlendirdi\u011fi g\u00f6r\u00fcl\u00fcyor. Ayr\u0131ca bu \u00e7evrelerin siyasi iktidar \u00fczerinde etkili olmak ad\u0131na yo\u011fun bir lobi faaliyeti i\u00e7inde olduklar\u0131 da biliniyor. Yasan\u0131n tart\u0131\u015fma g\u00fcndemine geldi\u011fi bir y\u0131l i\u00e7inde onlarca yasa tasar\u0131n\u0131n g\u00fcndeme getirilip, geri \u00e7ekilmesi bu bask\u0131lar\u0131n sonucu de\u011filse nedir?<\/span><\/p>\n

\u0130ktidarla paralellik g\u00f6steren baz\u0131 meslek i\u00e7i gruplar\u0131n izledikleri politikalarda olduk\u00e7a dikkat \u00e7ekicidir. Bu gruplar iktidar \u00fczerindeki n\u00fcfuzlar\u0131n\u0131 kullanarak eczac\u0131 eczac\u0131 ortakl\u0131\u011f\u0131n\u0131 g\u00fcndeme ta\u015f\u0131maya \u00e7al\u0131\u015f\u0131yorlar. Eczac\u0131 eczac\u0131 ortakl\u0131\u011f\u0131 ad\u0131 alt\u0131nda asl\u0131nda kendi grup ya da cemaat eczanelerini me\u015frula\u015ft\u0131rma \u00e7abas\u0131 i\u00e7indeler ve bu tutumlar\u0131 ile hem iktidar\u0131n hem de serbest eczane pazar\u0131n\u0131n da etkinlik kurmak isteyen sermaye \u00e7evrelerinin elini g\u00fc\u00e7lendirdiklerinin bilmem ne kadar fark\u0131ndalar. Kurulun paravan \u00f6rg\u00fctler arac\u0131l\u0131\u011f\u0131yla s\u00fcrd\u00fcr\u00fclen bu ili\u015fkilerin iktidar cenah\u0131nda da itibar g\u00f6rmesi kendilerini me\u015frula\u015ft\u0131rmas\u0131 yeter mi bilinmez ama eczac\u0131lar\u0131n taleplerinin ger\u00e7ekle\u015fmesine d\u00f6n\u00fck \u00e7abalar\u0131 sekteye u\u011frataca\u011f\u0131 a\u00e7\u0131k. <\/span><\/p>\n

Siyasi iktidar\u0131n beklentisi de mesleki platformda b\u00f6yle bir da\u011f\u0131n\u0131kl\u0131k ve \u00e7ok ba\u015fl\u0131l\u0131k hali de\u011fil mi?<\/span><\/p>\n

AKP iktidar\u0131 ila\u00e7 eczac\u0131l\u0131k ve sa\u011fl\u0131k alan\u0131na d\u00f6n\u00fck bir politika \u00fcretemiyor. Politika \u00fcreten sivil toplum \u00f6rg\u00fctleriyle ise bar\u0131\u015f\u0131k de\u011fil. Sivil toplum \u00f6rg\u00fctlerinin emekten yana, sosyal i\u00e7erikli sa\u011fl\u0131k politikalar\u0131 AKP iktidar\u0131n\u0131 \u00fcrk\u00fct\u00fcyor. Buradan hareketle sivil toplum \u00f6rg\u00fctlerini etkisizle\u015ftirme \u00e7abalar\u0131na tan\u0131k oluyoruz. TTB ve kimi eczac\u0131 odalar\u0131 ile ya\u015fanan gerginlikler bu nedenle g\u00fcndeme geliyor.<\/span><\/p>\n

Sivil toplum \u00f6rg\u00fctlerini etkisizle\u015ftirme \u00e7abalar\u0131na, 6197 say\u0131l\u0131 yasa tasar\u0131lar\u0131n\u0131n tart\u0131\u015fma s\u00fcrecinde de tan\u0131k oluyoruz. Eczac\u0131 odalar\u0131n\u0131n meslek alan\u0131yla ilgili karar alma s\u00fcre\u00e7lerine kat\u0131lma taleplerinin yok say\u0131lmas\u0131, eczanelerin a\u00e7\u0131lmas\u0131 s\u00fcrecinde eczac\u0131 odalar\u0131n\u0131n bypass edilmesine d\u00f6n\u00fck \u00e7abalar, g\u00fcndeme getirilen tasar\u0131 ile ilgili baz\u0131 \u00f6neriler, etkisizle\u015ftirme politikalar\u0131n\u0131n ya\u015fama ge\u00e7irilmesinden ba\u015fka bir \u015fey de\u011fildir. <\/span><\/p>\n

