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Birg\u00fcn – 25.04.2012 K\u00fcresel sermaye \u00f6rg\u00fctleri olan D\u00fcnya Bankas\u0131 ve IMF taraf\u0131ndan uygulat\u0131lan sa\u011fl\u0131k politikalar\u0131 sonucunda kamu sa\u011fl\u0131k hizmetleri piyasa kurallar\u0131 \u00e7er\u00e7evesinde sunulmaya ba\u015fland\u0131. Hastaneler sa\u011fl\u0131k i\u015fletmelerine ve hastalar m\u00fc\u015fteriye d\u00f6n\u00fc\u015ft\u00fcr\u00fcld\u00fc. Bu \u015fekilde piyasala\u015fan sa\u011fl\u0131\u011f\u0131n kazan\u00e7 kap\u0131s\u0131 haline getirilmesinin \u015fifresi, \u00fcniversite \u00f6\u011frencisi Dilek \u00d6z\u00e7elik\u2019in ya\u015fad\u0131klar\u0131n\u0131n kamuoyuna aktar\u0131lmas\u0131yla de\u015fifre edildi.<\/p>\n NELER YA\u015eANDI?<\/strong><\/p>\n Dilek \u00d6z\u00e7elik\u2019e k\u0131sa bir s\u00fcre \u00f6nce hodgkin lenfoma tan\u0131s\u0131 konuldu ve h\u0131zla tedaviye ba\u015flan\u0131lmas\u0131 planland\u0131. Ancak Dilek\u2019in uygulanan politika sonucunda kanser ila\u00e7lar\u0131na SGK g\u00fcvencesiyle eri\u015fimin imkans\u0131z oldu\u011funu \u00f6\u011frenmesi uzun zaman almad\u0131. Bunun \u00fczerine Edirne\u2019ye gelen ve Sa\u011fl\u0131k Bakan\u0131 oldu\u011funu sand\u0131\u011f\u0131 \u00c7evre ve \u015eehircilik Bakan\u0131 Erdo\u011fan Bayraktar\u2019a kanser ila\u00e7lar\u0131n\u0131n temininde s\u0131k\u0131nt\u0131 ya\u015fad\u0131\u011f\u0131n\u0131 ifade etmek istedi. Ancak AKP h\u00fck\u00fcmetinin Bakan\u0131 sadaka k\u00fclt\u00fcr\u00fcn\u00fc \u00f6z\u00fcmsedi\u011fi i\u00e7in ba\u015f\u0131ndan savmak ve yard\u0131mseverli\u011fini kameralara g\u00f6stermek amac\u0131yla Dilek\u2019in eline para s\u0131k\u0131\u015ft\u0131rmaya kalk\u0131\u015ft\u0131. Ancak olmad\u0131. \u00c7\u00fcnk\u00fc Dilek \u2018Ben dilenci de\u011filim\u2019 dedi ve sadaka de\u011fil sa\u011fl\u0131k hakk\u0131 istedi\u011fini gayet \u00e7arp\u0131c\u0131 \u015fekilde t\u00fcm kamuoyuna iletti. AKP\u2019nin sadaka politikas\u0131na kar\u015f\u0131 sadakay\u0131 muktedirin y\u00fcz\u00fcne \u00e7arparak sa\u011fl\u0131\u011f\u0131n bir hak oldu\u011funu, sadece kendisi i\u00e7in de\u011fil herkes i\u00e7in bir hak oldu\u011funu hat\u0131rlatt\u0131. T\u0131p end\u00fcstrile\u015fti. D\u00fcnyada silah end\u00fcstrisinden sonra ila\u00e7 ve t\u0131bbi teknoloji end\u00fcstrisi geliyor.<\/p>\n SSK ila\u00e7 fabrikas\u0131n\u0131 bug\u00fcnler i\u00e7in mi kapatt\u0131lar? T\u00fcrkiye de kamunun elinde olan tek ila\u00e7 fabrikas\u0131 1979 y\u0131l\u0131nda \u0130stanbul \u015ei\u015fli Bomonti\u2019de kurulan SSK ila\u00e7 fabrikas\u0131yd\u0131. 