{"id":2883,"date":"2007-11-19T15:03:48","date_gmt":"2007-11-19T13:03:48","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2883"},"modified":"2014-05-21T01:37:39","modified_gmt":"2014-05-20T22:37:39","slug":"neoliberal-politikalarin-ilac-ve-eczacilik-alanina-etkisi-1","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2883","title":{"rendered":"NEOL\u0130BERAL POL\u0130T\u0130KALARIN \u0130LA\u00c7 VE ECZACILIK ALANINA ETK\u0130S\u0130 &#8211; 1"},"content":{"rendered":"<p><span style=\"color: #000000;\"><span style=\"font-size: 12pt; font-family: 'Times New Roman'\"><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberal politikalar ve sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm\u00fcn toplum sa\u011fl\u0131\u011f\u0131na etkilerini tart\u0131\u015f\u0131yoruz ve \u201csa\u011fl\u0131\u011f\u0131m\u0131z nereye gidiyor\u201d sorusuna yan\u0131t ar\u0131yoruz. Bu sorunun yan\u0131t\u0131n\u0131 bulabilmek i\u00e7in \u00f6nce d\u00fcnyan\u0131n ve T\u00fcrkiye\u2019nin nereye do\u011fru evrildi\u011fini tespit etmek gerekiyor.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">K\u00fcreselle\u015fen d\u00fcnya nereye gidiyorsa, T\u00fcrkiye nereye gidiyorsa sa\u011fl\u0131\u011f\u0131m\u0131z\u0131n gidece\u011fi yer de oras\u0131d\u0131r.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberalizm 1970\u2019li y\u0131llarda kapitalist sistem i\u00e7erisindeki krize \u00e7\u00f6z\u00fcm amac\u0131yla \u00fcretilen yeni bir d\u00fc\u015f\u00fcnce ak\u0131m\u0131n\u0131, yeni bir ideolojik hatt\u0131 ifade ediyor.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Kapitalist sistem 20. y\u00fczy\u0131lda iki \u00f6nemli bunal\u0131m ve arkas\u0131ndan da kriz s\u00fcre\u00e7leri ya\u015fad\u0131. D\u00f6nemsel krizlerinden biri olan 1914-1945 d\u00f6nemindeki ilk krizi ancak etkin bir devlet m\u00fcdahalesiyle a\u015f\u0131labildi. Devletin ekonomide etkin oldu\u011fu, korumac\u0131 ve m\u00fcdahaleci bir ekonomi politika 1980\u2019li y\u0131llara kadar sistem i\u00e7erisinde etkinli\u011fini s\u00fcrd\u00fcrd\u00fc. \u0130kinci D\u00fcnya Sava\u015f\u0131\u2019ndan sonra sisteme t\u00fcm\u00fcyle egemen olan bu m\u00fcdahaleci devlet anlay\u0131\u015f\u0131 kuramc\u0131s\u0131 \u00fcnl\u00fc iktisat\u00e7\u0131 Keynes\u2019in imzas\u0131n\u0131 ta\u015f\u0131d\u0131\u011f\u0131 i\u00e7in keynezyen iktisat politikalar\u0131 olarak an\u0131ld\u0131.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">1970-80 d\u00f6neminde sistem yeni bir krizin e\u015fi\u011fine geldi. Ancak bu kez keynezyen iktisat politikalar\u0131 sistemin krizini \u00e7\u00f6zmeye yetmedi. Sistemin egemen g\u00fc\u00e7 odaklar\u0131 i\u00e7in \u00e7\u00f6z\u00fcms\u00fczl\u00fc\u011f\u00fc a\u015facak yeni politikalara ihtiyac\u0131 vard\u0131. Devlet\u00e7ilik ve ekonomiye m\u00fcdahale, hastal\u0131\u011f\u0131n temel nedeni olarak tespit edildi. Sistemin kendi kendini yeniden \u00fcretebilmesinin \u00e7\u00f6z\u00fcm\u00fc olarak neoliberal politikalar \u2018yeni \u00f6zg\u00fcrl\u00fck\u00e7\u00fcl\u00fck\u2019 ad\u0131yla makyajlan\u0131p piyasaya s\u00fcr\u00fcld\u00fc. Bu ak\u0131m k\u00fcresel kapitalizmin yeni ideolojik savunma hatt\u0131n\u0131 olu\u015fturdu. Neoliberal politikalar\u0131n uyguland\u0131\u011f\u0131 \u00fclkelerin iktisat politikalar\u0131nda 1980 sonras\u0131nda k\u00f6kl\u00fc bir revizyona gidildi.