{"id":3642,"date":"2009-11-17T15:56:53","date_gmt":"2009-11-17T13:56:53","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3642"},"modified":"2009-11-17T15:56:53","modified_gmt":"2009-11-17T13:56:53","slug":"eczaci-kamuoyuna-2","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3642","title":{"rendered":"ECZACI KAMUOYUNA"},"content":{"rendered":"

D\u00fcnyada 1980’li y\u0131llarla birlikte k\u00fcresel sistem i\u00e7erisinde \u00f6ne \u00e7\u0131kan neoliberal politikalar ekonomi, siyaset, sosyal g\u00fcvenlik, sa\u011fl\u0131k, e\u011fitim gibi alanlarda \u00e7ok \u00f6nemli politika de\u011fi\u015fikliklerine yol a\u00e7t\u0131.<\/span><\/p>\n

Bu “yeni” ekonomi politikalar toplumlar\u0131n ya\u015fam\u0131n\u0131 derinden etkiledi. A\u00e7l\u0131k, yoksulluk, i\u015fsizlik artarak k\u00fcreselle\u015fti. Zenginlerle yoksullar aras\u0131nda u\u00e7urum daha da derinle\u015fti. Sosyal devlet olgusu h\u0131zla terk edildi, sosyal g\u00fcvenlik alan\u0131 sistemin kara delikleri olarak g\u00f6r\u00fcld\u00fc, sa\u011fl\u0131k ve e\u011fitim alan\u0131nda h\u0131zl\u0131 bir \u00f6zelle\u015ftirme s\u00fcreci ba\u015flad\u0131.<\/span><\/p>\n

T\u00fcrkiye ekonomisinin k\u00fcresel sisteme entegrasyonu da yine ayn\u0131 d\u00f6nemde ba\u015flad\u0131. D\u00fcnyadaki bu temel politika de\u011fi\u015fikliklerine paralel olarak ekonomide oldu\u011fu gibi ila\u00e7, sa\u011fl\u0131k, e\u011fitim ve sosyal g\u00fcvenlik alan\u0131na d\u00f6n\u00fck pek \u00e7ok d\u00fczenleme yap\u0131ld\u0131. Bu d\u00fczenlemeler toplumsal ya\u015fam alanlar\u0131m\u0131z\u0131 oldu\u011fu gibi meslek alan\u0131m\u0131z\u0131 da \u00f6nemli \u00f6l\u00e7\u00fcde etkiledi. Serbest piyasa ekonomisinin ac\u0131mas\u0131z kurallar\u0131 eczane ekonomilerinde ciddi fay hatlar\u0131 olu\u015fturdu.<\/p>\n

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Piramidin alt\u0131na itilen eczanelerin say\u0131s\u0131 h\u0131zla artt\u0131 ve sonu\u00e7ta 8 binin \u00fczerinde eczane iflas\u0131n e\u015fi\u011fine geldi.<\/p>\n

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2004 y\u0131l\u0131nda AKP iktidar\u0131 eliyle g\u00fcndeme getirilen IMF ve D\u00fcnya Bankas\u0131 destekli Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 t\u00fcm sa\u011fl\u0131k ve sosyal g\u00fcvenlik alan\u0131nda oldu\u011fu gibi serbest eczane alan\u0131nda da yeni bir y\u0131k\u0131m s\u00fcrecinin ba\u015flang\u0131c\u0131 oldu. \u0130la\u00e7 Fiyat Kararnamesinde yap\u0131lan de\u011fi\u015fikliklerle eczac\u0131 k\u00e2rl\u0131l\u0131\u011f\u0131 kademelendirildi. Sa\u011fl\u0131k Uygulama Tebli\u011finde yap\u0131lan d\u00fczenlemeler ve dayat\u0131lan Protokollerle eczaneler sistemin a\u011f\u0131rl\u0131kl\u0131 y\u00fck\u00fcn\u00fc ta\u015f\u0131mak zorunda b\u0131rak\u0131ld\u0131. Kamu kurum iskontosunun eczaneler \u00fczerinden y\u00fcr\u00fct\u00fclmesiyle bu y\u00fck bir kat daha artt\u0131.<\/span><\/p>\n

Bu arada 6197 Say\u0131l\u0131 Eczac\u0131lar ve Eczaneler Hakk\u0131ndaki Yasa Tasar\u0131s\u0131, \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu Yasa Tasar\u0131s\u0131, 1262 Say\u0131l\u0131 \u0130spen\u00e7iyari ve T\u0131bbi M\u00fcstahzarlar Yasas\u0131 ba\u015fta olmak \u00fczere ila\u00e7, eczac\u0131l\u0131k ve sa\u011fl\u0131k alan\u0131n\u0131 do\u011frudan etkileyen temel yasalara ili\u015fkin de\u011fi\u015fiklikler de yine bu d\u00f6nemde g\u00fcndeme getirildi.<\/span><\/p>\n

