{"id":2884,"date":"2007-11-27T15:14:42","date_gmt":"2007-11-27T13:14:42","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2884"},"modified":"2014-05-21T01:37:32","modified_gmt":"2014-05-20T22:37:32","slug":"neoliberal-politikalarin-ilac-ve-eczacilik-alanina-etkisi-2","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2884","title":{"rendered":"NEOL\u0130BERAL POL\u0130T\u0130KALARIN \u0130LA\u00c7 VE ECZACILIK ALANINA ETK\u0130S\u0130 &#8211; 2"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00c7ok uluslu ila\u00e7 tekellerinin \u00f6n\u00fcm\u00fczde ki d\u00f6nemle ilgili en \u00f6nemli hedeflerinden biri T\u00fcrkiye ila\u00e7 pazar\u0131n\u0131n beklentileri do\u011frultusunda b\u00fcy\u00fcmesidir. Bunun yolu ise; \u0130la\u00e7 ve eczac\u0131l\u0131k alan\u0131nda serbest piyasa d\u00fczeninin yerle\u015fmesinden, ila\u00e7 fiyat serbestli\u011finden, ucuz ilac\u0131n yerine pahal\u0131 olan\u0131n\u0131n ikame edilmesinden, OTC\u2019den, ilac\u0131n reklam\u0131ndan ve ki\u015fi ba\u015f\u0131na ila\u00e7 t\u00fcketiminin art\u0131r\u0131lmas\u0131ndan ge\u00e7iyor. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><strong><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/strong><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Bu plan nas\u0131l ger\u00e7ekle\u015fecek? <\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bu projenin \u00f6nemli ayaklar\u0131ndan biri OTC, yani eczanelerde banko \u00fcst\u00fc sat\u0131labilecek \u00fcr\u00fcnler ya da re\u00e7etesiz sat\u0131lan ila\u00e7lar&#8230; Re\u00e7eteli-re\u00e7etesiz ila\u00e7 s\u0131n\u0131fland\u0131r\u0131lmas\u0131 ile a\u00e7\u0131lan yoldan \u015fimdi OTC g\u00fcndeme getiriliyor. Plan\u0131n birinci aya\u011f\u0131 OTC listesinin geni\u015fletilmesi. Bunun \u00f6n haz\u0131rl\u0131klar\u0131 yap\u0131l\u0131yor ve OTC listesine giren ila\u00e7lar\u0131n say\u0131s\u0131 ile ilgili yukar\u0131da yo\u011fun bir pazarl\u0131k s\u00fcreci ya\u015fan\u0131yor.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130kinci ad\u0131m\u0131 OTC listesine giren ila\u00e7lara fiyat serbestli\u011fi getirilmesi, sonras\u0131nda bu grup ila\u00e7lar geri \u00f6deme listesinden \u00e7\u0131kar\u0131lacak ve nihayet bu grup ila\u00e7lara reklam serbestli\u011fi tan\u0131nacak, ucuz jenerikleri piyasadan \u00e7ekilerek yerlerine pahal\u0131 olanlar\u0131 ikame edilecek Reklamla birlikte bu grup ila\u00e7lar\u0131n hem maliyeti hem fiyat\u0131 hem de t\u00fcketimi artacak.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00c7okuluslu ila\u00e7 \u015firketleri ila\u00e7lar\u0131n\u0131n sat\u0131\u015f\u0131n\u0131 artt\u0131rmak i\u00e7in uzun bir zamandan beri ila\u00e7ta reklam\u0131 g\u00fcndemde tutuyorlard\u0131. OTC ile birlikte ila\u00e7 tekellerinin bu niyeti de ger\u00e7ekle\u015fmi\u015f olacak.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; D\u00fcnyadaki t\u00fcm zehirlenmelerin % 50\u2019si ila\u00e7 zehirlenmesidir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; \u0130la\u00e7 onsuz olunamaz, yerine bir ba\u015fka \u015fey konulamaz bir \u00fcr\u00fcnd\u00fcr.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Talep esnekli\u011fi s\u0131f\u0131r olan bir \u00fcr\u00fcnd\u00fcr.