Serbest eczane pazar\u0131nda yer almak isteyen \u00e7evrelerin genel beklentisi sahipli\u011fini bir \u015firket ya da sermaye sahibi birilerinin \u00fcstlendi\u011fi bir eczane modelidir. Diyarbak\u0131r milletvekili Aziz Akg\u00fcl\u2019\u00fcn ba\u015f\u0131na ta\u015f d\u00fc\u015fmedi\u011fine g\u00f6re bu \u00e7evrelerin taleplerini i\u00e7eren bir tasar\u0131y\u0131 g\u00fcndeme getirmesi tesad\u00fcfi de\u011fil. \u0130lgili t\u00fcm \u00e7evrelerin beklentilerine kar\u015f\u0131l\u0131k geliyor. <\/span><\/p>\n

Sermaye eczaneleri modelinin ger\u00e7ekle\u015fmemesi halinde ise eczac\u0131 odalar\u0131n\u0131n bypass edilece\u011fi bir modeli dayatacaklard\u0131r. Meslek odalar\u0131n\u0131 demokrasinin i\u015fleyen kurallar\u0131 i\u00e7erisinde kontrol alt\u0131na alamayan AKP iktidar\u0131n\u0131n da meslek \u00f6rg\u00fctlerini etkisizle\u015ftirmeye d\u00f6n\u00fck bir politikas\u0131 oldu\u011fu biliniyor. Eczac\u0131 odalar\u0131n\u0131n bypass edilmesinde gerek siyasi iktidar gerekse ilgili \u00e7evrelerin ayn\u0131 payda da bulu\u015fmas\u0131 eczac\u0131 \u00f6rg\u00fctleri taraf\u0131ndan ciddiyetle de\u011ferlendirilmelidir. <\/span><\/p>\n

6197 say\u0131l\u0131 yasa tasar\u0131s\u0131n\u0131n tart\u0131\u015f\u0131ld\u0131\u011f\u0131 bir s\u00fcre\u00e7te apar topar \u00e7\u0131kart\u0131lan bir y\u00f6netmelik dikkatlerden ka\u00e7t\u0131. \u201csa\u011fl\u0131k tesislerinin kiralanma kar\u015f\u0131l\u0131\u011f\u0131 yapt\u0131r\u0131lmas\u0131 ile tesislerden t\u0131bbi hizmet alanlar d\u0131\u015f\u0131ndaki hizmet ve alanlar\u0131n i\u015fletilmesi kar\u015f\u0131l\u0131\u011f\u0131nda yenilenmesine dair y\u00f6netmeli\u011fin\u201d sessiz sedas\u0131z kabul\u00fc ve y\u00f6netmelik marifeti ile eczanelerin banka \u015fubesi, otopark, otel, restoran, kafeterya stat\u00fcs\u00fcnde g\u00f6r\u00fclerek t\u0131bb\u0131 hizmetler d\u0131\u015f\u0131ndaki alanlar i\u00e7ine dahil edilmesi iktidar\u0131n hi\u00e7 de iyi niyetli olmad\u0131\u011f\u0131n\u0131 g\u00f6steren kayg\u0131 verici bir geli\u015fmedir. <\/span><\/p>\n

\u00a0<\/span>Bu s\u00fcre\u00e7te ne yap\u0131lmal\u0131, nas\u0131l bir yol izlenmelidir.<\/span><\/span><\/span><\/strong><\/p>\n

.<\/span><\/p>\n

\u00c7a\u011fda\u015f, idealist, yurtsever ya da ulusalc\u0131 ayr\u0131m\u0131 yapmadan, t\u00fcm eczac\u0131lar\u0131 ba\u011flayacak olan bir yasa tasar\u0131s\u0131 g\u00fcndemdedir. Serbest eczane pazar\u0131nda s\u00f6z sahibi olmak isteyen t\u00fcm \u00e7evrelerin g\u00f6z\u00fc ve kula\u011f\u0131 bu yasa de\u011fi\u015fikli\u011fi \u00fczerindedir.<\/span><\/p>\n