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Chicago okulunun iktisat\u00e7\u0131lar\u0131ndan Friedrich Hayek ve Milton Friedman\u2019\u0131n \u00f6nc\u00fcl\u00fck etti\u011fi bu yeni d\u00fc\u015f\u00fcnce ak\u0131m\u0131 sistem i\u00e7inde h\u0131zla yay\u0131ld\u0131. 1990 sonras\u0131nda reel sosyalizmin \u00e7\u00f6k\u00fc\u015f\u00fc ile birlikte tek kutuplu hale gelen d\u00fcnyada, kapitalist sistemin en etkili ideolojik silah\u0131 haline geldi. Devlet buna g\u00f6re yeniden yap\u0131land\u0131r\u0131ld\u0131, devletin ekonomideki a\u011f\u0131rl\u0131\u011f\u0131 k\u00fc\u00e7\u00fclt\u00fcld\u00fc, ekonomide ve sosyal ya\u015famda devlet sadece d\u00fczenleyici bir rol \u00fcstlenmeye ba\u015flad\u0131. Bu d\u00f6nemde sosyal devlet neoliberalizmin do\u011frudan boy hedefi haline geldi. \u00d6zel te\u015febb\u00fcs piyasan\u0131n tek dinami\u011fi olarak \u00f6ne \u00e7\u0131kar\u0131ld\u0131. Sermayenin \u00f6n\u00fcndeki koruma duvarlar\u0131 kald\u0131r\u0131ld\u0131, zincirlerinden kurtulan sermaye h\u0131zla mobilize olarak t\u00fcm d\u00fcnyaya yay\u0131ld\u0131.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Sermayenin k\u00fcreselle\u015fmesi denilen bu s\u00fcre\u00e7 kendi g\u00fc\u00e7 odaklar\u0131n\u0131 yaratt\u0131. Ve k\u00fcresel \u015firketlerin egemenli\u011finde \u2018yeni bir d\u00fcnya d\u00fczeni\u2019 kuruldu. Bug\u00fcn d\u00fcnyaya egemen olan k\u00fcresel \u015firketlerin say\u0131s\u0131 500 civar\u0131nda, bu firmalar\u0131n \u00fclkelere da\u011f\u0131l\u0131m\u0131 ise \u015f\u00f6yle:<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211; ABD &#8211; % 47<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211; Avrupa Birli\u011fi- % 29<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211; Asya Pasifik &#8211; % 21,2<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211; Di\u011fer- % 2,8.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">500 k\u00fcresel firmadan sermaye yap\u0131lar\u0131 ve pazar paylar\u0131 bak\u0131m\u0131ndan \u00f6ne \u00e7\u0131kan firma say\u0131s\u0131 ise 25\u2019tir ve bu 25 firman\u0131n 7\u2019si ila\u00e7 firmas\u0131d\u0131r. D\u00fcnya ticaret hacmi 10 trilyon dolar, k\u00fcresel 200 \u015firketin ticaret hacmi ise bunun yar\u0131s\u0131na e\u015fittir.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberal politikalarla ta\u00e7land\u0131r\u0131lan k\u00fcreselle\u015fme s\u00fcreci \u00e7okuluslu \u015firketlerin g\u00fcc\u00fcne g\u00fc\u00e7 katarken ayn\u0131 zamanda t\u00fcm d\u00fcnyada korkun\u00e7 bir e\u015fitsizli\u011fe, adaletsizli\u011fe yol a\u00e7t\u0131. D\u00fcnya gelirinin % 80\u2019inin, d\u00fcnya n\u00fcfusunun %15\u2019ini olu\u015fturan mutlu bir az\u0131nl\u0131\u011f\u0131n elinde topland\u0131\u011f\u0131, 500 dolar milyarderinin geliri ile 2,5 milyar insan\u0131n gelirinin e\u015fitlendi\u011fi, 800 milyon insan\u0131n a\u00e7l\u0131k, 3 milyar insan\u0131n yoksulluk s\u0131n\u0131r\u0131n\u0131n alt\u0131nda ya\u015fad\u0131\u011f\u0131 yeni bir d\u00fcnya d\u00fczenidir s\u00f6z\u00fc edilen\u2026<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberalizm ile sermaye alabildi\u011fine \u00f6zg\u00fcrle\u015firken, eme\u011fin \u00f6zg\u00fcrle\u015fmesinin \u00f6n\u00fcne barikatlar \u00f6r\u00fclmeye devam edildi.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>24 Ocak kararlar\u0131<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00dclkemizde neoliberal politikalara ge\u00e7i\u015f 24 Ocak 1980 kararlar\u0131yla ger\u00e7ekle\u015fti. 24 Ocak kararlar\u0131n\u0131n hayata ge\u00e7irilmesi ise ancak bask\u0131c\u0131, otoriter bir rejimle m\u00fcmk\u00fcnd\u00fc. 12 Eyl\u00fcl askeri darbesi de bu nedenle ger\u00e7ekle\u015ftirildi.