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Ve her \u015feyden \u00f6nemlisi ila\u00e7 sosyal bir \u00fcr\u00fcnd\u00fcr. Bu \u00f6zellikleri nedeniyle ila\u00e7ta reklam\u0131n toplum sa\u011fl\u0131\u011f\u0131 bak\u0131m\u0131ndan ciddi sak\u0131ncalar\u0131 vard\u0131r:<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">a) Reklam yoluyla topluma yanl\u0131\u015f bilgi verilmesi<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">b) T\u00fcketimi art\u0131rman\u0131n temel ama\u00e7 olmas\u0131<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">c) Sa\u011fl\u0131kl\u0131 insanlar\u0131n bile ila\u00e7 t\u00fcketimine te\u015fvik edilmesi<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">d) Ve hepsinden \u00f6nemlisi \u00e7ocuklar bak\u0131m\u0131ndan ciddi bir tehdit olu\u015fturmas\u0131; reklam\u0131n sak\u0131ncalar\u0131n\u0131 g\u00f6steren \u00f6nemli verilerdir.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Amerika\u2019da ila\u00e7ta reklam\u0131n ortaya \u00e7\u0131kard\u0131\u011f\u0131 tablo olduk\u00e7a \u00e7arp\u0131c\u0131 sonu\u00e7lar i\u00e7eriyor. \u00d6rne\u011fin Merck adl\u0131 ila\u00e7 firmas\u0131 anti-romatizmal Vioxx ilac\u0131 i\u00e7in 2000 y\u0131l\u0131nda 160.8 milyon dolar reklam harcamas\u0131 yapm\u0131\u015f ve bu ila\u00e7 firman\u0131n en \u00e7ok sat\u0131lan ila\u00e7lar\u0131n\u0131n ba\u015f\u0131nda yer alm\u0131\u015ft\u0131. Ancak Vioxx\u2019un 2004 y\u0131l\u0131nda kalp krizi sonucu \u00f6l\u00fcmlere yol a\u00e7t\u0131\u011f\u0131 ortaya \u00e7\u0131k\u0131ncasat\u0131\u015f\u0131 durdurularak geri toplanmas\u0131na karar verilmi\u015fti. \u0130lac\u0131n kullan\u0131ma sunuldu\u011fu 1999 tarihinden itibaren ABD\u2019de 88 ila 140 bin ki\u015fide bu ilac\u0131n kullan\u0131m\u0131 nedeniyle kalp damar rahats\u0131zl\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131 tespit edilmi\u015fti.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 reklam\u0131n bir di\u011fer \u00f6nemli sak\u0131ncas\u0131 da halka yanl\u0131\u015f bilgi verilmesidir. 1998-2002 y\u0131llar\u0131 aras\u0131nda Amerikan \u0130la\u00e7 ve G\u0131da Dairesi (FDA) kolesterol d\u00fc\u015f\u00fcr\u00fcc\u00fc Lipitor\u2019un reklam\u0131nda kalp hastal\u0131\u011f\u0131n\u0131 azaltt\u0131\u011f\u0131 \u015feklinde yanl\u0131\u015f bir bilgi verildi\u011fi ve di\u011fer kolesterol ila\u00e7lar\u0131ndan daha g\u00fcvenli oldu\u011fu gibi ger\u00e7ek d\u0131\u015f\u0131 iddialarda bulundu\u011fu i\u00e7in Pfizer\u2019i 4 kez uyarm\u0131\u015ft\u0131.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7ta reklam yanl\u0131\u015f ila\u00e7 kullan\u0131m\u0131na da yol a\u00e7\u0131yor. \u0130la\u00e7lara ba\u011fl\u0131 zehirlenmelerin ve intihar riskinin giderek artt\u0131\u011f\u0131n\u0131 da d\u00fcnyadaki \u00f6rnekleriyle biliyoruz. \u0130la\u00e7ta reklam art\u0131 bir talep elastikiyeti de yarat\u0131yor. Reklam\u0131n yap\u0131ld\u0131\u011f\u0131 \u00fclkelerde hastalar\u0131n doktorlara bask\u0131 yaparak s\u00f6zkonusu ila\u00e7lar\u0131 yazd\u0131rmak istedikleri de bilinen bir ger\u00e7ektir.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Bedelini i\u015f\u00e7iler, dar gelirliler \u00f6deyecek<\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7ta reklam T\u00fcrkiye ila\u00e7 pazar\u0131na \u00f6nemli bir geni\u015flik sa\u011flayacak. 