{"id":2886,"date":"2008-08-01T11:18:23","date_gmt":"2008-08-01T08:18:23","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2886"},"modified":"2014-05-21T01:37:19","modified_gmt":"2014-05-20T22:37:19","slug":"ne-yapilmali","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2886","title":{"rendered":"NE YAPILMALI?"},"content":{"rendered":"

San\u0131r\u0131m t\u00fcm eczac\u0131 kamuoyu nabz\u0131n\u0131 tutmu\u015f bu sorunun cevab\u0131n\u0131 ar\u0131yor. B\u00f6ylesine kritik bir s\u00fcre\u00e7te do\u011fru bir karar verebilmek i\u00e7in durdu\u011fumuz yere ve zemine bakmam\u0131z gerekecek.\u00a0 <\/span>Do\u011fru ve hakl\u0131 bir zeminde mi duruyoruz? Cevap evetse o zaman ne yap\u0131laca\u011f\u0131 bellidir…<\/span><\/span><\/p>\n

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Eczac\u0131n\u0131n iradesini yans\u0131tan yeni protokol s\u00fcrecini, verilen m\u00fccadeleyi ve gelinen noktay\u0131 bir kez daha hat\u0131rlatmakta fayda var. Bilindi\u011fi gibi 2008 y\u0131l\u0131 Kamu \u0130la\u00e7 Al\u0131m Protokol\u00fc g\u00f6r\u00fc\u015fmeleri sorunlu bir \u015fekilde ba\u015flad\u0131. SGK b\u00fcrokratlar\u0131 g\u00f6r\u00fc\u015fmelere ba\u015flamamak i\u00e7in uzun s\u00fcre ayak dirediler. Protokol g\u00f6r\u00fc\u015fmeleri k\u0131sa bir zaman aral\u0131\u011f\u0131na s\u0131k\u0131\u015ft\u0131r\u0131ld\u0131. TEB\u2019in ve Eczac\u0131 Odalar\u0131\u2019n\u0131n uzun s\u00fcren u\u011fra\u015f\u0131lar\u0131 sonucunda ancak protokol g\u00f6r\u00fc\u015fmelerine ba\u015flanabildi.\u00a0 <\/span>SGK\u2019n\u0131n kural tan\u0131maz dayatmalar\u0131, sonu\u00e7ta bu g\u00f6r\u00fc\u015fme trafi\u011fini t\u0131kad\u0131. 2008 y\u0131l\u0131 protokol g\u00f6r\u00fc\u015fmelerine as\u0131l damgas\u0131n\u0131 vuran geli\u015fme eczac\u0131 iradesinin tart\u0131\u015f\u0131lmaz bir \u015fekilde \u00f6ne \u00e7\u0131kmas\u0131yd\u0131. Bu irade al\u0131\u015f\u0131k d\u00fczeni bozdu.<\/span><\/span><\/p>\n

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SGK yetkilileriyle yap\u0131lan g\u00f6r\u00fc\u015fmeler t\u0131kan\u0131nca eczac\u0131lar kepenk kapatma tercihiyle kar\u015f\u0131 kar\u015f\u0131ya b\u0131rak\u0131ld\u0131. Sonras\u0131n\u0131n hikayesini biliyorsunuz. K\u0131saca \u00f6zetlersek (\u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131, Sa\u011fl\u0131k Bakan\u0131, Maliye Bakan\u0131) devreye girmesiyle sorun \u00e7\u00f6z\u00fcld\u00fc. 30 Haziran saat 20.00\u2019de TEB Ba\u015fkan\u0131 ve h\u00fck\u00fcmetin ilgili \u00fc\u00e7 bakan\u0131n\u0131n imzas\u0131n\u0131 ta\u015f\u0131yan ortak mutabakat metni bas\u0131na ve kamuoyuna duyuruldu.<\/span><\/span><\/p>\n