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">T\u00fcrkiye ekonomisini k\u00fcresel kapitalizme entegre eden bu s\u00fcre\u00e7 \u00fclkenin son 20-25 y\u0131l\u0131na damgas\u0131n\u0131 vurdu. Ekonomik ve sosyal ya\u015famda yap\u0131sal pek \u00e7ok de\u011fi\u015fikli\u011fe gidildi. Ekonomide yayg\u0131n \u00f6zelle\u015ftirme politikalar\u0131n\u0131, sa\u011fl\u0131kta ve e\u011fitimde \u00f6zelle\u015ftirme politikalar\u0131 izledi. Devlet sadece ekonomiden de\u011fil, \u00fcstlendi\u011fi sosyal kimli\u011finden de h\u0131zla uzakla\u015fmaya ba\u015flad\u0131. E\u011fitim, sa\u011fl\u0131k gibi kamusal hizmet alanlar\u0131ndan ad\u0131m ad\u0131m el \u00e7ektirildi. Bu alanlar devletin \u00fcstlendi\u011fi yeni d\u00fczenleyici role uygun olarak yeniden yap\u0131land\u0131r\u0131ld\u0131. Sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm ad\u0131 alt\u0131nda \u00f6n\u00fcm\u00fcze konan proje bu yap\u0131land\u0131rman\u0131n \u00f6nemli bir halkas\u0131 olarak g\u00fcndeme getirildi.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">IMF ve D\u00fcnya Bankas\u0131 gibi uluslararas\u0131 finans kurulu\u015flar\u0131n\u0131n mali destek verip, \u00f6nc\u00fcl\u00fck etti\u011fi sosyal devlet kar\u015f\u0131t\u0131 bu projeler ekonomide ve sa\u011fl\u0131kta devrim olarak tan\u0131mlan\u0131p \u201cpiyasa\u201dya s\u00fcr\u00fcld\u00fc. Ekonomide uygulanan yap\u0131sal uyum programlar\u0131n\u0131n bir benzeri sa\u011fl\u0131kta uyum ya da reform program\u0131 ad\u0131 alt\u0131nda pazarland\u0131.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>\u0130la\u00e7 fiyat kararnameleri ve ila\u00e7ta patent<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Sa\u011fl\u0131k alan\u0131 gibi ila\u00e7 ve eczac\u0131l\u0131k alan\u0131 da neoliberal politikalara g\u00f6re yeniden d\u00fczenleniyor. 1980\u2019li y\u0131llardan ba\u015flayarak bug\u00fcne kadar pek \u00e7ok d\u00fczenleme yap\u0131ld\u0131. 1984 ila\u00e7 fiyat kararnamesi bu d\u00fczenlemelerden biriydi. \u0130la\u00e7 fiyatlar\u0131n\u0131 serbest b\u0131rakan bu kararname, ila\u00e7 \u015firketlerine kendi ifadeleri ile alt\u0131n \u00e7a\u011f\u0131n\u0131 ya\u015fatt\u0131. \u0130la\u00e7ta patent yine bu s\u00fcre\u00e7te g\u00fcndeme geldi. 1996 y\u0131l\u0131nda pijamal\u0131 bakanlara imzalatt\u0131r\u0131lan bir gece yar\u0131s\u0131 kararnamesiyle ila\u00e7ta patent kabul edildi. \u0130la\u00e7ta patent \u00e7okuluslu ila\u00e7 \u015firketlerinin ila\u00e7 pazar\u0131ndaki egemenli\u011fini iyice art\u0131rd\u0131, bu politikalar\u0131n sonucu olarak T\u00fcrkiye ila\u00e7 pazar\u0131 bu \u015firketlerin denetimine girdi. Patentin faturas\u0131n\u0131 ise toplum olarak hep birlikte \u00f6d\u00fcyoruz.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>\u0130la\u00e7 \u015firketlerinin birle\u015fmesi<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberal politikalar\u0131n etkin oldu\u011fu sermayenin k\u00fcreselle\u015fme s\u00fcrecinde rekabetin giderek sertle\u015fmesi, d\u00fcnyada oldu\u011fu gibi T\u00fcrkiye\u2019de de, ba\u015fta ila\u00e7 sekt\u00f6r\u00fc olmak \u00fczere bankac\u0131l\u0131k finansal kurumlar, sigortac\u0131l\u0131k gibi sermaye piyasalar\u0131, otomotiv, elektronik, enerji<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">hava ta\u015f\u0131mac\u0131l\u0131\u011f\u0131, telekom\u00fcnikasyon, sa\u011fl\u0131k sekt\u00f6r\u00fc, g\u0131da sekt\u00f6rlerinde sermaye yo\u011funla\u015fmalar\u0131na ve kutupla\u015fmalara yol a\u00e7t\u0131.