3-5 milyar dolarl\u0131k bir reklam pastas\u0131ndan s\u00f6z ediliyor. Bu pastada g\u00f6z\u00fc olan reklam \u015firketleri de ila\u00e7ta reklam\u0131n arkas\u0131nda duran bir ba\u015fka g\u00fc\u00e7 oda\u011f\u0131n\u0131 olu\u015fturuyor. Reklam, OTC ve b\u00fcy\u00fcyen ithal ila\u00e7 pazar\u0131; ila\u00e7 ve reklam \u015firketlerinin g\u00fcc\u00fcne g\u00fc\u00e7 katarken bu b\u00fcy\u00fcmenin faturas\u0131n\u0131 ise i\u015f\u00e7iler, emek\u00e7iler, dar gelirliler \u00f6deyecek. Bunu re\u00e7ete d\u0131\u015f\u0131na \u00e7\u0131kan ila\u00e7lar\u0131n bedelini cebinden \u00f6deyerek, re\u00e7eteli ila\u00e7lara daha \u00e7ok katk\u0131 pay\u0131 vererek, ila\u00e7ta reklam\u0131n ila\u00e7 fiyatlar\u0131na yans\u0131yan maliyetini \u00fcstlenerek \u00f6demek zorunda kalacaklard\u0131r.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Anayasa Mahkemesi\u2019nden d\u00f6nen sosyal g\u00fcvenlik yasas\u0131nda yap\u0131lan yeni d\u00fczenlemeler AKP iktidar\u0131n\u0131n elini vatanda\u015f\u0131n cebinden \u00e7\u0131karmaya hi\u00e7 niyeti olmad\u0131\u011f\u0131n\u0131 g\u00f6steriyor.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 alan\u0131na ili\u015fkin bir di\u011fer \u00f6nemli d\u00fczenleme \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu Yasa Tasar\u0131s\u0131d\u0131r. Bu tasar\u0131 ile ila\u00e7 d\u00fczeninde \u00e7ok \u00f6nemli de\u011fi\u015fiklikler g\u00fcndeme geliyor. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n ilac\u0131n ekonomi politi\u011fi \u00fczerindeki etkinli\u011fi s\u0131f\u0131rlan\u0131yor, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 yeniden yap\u0131land\u0131r\u0131l\u0131yor. AKP h\u00fck\u00fcmetinin AB\u2019ye uyum s\u00fcreci nedeniyle haz\u0131rlad\u0131\u011f\u0131 2004 kat\u0131l\u0131m \u00f6ncesi programda sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm projesi be\u015f ana ba\u015fl\u0131k alt\u0131nda toplan\u0131yor. Bunlardan birincisi \u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n yeniden yap\u0131land\u0131r\u0131lmas\u0131\u201dd\u0131r. \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu Yasa Tasar\u0131s\u0131 ile bu proje hayat ge\u00e7irilmek isteniyor. Tasar\u0131 ger\u00e7ekle\u015fti\u011finde sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm\u00fcn ana iskeleti tamamlanm\u0131\u015f olacak.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">\u0130la\u00e7 \u015firketlerine \u00f6zg\u00fcrl\u00fck!<\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00c7okuluslu ila\u00e7 \u015firketleri; <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; ARGE \u00e7al\u0131\u015fmalar\u0131n\u0131n \u00f6n\u00fcn\u00fc a\u00e7mak,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Fiyat ve ruhsat i\u015flemlerini h\u0131zland\u0131rmak, <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Klinik ara\u015ft\u0131rmalara olanak sa\u011flamak,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; B\u00fcrokrasiden kurtulmak,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Ve neoliberal politikalar\u0131n gere\u011fi olarak ila\u00e7 alan\u0131nda da \u00f6zg\u00fcrle\u015fmek istiyorlar.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 Kurumu Yasa Tasar\u0131s\u0131 \u00e7okuluslu ila\u00e7 \u015firketlerine bu \u00f6zg\u00fcrl\u00fc\u011f\u00fc sa\u011flayacak. <\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Tasar\u0131 ile Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n ila\u00e7 \u00fczerindeki her t\u00fcrl\u00fc tasarruf yetkisi kalk\u0131yor. Yetki ve sorumluluk s\u00f6zde \u00f6zerk olan bir kuruma devrediliyor. \u0130lac\u0131n \u00fcretiminden, t\u00fcketimine fiyat\u0131n\u0131n belirlenmesine kadar t\u00fcm yetkiler kurulacak olan ila\u00e7 kurumuna devredilecek.