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\u0130mzalanan protokol metninde eczac\u0131 lehine \u00e7\u00f6z\u00fcmlemeler vard\u0131. Kabul etmek laz\u0131m ki y\u0131llar\u0131n biriken sorunlar\u0131n\u0131n t\u00fcm\u00fcn\u00fc bir protokol marifetiyle \u00e7\u00f6zmek m\u00fcmk\u00fcn de\u011fil. \u00c7\u00f6z\u00fclmesini beklemek de \u00e7ok ger\u00e7ek\u00e7i bir tutum olmaz.\u00a0 <\/span>Elbette ki \u00e7\u00f6z\u00fclmesi gereken pek \u00e7ok sorun var. Ancak eksikliklerine ra\u011fmen iyi bir ba\u015flang\u0131\u00e7 yap\u0131ld\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyorum. Ortaya \u00e7\u0131kan eczac\u0131 iradesinin ve s\u0131n\u0131rl\u0131 da olsa elde edilen kazan\u0131mlar\u0131n bir de\u011feri vard\u0131r. Sosyal m\u00fccadelelerle sorunlar\u0131n\u0131n t\u00fcm\u00fcn\u00fcn bir \u00e7\u0131rp\u0131da \u00e7\u00f6z\u00fclemeyece\u011fini bilmemiz gerekiyor. Hele T\u00fcrkiye gibi demokrasi gelene\u011finin yerle\u015fmedi\u011fi, demokrasinin ve \u00f6zg\u00fcrl\u00fcklerin s\u00fcrekli bask\u0131land\u0131\u011f\u0131 \u00fclkelerde bu i\u015f hi\u00e7 de kolay de\u011fil.<\/span><\/span><\/p>\n

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Yap\u0131lan yeni protokolle sorunlar\u0131n bir b\u00f6l\u00fcm\u00fcne eczac\u0131lar lehine \u00e7\u00f6z\u00fcmler \u00fcretilmi\u015ftir. Bu ba\u015far\u0131y\u0131 daha \u00f6teye ta\u015f\u0131mak m\u00fcmk\u00fcnd\u00fc. Bu da \u00f6rg\u00fctsel \u00f6nc\u00fcl\u00fck meselesidir. \u0130mzalanan protokol metnine yans\u0131yan geli\u015fmeleri \u00f6zetlersek:<\/span><\/span><\/p>\n

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1-\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span>Bu protokolle ila\u00e7 sekt\u00f6r\u00fc taraf\u0131ndan kamuya yap\u0131lan iskontonun eczac\u0131 \u00fczerinden y\u00fcr\u00fct\u00fclmesi uygulamas\u0131n\u0131n, eczac\u0131lar bak\u0131m\u0131ndan yol a\u00e7t\u0131\u011f\u0131 haks\u0131zl\u0131klar h\u00fck\u00fcmet ve SGK taraf\u0131ndan kabul edildi ve uygulamaya son verildi.<\/span><\/span><\/p>\n

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2-\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span>Eczac\u0131lar\u0131n kamuya yapt\u0131klar\u0131 kademeli iskonto oranlar\u0131nda indirime gidildi. Bu arada k\u00fc\u00e7\u00fck-\u00f6l\u00e7ekli eczanelerin ekonomik durumunun ve gelece\u011finin masaya yat\u0131r\u0131lmas\u0131 ve de\u011ferlendirilmesi de \u00f6nemli bir ba\u015flang\u0131\u00e7 olarak not edilebilir.<\/span><\/span><\/p>\n

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Bu kazan\u0131mlardan bence \u00f6nemli olan\u0131 ila\u00e7 sekt\u00f6r\u00fc taraf\u0131ndan kamuya yap\u0131lan iskontolar\u0131n eczac\u0131 \u00fczerinden y\u00fcr\u00fct\u00fclmesine son verilmesiydi. Me\u015fru olmayan bu durumun s\u00fcreklilik kazanmas\u0131 halinin eczac\u0131n\u0131n gelece\u011fi bak\u0131m\u0131ndan \u00e7ok daha b\u00fcy\u00fck riskler ta\u015f\u0131d\u0131\u011f\u0131 a\u00e7\u0131kt\u0131. Biz eczac\u0131lar 2005 y\u0131l\u0131ndan bug\u00fcne bu uygulama nedeniyle ciddi hak kay\u0131plar\u0131na u\u011frad\u0131k. Bu haks\u0131zl\u0131\u011f\u0131 daha o zaman \u0130stanbul Eczac\u0131 Odas\u0131 delegeleri olarak tespit etmi\u015f ama maalesef o zamanki TEB y\u00f6netimine ve Kongreye bunu kabul ettirememi\u015ftik. H\u00fck\u00fcmet ve SGK da bu uygulamadan \u00e7ok memnundu. \u00c7\u00fcnk\u00fc eczac\u0131lar i\u00e7in hak kay\u0131plar\u0131na yol a\u00e7an uygulama kamuya \u00f6nemli art\u0131lar sa\u011fl\u0131yordu. \u0130la\u00e7 sekt\u00f6r\u00fc kamuya yeri geldi\u011finde kimi ila\u00e7larda y\u00fczde 50\u2019ye varan indirimler sa\u011fl\u0131yor, sosyal g\u00fcvencesi olmayan vatanda\u015flar bu fark\u0131 cebinden \u00f6demek zorunda kal\u0131yordu. \u0130la\u00e7 fiyatlar\u0131nda olu\u015fan bu \u00e7ifte standart ise sorunun bir ba\u015fka kanayan yaras\u0131yd\u0131. Kald\u0131 ki ila\u00e7 sekt\u00f6r\u00fc taraf\u0131ndan kamuya yap\u0131lan iskontoyu denetleyecek bir mekanizma da yoktu ortada. Alan memnun veren memnun, faturas\u0131 ise biz eczac\u0131lara ve halka \u00e7\u0131kar\u0131ld\u0131. Eczac\u0131 ne kazand\u0131\u011f\u0131n\u0131 bilemedi \u00e7\u00fcnk\u00fc bu uygulaman\u0131n muhasebesini yapmak olanakl\u0131 de\u011fildi. \u0130\u015fte imzalanan yeni protokol metni eczac\u0131 \u00fczerinden bu b\u00fcy\u00fck y\u00fck\u00fc kald\u0131racakt\u0131. E\u011fer protokol uygulansa idi\u2026<\/span><\/span>\u00a0<\/span><\/span><\/p>\n