20 \u00e7e\u015fit ila\u00e7 \u00fcretiyor ve fiyatlar\u0131 piyasadan daha ucuza belirliyordu. SSK, ila\u00e7 \u00fcretiminin yan\u0131 s\u0131ra \u00fcretemedi\u011fi ila\u00e7lar\u0131 toplu ila\u00e7 al\u0131mlar\u0131 ile \u00fcretici firmalarla pazarl\u0131k yaparak daha ucuza alabiliyordu. A\u015f\u0131 ve ila\u00e7 \u00fcretimi konusunda ba\u015fkaca herhangi bir \u00e7al\u0131\u015fma yap\u0131lmad\u0131\u011f\u0131 gibi SSK ila\u00e7 fabrikas\u0131na da y\u0131llarca teknik ve fiziki yat\u0131r\u0131m yap\u0131lmad\u0131. Bu fabrika AKP h\u00fck\u00fcmeti taraf\u0131ndan 2005 y\u0131l\u0131nda kapat\u0131ld\u0131. T\u00fcrkiye\u2019yi ila\u00e7 tekellerinin kar hesaplar\u0131na mahkum edenler bug\u00fcn sadaka ile bu sorunun \u00fczerini \u00f6rtmeye \u00e7al\u0131\u015f\u0131yorlar.<\/p>\n Sa\u011fl\u0131k harcamalar\u0131n\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 ila\u00e7 ve t\u0131bbi teknolojiye gidiyor. T\u00fcrkiye ila\u00e7 alan\u0131nda d\u00fcnyan\u0131n en b\u00fcy\u00fck 15, t\u0131bbi cihaz alan\u0131nda ise d\u00fcnyan\u0131n en b\u00fcy\u00fck 20 pazar\u0131ndan biridir..<\/p>\n KAMU KAYNAKLARI \u0130LA\u00c7 VE TIBB\u0130 C\u0130HAZ TEKELLER\u0130NE AKTARILIYOR<\/strong><\/p>\n T\u00fcrkiye\u2019nin ila\u00e7 ihracat\u0131 2000-2011 d\u00f6neminde 101 milyon dolardan 567 milyon dolara y\u00fckselirken ila\u00e7 ithalat\u0131 ise 1 milyar dolardan 4.7 milyar dolara y\u00fckseldi.<\/p>\n \u00dclkemiz orijinal ila\u00e7 ve t\u0131bbi cihaz alan\u0131nda b\u00fcy\u00fck oranda d\u0131\u015fa ba\u011f\u0131ml\u0131d\u0131r. \u0130la\u00e7 sekt\u00f6r\u00fcndeki \u00fcr\u00fcnler orijinal ve jenerik olarak ayr\u0131l\u0131r. Orijinal ila\u00e7 laboratuvar ve klinik \u00e7al\u0131\u015fmalar sonucu belli bir hastal\u0131k \u00fczerinde olumlu etki yapt\u0131\u011f\u0131 kan\u0131tlanm\u0131\u015f, daha \u00f6nce benzeri olmayan yeni ila\u00e7lard\u0131r. Orijinal ilac\u0131n yasal koruma s\u00fcresinin dolmas\u0131yla birlikte ila\u00e7 \u015firketleri orjinal ila\u00e7lar\u0131n benzerlerini piyasaya s\u00fcrebilirler. Bu ila\u00e7lar jenerik ila\u00e7 olarak adland\u0131r\u0131l\u0131rlar. T\u00fcrkiye\u2019de \u00fcretimi yap\u0131lan ila\u00e7lar jenerik (orijinal ilac\u0131n benzeri) a\u011f\u0131rl\u0131kl\u0131d\u0131r.<\/p>\n 2002-2010 y\u0131llar\u0131 aras\u0131nda kamu ila\u00e7 harcamalar\u0131 kutu ba\u015f\u0131na %76 artarken de\u011fer art\u0131\u015f\u0131 %41\u2019de kald\u0131. Sekt\u00f6rde yer alan firmalar aradaki fark\u0131 ciro kayb\u0131 olarak de\u011ferlendiriyor ve karlar\u0131n\u0131n azalmas\u0131n\u0131 istemiyor.