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 kurumu siyasi iktidar taraf\u0131ndan atanan bir m\u00fctevelli heyet taraf\u0131ndan y\u00f6netilecek. Toplumsal hi\u00e7bir sorumlulu\u011fu olmayan bu kurum, ila\u00e7 \u00fczerinde her t\u00fcrl\u00fc yetki ve sorumluluk sahibi olacak.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 kurumu yasa tasar\u0131s\u0131yla ila\u00e7 sa\u011fl\u0131k ve eczac\u0131l\u0131k alan\u0131n\u0131 y\u00f6nlendiren temel yasalarda da de\u011fi\u015fikli\u011fe gidiliyor. 1262 say\u0131l\u0131 T\u0131bbi M\u00fcstahzarlar Yasas\u0131, Sa\u011fl\u0131k Hizmetleri Temel Yasas\u0131 de\u011fi\u015ftirilmek isteniyor. 1262 say\u0131l\u0131 yasa en ba\u015fta ilac\u0131n reklam\u0131n\u0131 yasakl\u0131yor. Yasa ayr\u0131ca ila\u00e7lar\u0131n eczaneler ve ecza depolar\u0131 d\u0131\u015f\u0131nda sat\u0131lmas\u0131na izin vermedi\u011fi gibi, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na ila\u00e7 fiyatlar\u0131n\u0131 belirleme, ila\u00e7lar\u0131n imalat\u0131, ithalat\u0131 ile ilgili kararlar\u0131 d\u00fczenleme yetkisi de veriyor.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">De\u011fi\u015ftirilmek istenen Sa\u011fl\u0131k Hizmetleri Temel Yasas\u0131\u2019n\u0131n 3\u2019\u00fcnc\u00fc maddesi \u201ckoruyucu, te\u015fhis, tedavi ve rehabilite hizmetlerde kullan\u0131lan a\u015f\u0131, serum ve benzeri biyolojik maddelerin, kozmetiklerin ve bunlar\u0131n \u00fcretiminde kullan\u0131la ham ve yard\u0131mc\u0131 maddelerin ithal, ihra\u00e7, \u00fcretim, da\u011f\u0131t\u0131m ve t\u00fcketimini d\u00fczenleme yetkisini\u201d Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na veriyor. Yeni d\u00fczenlemeyle bu yetki de toplumsal sorumlulu\u011fu olmayan bir kuruma devrediliyor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">Klinik ara\u015ft\u0131rmalar serbest b\u0131rak\u0131lacak<\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Sa\u011fl\u0131k Hizmetleri Temel Yasas\u0131\u2019n\u0131n 3\u2019\u00fcnc\u00fc maddesi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n izni olmadan ruhsat almam\u0131\u015f ila\u00e7lar\u0131n (ila\u00e7 olmam\u0131\u015f kimyasallar) \u00fcretimi, sat\u0131\u015f\u0131 ve ithali ile ruhsat alm\u0131\u015f dahi olsa bu t\u00fcr ila\u00e7lar\u0131n bilimsel ara\u015ft\u0131rma amac\u0131yla insan denekler \u00fczerinde kullan\u0131m\u0131n\u0131 da yasakl\u0131yor. Ne tesad\u00fcft\u00fcr ki tasar\u0131n\u0131n g\u00fcndeme geldi\u011fi d\u00f6nemde \u00e7okuluslu bir ila\u00e7 devi \u00f6n\u00fcm\u00fczdeki s\u00fcre\u00e7te T\u00fcrkiye\u2019yi klinik ara\u015ft\u0131rmalar i\u00e7in \u00fcs olarak kullanaca\u011f\u0131n\u0131 a\u00e7\u0131kl\u0131yor. Bu s\u00f6zler gazete s\u00fctunlar\u0131n\u0131 dolduran bol magazinli haberler aras\u0131nda kaybolup gidiyor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\">\u00a0<\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><strong><span style=\"font-size: small;\"><span style=\"color: #000000;\"><span style=\"font-family: Times New Roman;\">\u201c\u0130la\u00e7 sat\u0131\u015f yerleri\u201d ne demek?<\/span><\/span><\/span><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Bu tasar\u0131 ile meslek alan\u0131m\u0131zda da \u00f6nemli de\u011fi\u015fiklikler g\u00fcndeme geliyor. Tasar\u0131 eczanelerden de\u011fil, \u201cila\u00e7 sat\u0131\u015f yerleri\u201dnden s\u00f6z ediyor. 