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">D\u00fcnya ila\u00e7 pazar\u0131nda ya\u015fanan tekelle\u015fmenin daha yo\u011fun bir \u015fekli T\u00fcrkiye ila\u00e7 pazar\u0131nda ya\u015fand\u0131. D\u00fcnya ila\u00e7 pazar\u0131n\u0131n %50\u2019sini 20 ila\u00e7 firmas\u0131 elinde tutarken, ilk 20 ila\u00e7 firmas\u0131n\u0131n T\u00fcrkiye ila\u00e7 pazar\u0131ndaki pay\u0131 ise %73,95\u2019e ula\u015ft\u0131. \u0130la\u00e7 sekt\u00f6r\u00fcnde ya\u015fanan \u015firket evlilikleri bu s\u00fcrece daha b\u00fcy\u00fck bir ivme kazand\u0131rd\u0131. Glaxo-Wellcome ile Smithkline birle\u015fmesi bu ila\u00e7 \u015firketini General Electric\u2019ten sonra d\u00fcnyan\u0131n ikinci b\u00fcy\u00fck \u015firketi haline getirdi. Yine Sanofi-Aventis birle\u015fmesi yeni \u015firketi T\u00fcrkiye ila\u00e7 pazar\u0131nda ikinci s\u0131raya y\u00fckseltirken, Ciba-Sandoz birle\u015fmesinin \u00fcr\u00fcn\u00fc olan Novartis ila\u00e7 firmas\u0131 ise T\u00fcrkiye ila\u00e7 pazar\u0131nda birinci s\u0131raya oturdu.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>Veri imtiyaz\u0131n\u0131n kabul\u00fc<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Neoliberal politikalar\u0131n etkisiyle ila\u00e7 alan\u0131nda g\u00fcndeme gelen bir di\u011fer uygulama ise, veri imtiyaz\u0131d\u0131r.15.01.2001 tarihinde \u00e7\u0131kar\u0131lan Ruhsatland\u0131rma Y\u00f6netmeli\u011finin 9\u2019uncu maddesi ile T\u00fcrkiye ila\u00e7ta veri imtiyaz\u0131n\u0131 kabul etti. Veri imtiyaz\u0131 bir ila\u00e7 pazara sunulduktan sonra o ilaca verilen imtiyaz hakk\u0131d\u0131r.<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Veri imtiyaz\u0131; orijinal ila\u00e7lara ait farmakolojik, kimyasal, toksikolojik ve klinik verilerin ila\u00e7 ruhsat al\u0131p, piyasaya verildikten sonra belli bir s\u00fcre i\u00e7in korunmas\u0131 anlam\u0131na geliyor. Ayr\u0131ca endikasyon, dozaj, dozaj formu ve tatbik \u015fekli gibi her yeni bulu\u015f i\u00e7in veri koruma s\u00fcresi uzat\u0131labiliyor. \u00dclkemizde kabul edilen imtiyaz\u0131n s\u00fcresi ise 6 y\u0131ld\u0131r. Bu imtiyaz \u015feklinin \u00e7okuluslu ila\u00e7 \u015firketlerine ila\u00e7 pazar\u0131nda geni\u015f bir hareket alan\u0131 ve esneklik sa\u011flad\u0131\u011f\u0131 a\u00e7\u0131k\u00e7a g\u00f6r\u00fcl\u00fcyor. Yeni bulu\u015f t\u00fcm endikasyonlar, ruhsat ba\u015fvurular\u0131na yans\u0131t\u0131lmad\u0131\u011f\u0131 gibi ayn\u0131 y\u00f6ntem di\u011fer bulu\u015flar i\u00e7inde uygulanabiliyor.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>\u0130la\u00e7 ve eczac\u0131l\u0131k alan\u0131nda s\u0131rada bekleyen d\u00fczenlemeler<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Patent, veri imtiyaz\u0131 yeni bir ila\u00e7 d\u00fczeninin altyap\u0131s\u0131n\u0131 olu\u015fturan \u00e7ok \u00f6nemli yap\u0131sal d\u00fczenlemelerdi. \u015eimdi ila\u00e7 ve eczac\u0131l\u0131k alan\u0131yla ilgili s\u0131rada bekleyen yeni yasa tasar\u0131lar\u0131 ve y\u00f6netmelikler var:<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211;<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>\u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu Yasa Tasar\u0131s\u0131<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211;<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>6197 