<\/p>\n SORUNUN ESASI NED\u0130R? \u0130la\u00e7 fiyatland\u0131rmalar\u0131 yap\u0131l\u0131rken d\u00f6viz kuru g\u00fcncellemeleri \u015fu \u015fekilde yans\u0131t\u0131l\u0131yor: Avro kurunun ge\u00e7mi\u015f 90 g\u00fcnl\u00fck ortalamas\u0131ndaki fark a\u015fa\u011f\u0131ya do\u011fru % 5\u2019e ula\u015ft\u0131\u011f\u0131nda ilac\u0131n fiyat\u0131 a\u015fa\u011f\u0131 y\u00f6nl\u00fc d\u00fczenlemelere tabi tutuluyor. Oysa, avro fark\u0131n\u0131n yukar\u0131 do\u011fru ancak %15\u2019e ula\u015ft\u0131\u011f\u0131nda ila\u00e7 fiyat\u0131 yukar\u0131 d\u00fczenlemelere tabi tutuluyor. Sekt\u00f6rde yer alan firmalar ise buna itiraz ediyor ve d\u00f6viz kuru oranlar\u0131 ile fiyat yans\u0131malar\u0131n\u0131n benzer bir e\u011filime sahip olmas\u0131n\u0131 \u00f6neriyorlar.<\/p>\n Geri \u00f6demede ise SGK taraf\u0131ndan dayat\u0131lan iskonto oranlar\u0131, ila\u00e7 firmalar\u0131na geri \u00f6deme tutar\u0131n\u0131 belirliyor. \u0130thal ila\u00e7larda SGK taraf\u0131ndan genellikle %11 -21 aras\u0131 iskonto uygulamas\u0131 yap\u0131l\u0131yor. E\u011fer \u015firket olarak bu iskonto yap\u0131lmaz ise ila\u00e7 \u00f6deme kapsam\u0131 d\u0131\u015f\u0131nda kal\u0131yor. Sekt\u00f6rde yer alan firmalar iskonto oranlar\u0131n\u0131n dayat\u0131lmas\u0131n\u0131 istemiyor.<\/p>\n T\u00fcrkiye\u2019de son d\u00f6nem uygulanan bu fiyat ve iskonto politikas\u0131 sonucunda da ila\u00e7 firmalar\u0131 \u00fcr\u00fcnlerini pazara arz etmemek veya geri \u00e7ekmek y\u00f6n\u00fcnde kararlar alabiliyor. Bu \u015fekilde ithal ila\u00e7lara eri\u015fimde ciddi s\u0131k\u0131nt\u0131 ya\u015fanabiliyor. Sonu\u00e7 olarak ithalat\u00e7\u0131 firmalar fiyatlar\u0131 d\u00fc\u015ft\u00fc\u011f\u00fc i\u00e7in \u00f6zellikle kanser tedavisinde kullan\u0131lan ila\u00e7lar\u0131 getirmiyorlar. B\u00f6ylece kan ve lenf kanserinin tedavisinde kulan\u0131lan ila\u00e7lara eri\u015fimde s\u0131k\u0131nt\u0131 ya\u015fan\u0131yor. (Benzer s\u0131k\u0131nt\u0131 ge\u00e7ti\u011fimiz y\u0131l kalp ve tiroid hastal\u0131klar\u0131nda kullan\u0131lan ila\u00e7lar\u0131n ithalinde ya\u015fanm\u0131\u015ft\u0131.)<\/p>\n AKP ve YOKSULLA\u015eTIRDI\u011eI SA\u011eLIK HAKKIMIZ T\u00fcrkiye\u2019yi ila\u00e7 tekellerinin kar hesaplar\u0131na mahkum edenler bug\u00fcn sadaka ile bu sorunun \u00fczerini \u00f6rtmeye \u00e7al\u0131\u015f\u0131yorlar.<\/p>\n Asgari \u00fccretle ge\u00e7imini sa\u011flayan emek\u00e7i bir ailenin \u00e7ocu\u011fu olan 22 ya\u015f\u0131ndaki Dilek \u00d6z\u00e7elik, E\u011fitim Fak\u00fcltesi \u0130ngilizce b\u00f6l\u00fcm\u00fcnde okuyor. Dilek, ailesinin mevcut sa\u011fl\u0131k sisteminden \u015fu ana kadar memnun olduklar\u0131n\u0131 ve se\u00e7imlerde AKP\u2019ye oy vererek desteklediklerini ifade ediyor. Rahats\u0131zl\u0131\u011f\u0131 