18 Eyl\u00fcl 2009’da bu kez \u0130la\u00e7 Fiyat Kararnamesi ve Sa\u011fl\u0131k Uygulama Tebli\u011finde yap\u0131lan yeni d\u00fczenlemelerle “\u0130la\u00e7ta Tasarruf Paketi” ad\u0131 alt\u0131nda yeni bir y\u0131k\u0131m paketi g\u00fcndemimize ta\u015f\u0131nd\u0131. Bu paket asl\u0131nda Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm\u00fcn iflas paketidir.<\/span><\/p>\n

Emek\u00e7iler, \u00e7al\u0131\u015fanlar, k\u00fc\u00e7\u00fck ve orta gelirli gruplar\u0131yla t\u00fcm halk\u0131m\u0131z, bu tasarruf paketinin maliyetini muayene kat\u0131l\u0131m pay\u0131, ila\u00e7 fiyat farklar\u0131, ila\u00e7 kat\u0131l\u0131m paylar\u0131 olarak kar\u015f\u0131lamak zorunda b\u0131rak\u0131ld\u0131. Sa\u011fl\u0131k alan\u0131na d\u00f6n\u00fck bu ve benzeri her yeni d\u00fczenleme asl\u0131nda “paras\u0131z sa\u011fl\u0131k”tan, “paran kadar sa\u011fl\u0131k” d\u00f6nemine ge\u00e7i\u015fin alt yap\u0131s\u0131n\u0131 olu\u015fturdu.<\/span><\/p>\n

18 Eyl\u00fcl’de a\u00e7\u0131klanan tasarruf paketi ile birlikte yeni bir s\u00fcre\u00e7 ba\u015fl\u0131yor. Bu s\u00fcrecin eczanelere a\u011f\u0131r bir maliyeti olaca\u011f\u0131 a\u00e7\u0131kt\u0131r.<\/span><\/p>\n

\u0130la\u00e7 Fiyat Kararnamesi ve Sa\u011fl\u0131k Uygulama Tebli\u011finde yap\u0131lan de\u011fi\u015fikliklerin uygulanmas\u0131 ile ortaya \u00e7\u0131kacak bu bedeli art\u0131k eczanelerin ta\u015f\u0131mas\u0131 m\u00fcmk\u00fcn de\u011fildir.<\/span><\/p>\n

Eczaneleri bu tehditten koruyacak ciddi d\u00fczenlemelere ihtiya\u00e7 vard\u0131r. Eczaneleri gelece\u011fe g\u00fcvenle ta\u015f\u0131yacak bir ekonomik altyap\u0131n\u0131n kurulmas\u0131 gerekir. Bunu olu\u015fturacak temel d\u00fczenlemelerden biri adil bir re\u00e7ete da\u011f\u0131t\u0131m sistemidir. Bir di\u011fer d\u00fczenleme ise \u0130la\u00e7 Fiyat Kararnamesi ile eczac\u0131 k\u00e2rl\u0131l\u0131\u011f\u0131n\u0131n y\u00fckseltilmesi ve eczac\u0131 meslek hakk\u0131n\u0131n ya\u015fama ge\u00e7irilmesidir.<\/span><\/p>\n

2005’ten bug\u00fcne kamu kurum iskontolar\u0131, eczaneler \u00fczerinden y\u00fcr\u00fct\u00fclmekte, bunun faturas\u0131n\u0131 da eczac\u0131lar \u00f6demektedir. \u0130la\u00e7 sanayisini ba\u011flayan yasal bir protokol olmad\u0131\u011f\u0131 i\u00e7in bu uygulama, ila\u00e7 sanayicilerinin keyfine b\u0131rak\u0131lmaktad\u0131r. D\u00f6rt y\u0131ld\u0131r ta\u015f\u0131d\u0131\u011f\u0131m\u0131z bu y\u00fck, 18 Eyl\u00fcl’de yap\u0131lan yeni d\u00fczenlemelerle katlanarak artacakt\u0131r.<\/span><\/p>\n

\u0130la\u00e7 Fiyat Kararnamesi ve Sa\u011fl\u0131k Uygulama Tebli\u011finde yap\u0131lan de\u011fi\u015fikliklere ra\u011fmen ortada yan\u0131t\u0131 olmayan pek \u00e7ok soru ve sorun bulunmaktad\u0131r. Belirsizlikler giderek sistemi kilitlemekte ve bir kaosa yol a\u00e7maktad\u0131r.<\/span><\/p>\n

Eczac\u0131lar, ila\u00e7 sekt\u00f6r\u00fc ile Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ve SGK aras\u0131nda yap\u0131lan pazarl\u0131klar\u0131n faturas\u0131n\u0131 \u00f6demek zorunda b\u0131rak\u0131lmaktad\u0131r.<\/span><\/p>\n

4 Aral\u0131k 2009 tarihine kadar ge\u00e7ecek s\u00fcrecin her bir g\u00fcn\u00fc \u00e7ok \u00f6nemlidir.<\/span><\/p>\n

S\u00fcre\u00e7 ertelenmi\u015ftir ancak sorunlar orta yerde durmaktad\u0131r.<\/span><\/p>\n

\u00c7\u00fcnk\u00fc bu tarihle birlikte:<\/span><\/p>\n

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