\u00a0<\/span>B\u00f6ylesine zorlu bir s\u00fcre\u00e7te, eczac\u0131lar i\u00e7in olmazsa olmaz ko\u015fullar\u0131n belirlenmesi ve bu ko\u015fullar etraf\u0131nda genel bir mutabakat\u0131n olu\u015fturularak t\u00fcm eczac\u0131lar\u0131n ortak iradesinin ortaya \u00e7\u0131kar\u0131lmas\u0131 da ba\u015far\u0131n\u0131n olmazsa olmaz ko\u015fullar\u0131ndan biridir. B\u00f6ylesi bir politika ancak, meslek alan\u0131m\u0131zda hesaplar\u0131 olan t\u00fcm \u00e7evrelere kar\u015f\u0131 eczac\u0131lar\u0131n\u0131n elini g\u00fc\u00e7lendirip, hareket alan\u0131n\u0131 geni\u015fletebilir. <\/span><\/span><\/span><\/p>\n

\u0130kinci \u00f6nemli ad\u0131m yasa \u00fczerinde d\u00f6nen hesaplar\u0131n kamuoyu ile payla\u015f\u0131lmas\u0131 ve kamuoyunun duyarl\u0131 hale getirilmesidir. Sorun Sa\u011fl\u0131k Bakan\u0131n\u0131n ki\u015fisel niyeti ile ya da iyi niyeti ile a\u00e7\u0131klanamayacak \u00f6l\u00e7ekte \u00e7ok boyutlu bir sorundur. Eczac\u0131lar, eczac\u0131 \u00f6rg\u00fctleri olarak \u00f6nce kendi birle\u015fik ve \u00f6rg\u00fctl\u00fc g\u00fcc\u00fcm\u00fcze g\u00fcvenmeliyiz. <\/span><\/p>\n

Eczac\u0131 odalar\u0131na, eczac\u0131 \u00f6rg\u00fct y\u00f6neticilerine bu kritik s\u00fcre\u00e7te d\u00fc\u015fen g\u00f6rev ki\u015filere umut ba\u011flamak yerine eczac\u0131lar\u0131n \u00f6rg\u00fctl\u00fc birle\u015fik g\u00fcc\u00fcne inanmak ve ortak ama\u00e7lar etraf\u0131nda birle\u015ferek bu \u00f6rg\u00fctl\u00fc g\u00fcc\u00fc t\u00fcm demokratik m\u00fccadele ara\u00e7lar\u0131n\u0131 kullanarak do\u011fru bir zamanda ve do\u011fru zeminde hareket ge\u00e7irmektir. <\/span><\/p>\n

47 eczac\u0131 odas\u0131n\u0131n geni\u015fletilmi\u015f ba\u015fkanlar kurulunda ald\u0131\u011f\u0131 kararlar \u00f6nemli bir ad\u0131md\u0131r. Bu ad\u0131mlar daha da g\u00fc\u00e7lendirilmelidir.<\/span><\/p>\n

Unutmayal\u0131m ki de\u011fi\u015ftirilmek istenen eczac\u0131n\u0131n gelece\u011fidir. Bu \u00a0<\/span>gelece\u011fe hep birlikte sahip \u00e7\u0131kal\u0131m<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

6197 SAYILI YASA TASARISI \u00dcZER\u0130NDEN ME\u015eRU\u0130YET \u00c7ABALARI \u00a0 Yar\u0131m y\u00fczy\u0131ll\u0131k bir yasay\u0131 nihayet tart\u0131\u015fma g\u00fcndemine ta\u015f\u0131yabildik. \u00c7a\u011fda\u015f ve demokratik bir...<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[51],"tags":[],"class_list":["post-2867","post","type-post","status-publish","format-standard","hentry","category-ecz-rafet-sahin"],"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\/2867","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\/17"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2867"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2867\/revisions"}],"predecessor-version":[{"id":4038,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2867\/revisions\/4038"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2867"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}