sonucu m\u00fcracaat etti\u011fi sa\u011fl\u0131k kurumunda yakla\u015f\u0131k iki ay \u00f6nce hodgkin lenfoma tan\u0131s\u0131 konuldu. Ancak tedavisinde kullan\u0131lan ilaca eri\u015fiminde zorluk \u00e7ekiyordu. Benzer sorunu ya\u015fayan di\u011fer kanser hastalar\u0131 ile temas\u0131 sonucu ila\u00e7lar\u0131n hangi yollardan temin edilece\u011fini \u00f6\u011frendi. \u0130laca eri\u015fim daha \u00e7ok TEB ithal ila\u00e7 birimlerinden (ki bu yolun uzun ve yo\u011fun bir prosed\u00fcr\u00fc var) oluyor ya da karaborsa, merdiven alt\u0131 ve yurtd\u0131\u015f\u0131ndan yak\u0131nlar arac\u0131l\u0131\u011f\u0131yla temin edilebiliyor. Hastalar ilaca olduk\u00e7a y\u00fcksek bedeller \u00f6deyerek ula\u015fabiliyor. Tedavilerinin bir an \u00f6nce tamamlanabilmesi ve eksik kalmamas\u0131 i\u00e7in ellerindeki t\u00fcm birikimlerini harc\u0131yor; bor\u00e7lan\u0131yor ve varsa mallar\u0131n\u0131 m\u00fclklerini sat\u0131yorlar.<\/p>\n Sa\u011fl\u0131k hakk\u0131m\u0131?… ‘Ben ila\u00e7 dedik\u00e7e Bakan para diyordu\u2019\u2026Sadaka m\u0131?<\/p>\n Dilek, vatanda\u015f olarak herkesin adil ve e\u015fit bi\u00e7imde \u00fccretsiz olarak sa\u011fl\u0131k hizmetine eri\u015fimin m\u00fcmk\u00fcn oldu\u011fu ve sa\u011fl\u0131k hakk\u0131n\u0131n bir insanl\u0131k hakk\u0131 oldu\u011fu bir d\u00fcnyadan seslenirken AKP h\u00fck\u00fcmetinin Bakan\u0131 olan E. Bayraktar ise halk\u0131n ya m\u00fc\u015fteri ya da dilenci olarak g\u00f6r\u00fcld\u00fc\u011f\u00fc serbest piyasa dilinden konu\u015fuyor. Dilek “ya\u015fad\u0131\u011f\u0131m s\u00fcre i\u00e7erisinde ald\u0131\u011f\u0131m her nefeste kendilerine minnet duymak istemiyorum, bir insan hakk\u0131 olarak sa\u011fl\u0131k hakk\u0131m\u0131 istiyorum ve sadece kendim i\u00e7in de\u011fil herkes i\u00e7in istiyorum” diyerek, hayk\u0131r\u0131yor: ‘Biz bu d\u00fcnyaya piyasa mal\u0131 olarak gelmedik\u2019.<\/p>\n AKP h\u00fck\u00fcmeti, sermayenin taleplerini ger\u00e7ekle\u015ftirmek i\u00e7in D\u00fcnya Bankas\u0131 ve Uluslararas\u0131 Para Fonu’nun verdi\u011fi direktiflerle sa\u011fl\u0131k hizmetinin yap\u0131s\u0131n\u0131 de\u011fi\u015ftirdi. Kamu sa\u011fl\u0131k hizmetlerinin piyasaya a\u00e7\u0131lmas\u0131 ile hastaneler i\u015fletmeye, hastalar ise m\u00fc\u015fteriye d\u00f6n\u00fc\u015ft\u00fcr\u00fcld\u00fc ve i\u015fletme i\u00e7in kazan\u00e7 arac\u0131 haline getirildi. Bug\u00fcn sa\u011fl\u0131kta ger\u00e7ekle\u015ftirilen d\u00f6n\u00fc\u015f\u00fcm ne Dilekler i\u00e7in ne de Fatma Teyze ile Osman Amcalar i\u00e7in yap\u0131ld\u0131. Bu d\u00f6n\u00fc\u015f\u00fcm sermaye i\u00e7in, t\u0131bbi cihaz ve ila\u00e7 tekelleri i\u00e7in yap\u0131ld\u0131. Serbest piyasa d\u00fczeninde ila\u00e7 tekelleri kazan\u00e7lar\u0131n\u0131 ve karlar\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcrler, Dilek\u2019lerin sa\u011fl\u0131\u011f\u0131n\u0131 de\u011fil!