1262 say\u0131l\u0131 yasa, 6197 say\u0131l\u0131 yasa ila\u00e7lar\u0131n nerelerde t\u00fcketime sunulaca\u011f\u0131n\u0131 a\u00e7\u0131k\u00e7a belirtiyor.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130la\u00e7 sat\u0131\u015f yerleri ile eczane kavram\u0131n\u0131n d\u0131\u015f\u0131na \u00e7\u0131k\u0131larak eczane d\u0131\u015f\u0131nda ba\u015fka ila\u00e7 sat\u0131\u015f alanlar\u0131 yarat\u0131lmak isteniyor. D\u00fcnyadaki geli\u015fmeler, zincir eczaneler projesi, OTC, ila\u00e7ta reklam, eczane ve eczac\u0131 kavram\u0131n\u0131n i\u00e7inde yer almad\u0131\u011f\u0131 tasar\u0131yla ilgili kayg\u0131lar\u0131 hakl\u0131 olarak art\u0131r\u0131yor.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Eczac\u0131n\u0131n ila\u00e7la ba\u011f\u0131n\u0131 koparmay\u0131 ama\u00e7layan bu tasar\u0131 ile eczac\u0131 ilaca ve mesle\u011fine yabanc\u0131la\u015ft\u0131r\u0131lm\u0131\u015f olacak.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">T\u00fcrkiye\u2019nin son 20-25 y\u0131l\u0131na damgas\u0131n\u0131 vuran neoliberal politikalar\u0131n ila\u00e7 ve sa\u011fl\u0131k alan\u0131nda \u00fclkeyi getirdi\u011fi yeri \u015f\u00f6yle ifade etmek m\u00fcmk\u00fcn:<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Tarihi misyonunu kaybetmi\u015f ve bug\u00fcn varl\u0131\u011f\u0131 ile yoklu\u011fu tart\u0131\u015f\u0131lan yerli bir ila\u00e7 sanayi,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; \u00c7okuluslu ila\u00e7 tekellerinin egemenli\u011finde bir ila\u00e7 pazar\u0131,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; \u0130la\u00e7 da\u011f\u0131t\u0131m alan\u0131nda tam bir tekelle\u015fme,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Tekelle\u015fen ila\u00e7 hizmet alanlar\u0131, yani eczaneler,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; Eczac\u0131l\u0131k hizmetlerinin piyasala\u015fmas\u0131,<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">&#8211; \u0130lac\u0131n ve sa\u011fl\u0131\u011f\u0131n piyasala\u015fmas\u0131d\u0131r.<\/span><\/p>\n<p><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">Sonu\u00e7 olarak:<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-family: Times New Roman; color: #000000; font-size: small;\">\u0130lac\u0131n ve sa\u011fl\u0131\u011f\u0131n t\u00fcm\u00fcyle metala\u015ft\u0131r\u0131ld\u0131\u011f\u0131 \u201cYeni Bir \u0130la\u00e7 ve Sa\u011fl\u0131k D\u00fczeni\u201d kurulmak isteniyor. Sa\u011fl\u0131kta y\u0131k\u0131ma yol a\u00e7acak olan bu politikalara kar\u015f\u0131 \u201cBa\u015fka Bir Sa\u011fl\u0131k Sistemi M\u00fcmk\u00fcn\u201d diyerek diren\u00e7 g\u00f6stermenin tarihi sorumlulu\u011funu ta\u015f\u0131yoruz. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ok uluslu ila\u00e7 tekellerinin \u00f6n\u00fcm\u00fczde ki d\u00f6nemle ilgili en \u00f6nemli hedeflerinden biri T\u00fcrkiye ila\u00e7 pazar\u0131n\u0131n beklentileri do\u011frultusunda b\u00fcy\u00fcmesidir. Bunun yolu&#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-2884","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\/2884","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=2884"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2884\/revisions"}],"predecessor-version":[{"id":4000,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2884\/revisions\/4000"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2884"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}