say\u0131l\u0131 Eczac\u0131lar ve Eczaneler Hakk\u0131nda Yasa Tasar\u0131s\u0131<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211;<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>OTC<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">&#8211;<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>\u0130la\u00e7ta Reklam<\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">Yeni ila\u00e7 ve eczac\u0131l\u0131k d\u00fczeninin \u00e7er\u00e7evesi de bu temel de\u011fi\u015fikliklerle tamamlanmak \u00fczeredir.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p>\u00a0<strong>\u0130la\u00e7 \u015firketleri t\u00fcketimi 3 kat\u0131na \u00e7\u0131karmak istiyor<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">T\u00fcrkiye ila\u00e7 pazar\u0131 h\u0131zla b\u00fcy\u00fcyor. 2009 y\u0131l\u0131nda d\u00fcnyan\u0131n en \u00e7ok ila\u00e7 t\u00fcketen<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">10\u2019uncu \u00fclkesi olaca\u011f\u0131z. 2015 y\u0131l\u0131nda ise ila\u00e7 pazar\u0131n\u0131 30 milyar dolara \u00e7\u0131karman\u0131n planlar\u0131 yap\u0131l\u0131yor. Her y\u0131l %10 b\u00fcy\u00fcyen bir ila\u00e7 pazar\u0131m\u0131z var, pazar\u0131n kendi do\u011fal geli\u015fim s\u00fcrecinde bu b\u00fcy\u00fckl\u00fc\u011fe ula\u015fmas\u0131 olanakl\u0131 de\u011fil. Cumhuriyetin kurulu\u015fundan bu yana sa\u011fl\u0131k b\u00fct\u00e7eleri hep yerinde sayarken, koruyucu sa\u011fl\u0131k hizmetlerinin pay\u0131 ise s\u00fcrekli azald\u0131. Buna kar\u015f\u0131n ila\u00e7 t\u00fcketimi hep y\u00fckselme trendi g\u00f6sterdi. \u0130la\u00e7 t\u00fcketimine ve tedavi edici sa\u011fl\u0131k hizmetlerine dayal\u0131 yanl\u0131\u015f sa\u011fl\u0131k politikalar\u0131 sonucu, bug\u00fcn ki\u015fi ba\u015f\u0131na ila\u00e7 t\u00fcketimi ki\u015fi ba\u015f\u0131na sa\u011fl\u0131k harcamalar\u0131n\u0131n yar\u0131s\u0131na e\u015fitlenmi\u015f durumdad\u0131r. Bu haliyle bile olduk\u00e7a y\u00fcksek olan ila\u00e7 t\u00fcketiminin ila\u00e7 ve sa\u011fl\u0131\u011f\u0131 piyasala\u015ft\u0131ran \u00e7evreleri tatmin etmedi\u011fi g\u00f6r\u00fcl\u00fcyor. \u0130la\u00e7 \u015firketlerinin yeni hedefi, t\u00fcketimi en az 2-3 kat\u0131na \u00e7\u0131karmakt\u0131r. OTC, ila\u00e7 kurumu yasa tasar\u0131s\u0131, ila\u00e7ta reklam, yeni eczane d\u00fczeni bu amaca uygun yeni d\u00fczenlemeler olarak g\u00fcndeme getiriliyor.<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00c7okuluslu ila\u00e7 tekelleri bu d\u00fczenlemeler i\u00e7in siyasi iktidar \u00fczerinde bask\u0131lar\u0131n\u0131 art\u0131rm\u0131\u015f durumdalar.<\/p>\n<p><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neoliberal politikalar ve sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm\u00fcn toplum sa\u011fl\u0131\u011f\u0131na etkilerini tart\u0131\u015f\u0131yoruz ve \u201csa\u011fl\u0131\u011f\u0131m\u0131z nereye gidiyor\u201d sorusuna yan\u0131t ar\u0131yoruz. Bu sorunun yan\u0131t\u0131n\u0131 bulabilmek&#46;&#46;&#46;<\/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-2883","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\/2883","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=2883"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2883\/revisions"}],"predecessor-version":[{"id":4003,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2883\/revisions\/4003"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2883"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}