<\/p>\n <\/p>\n Dr.Erg\u00fcn DEM\u0130R<\/strong><\/p>\n Dr.G\u00fcray KILI\u00c7<\/strong><\/p><\/p>\n","protected":false},"excerpt":{"rendered":" Birg\u00fcn – 25.04.2012Dr.Erg\u00fcn DEM\u0130R, Dr.G\u00fcray KILI\u00c7 K\u00fcresel sermaye \u00f6rg\u00fctleri olan D\u00fcnya Bankas\u0131 ve IMF taraf\u0131ndan uygulat\u0131lan sa\u011fl\u0131k politikalar\u0131 sonucunda kamu...<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-3217","post","type-post","status-publish","format-standard","hentry","category-basinda-saglik"],"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\/3217","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\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3217"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3217\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3217"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/span>Dr.Erg\u00fcn DEM\u0130R, <\/span>Dr.G\u00fcray KILI\u00c7<\/span><\/p>\n<\/p>\n
NEDEN OLDU?<\/strong><\/p>\n
<\/strong>
\u0130thal ila\u00e7ta as\u0131l sorun d\u00f6viz kurunun sabitlenmesinde ve SGK\u2019n\u0131n yapt\u0131\u011f\u0131 iskonto oranlar\u0131nda ya\u015fan\u0131yor. 2007 tarihli be\u015feri ila\u00e7lar\u0131n fiyatland\u0131r\u0131lmas\u0131na dair karar h\u00fck\u00fcmleri gere\u011fince T\u00fcrkiye\u2019deki ila\u00e7 fiyatlar\u0131, Fransa, \u0130spanya, \u0130talya, Portekiz ve Yunanistan\u2019dan olu\u015fan be\u015f \u00fclke ile buna ek olarak ilac\u0131n imal ve ithal edildi\u011fi \u00fclkelerin ecza deposundan yap\u0131lan sat\u0131\u015f fiyatlar\u0131n\u0131n en d\u00fc\u015f\u00fc\u011f\u00fcn\u00fcn referans fiyat olarak kabul edilmesiyle belirleniyor. Avro kuru dikkate al\u0131narak referans ila\u00e7 fiyat\u0131 hesaplan\u0131yor.<\/p>\n
<\/strong>
Kanser tedavisinde kullan\u0131lan \u00e7e\u015fitli ila\u00e7lara eri\u015fiminde \u00f6nemli s\u0131k\u0131nt\u0131lar var. \u0130laca eri\u015fimin k\u0131s\u0131tl\u0131 olmas\u0131 beraberinde ciddi etik ve t\u0131bbi sorunlar\u0131 da getiriyor. Bu durum hastalar\u0131n tedavisinin aksamas\u0131na neden oldu\u011fu gibi ila\u00e7lar\u0131n karaborsada \u00e7ok pahal\u0131ya sat\u0131lmas\u0131na da yol a\u00e7\u0131yor. Ancak bu y\u00fcksek mebla\u011flar\u0131 kar\u015f\u0131layabilen yurtta\u015flar, T\u00fcrk Eczac\u0131lar Birli\u011fi’nin ithal ila\u00e7 birimine m\u00fcracat edebiliyor ve ilaca ula\u015fabiliyor, paray\u0131 denkle\u015ftiremeyenler ise tedavisiz kal\u0131yor.<\/p>\n