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\u0130mzalanan protokolle elde edilen kazan\u0131mlara ra\u011fmen sorun olu\u015fturacak iki kritik noktaya da dikkatinizi \u00e7ekmek istiyorum. Birincisi protokol\u00fcn s\u00fcresiyle ilgili. \u00d6nceki protokollerin ucu a\u00e7\u0131k de\u011fildi. S\u00fcreleri bir y\u0131lla s\u0131n\u0131rl\u0131yd\u0131 ve ne zaman bitece\u011fi belliydi. Ancak yeni protokolde s\u00fcre s\u0131n\u0131rland\u0131rmas\u0131 kald\u0131r\u0131lm\u0131\u015f ve protokol\u00fcn ucu a\u00e7\u0131k hale gelmi\u015ftir. Ortaya \u00e7\u0131kacak bir anla\u015fmazl\u0131k halinde yenisi yap\u0131l\u0131ncaya kadar eski protokol ge\u00e7erli olacakt\u0131r. Bunun m\u00fccadelemiz a\u00e7\u0131s\u0131ndan \u00f6nemli handikaplar\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. \u0130kinci kritik nokta 5510 say\u0131l\u0131 yasaya ba\u011fl\u0131 olarak Ekim ay\u0131nda g\u00fcndeme gelecek olan avans sorunudur. \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131 avans sorununun y\u00fczde 100 \u00f6denecek \u015fekilde \u00e7\u00f6z\u00fcm\u00fc konusunda s\u00f6z vermi\u015ftir ama ortada da 5510 say\u0131l\u0131 yasa var. Yasa verilecek olan avans oran\u0131n\u0131 y\u00fczde 75 ile 90 aras\u0131nda s\u0131n\u0131rl\u0131yor. Avans sorunu Ekim ay\u0131nda ba\u015f\u0131m\u0131z\u0131 a\u011fr\u0131tacak \u00f6nemli sorunlardan biri olacak.<\/span><\/span><\/p>\n

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Alt\u0131n\u0131 \u00e7izdi\u011fim bu iki \u00f6nemli soruna ra\u011fmen yeni protokolde eczac\u0131 lehine sa\u011flanan kazan\u0131mlar var ve bunlar durduk yerde de\u011fil m\u00fccadele ile kazan\u0131ld\u0131. Eczac\u0131n\u0131n bu noktada ortaya \u00e7\u0131kan iradesini hi\u00e7 kimse g\u00f6z ard\u0131 edemez. S\u0131n\u0131rl\u0131 da olsa m\u00fccadele ile kazan\u0131lm\u0131\u015f bu haklar\u0131 k\u00fc\u00e7\u00fcmsemenin do\u011fru bir tutum olmad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyorum. Nitekim s\u0131n\u0131rl\u0131 da olsa sa\u011flanan bu kazan\u0131mlard\u0131r ki SGK\u2019y\u0131 imzalad\u0131\u011f\u0131 protokol\u00fc kabul etmeme noktas\u0131na ta\u015f\u0131d\u0131. 9 Temmuz 2008 tarihinde imzalanan protokol t\u00fcm hukuk d\u0131\u015f\u0131 yollar denenerek teslim al\u0131nmad\u0131. \u0130stanbul, Tekirda\u011f, Edirne ve K\u0131rklareli Eczac\u0131 Odalar\u0131na \u00fcye y\u00fczlerce eczac\u0131 saatlerce \u00dcsk\u00fcdar SGK \u0130l M\u00fcd\u00fcrl\u00fc\u011f\u00fc \u00f6n\u00fcnde bekletildi. Eczac\u0131lara kar\u015f\u0131 koruma duvarlar\u0131 olu\u015fturuldu. Ayn\u0131 uygulama benzer \u015fekilde t\u00fcm illerde ya\u015fand\u0131. Bir hukuk devletinde s\u00f6zle\u015fme yapma hakk\u0131, hukuk ayaklar alt\u0131na al\u0131narak engellendi. Ancak verilen m\u00fccadele sonucunda SGK\u2019n\u0131n bu hukuk d\u0131\u015f\u0131 tutumu a\u015f\u0131labildi ve s\u00f6zle\u015fmeler 31.07.2008 g\u00fcn\u00fc ak\u015fam saatlerinde kabul edilmeye ba\u015fland\u0131.<\/span><\/span><\/p>\n

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Gelinen noktada \u00e7\u00f6z\u00fcms\u00fczl\u00fck k\u0131smen de olsa a\u015f\u0131ld\u0131. S\u00f6zle\u015fmelerin kabul edilmesiyle yeni bir s\u00fcre\u00e7 ba\u015flad\u0131. Ancak sorunlar hen\u00fcz t\u00fcm\u00fcyle \u00e7\u00f6z\u00fclm\u00fc\u015f de\u011fil. Durum bu. Peki \u00f6yleyse ne yap\u0131lmal\u0131? Bir kere \u015fu tespiti yapmak durumunday\u0131z. Eczac\u0131lar belki de ilk kez hem toplumsal hem de hukuksal olarak hakl\u0131 ve do\u011fru bir zemini yakalam\u0131\u015f durumdalar. Bu tarihi f\u0131rsat \u00e7ok iyi de\u011ferlendirilmeli, g\u00fcn\u00fc kurtarmak ad\u0131na \u00fcretilecek palyatif \u00e7\u00f6z\u00fcmlerle bu f\u0131rsat ka\u00e7\u0131r\u0131lmamal\u0131d\u0131r.<\/span><\/span><\/p>\n

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Ortada h\u00fck\u00fcmetin \u00fc\u00e7 bakan\u0131n\u0131n imzalad\u0131\u011f\u0131 bir mutabakat metni ve yine SGK taraf\u0131ndan imzalanm\u0131\u015f bir protokol metni var. B\u00f6ylesine hakl\u0131 ve me\u015fru bir zeminden bir ad\u0131m dahi geri ad\u0131m atmak eczac\u0131l\u0131k hareketinin gelece\u011fine d\u00f6n\u00fck politikalar\u0131m\u0131zda b\u00fcy\u00fck deformasyonlara yol a\u00e7abilir. Kamu iskontolar\u0131n\u0131n yeniden eczac\u0131lar \u00fczerinden y\u00fcr\u00fct\u00fclmesini kabul etmek ya da b\u00f6ylesine bir pazarl\u0131\u011f\u0131n i\u00e7inde olmak yakalad\u0131\u011f\u0131m\u0131z hakl\u0131l\u0131k zeminini kendi ellerimizle t\u00fcketmektir.<\/span><\/span><\/p>\n

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Buna hi\u00e7bir kimsenin, hi\u00e7bir \u00f6rg\u00fct\u00fcn hakk\u0131 olmad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyorum. Yap\u0131lmas\u0131 gereken m\u00fccadele ile kazan\u0131lm\u0131\u015f bu hakl\u0131 ve me\u015fru zemine t\u00fcm demokratik m\u00fccadele ara\u00e7lar\u0131n\u0131 ve eczac\u0131lar\u0131n \u00f6rg\u00fctl\u00fc g\u00fcc\u00fcn\u00fc kullanarak sahip \u00e7\u0131kmakt\u0131r.<\/span><\/span>\u00a0<\/span><\/span>\u00a0<\/span><\/span>\u00a0<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

San\u0131r\u0131m t\u00fcm eczac\u0131 kamuoyu nabz\u0131n\u0131 tutmu\u015f bu sorunun cevab\u0131n\u0131 ar\u0131yor. B\u00f6ylesine kritik bir s\u00fcre\u00e7te do\u011fru bir karar verebilmek i\u00e7in durdu\u011fumuz...<\/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-2886","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\/2886","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=2886"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2886\/revisions"}],"predecessor-version":[{"id":3985,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2886\/revisions\/3985"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2886"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}