{"id":4694,"date":"2015-02-16T14:31:30","date_gmt":"2015-02-16T12:31:30","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=4694"},"modified":"2015-02-16T14:31:30","modified_gmt":"2015-02-16T12:31:30","slug":"hukumet-saglik-reformuyla-vatandasi-nasil-soydu","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=4694","title":{"rendered":"H\u00fck\u00fcmet sa\u011fl\u0131k reformuyla vatanda\u015f\u0131 nas\u0131l soydu?"},"content":{"rendered":"

AL\u0130 TEZEL (M\u0130LLET, 13 \u015eubat 2015)<\/strong><\/p>\n

H\u00fck\u00fcmetin en b\u00fcy\u00fck ve yayg\u0131n s\u00f6ylemlerinden biri, “Sa\u011fl\u0131k sisteminde reform yapt\u0131k, art\u0131k \u00f6zel hastanelere gidiyorsunuz, hastanede muayene kuyru\u011funda da beklemiyorsunuz.” Eskiden sadece zaman\u0131m\u0131z giderdi, \u015fimdi hem para hem de zaman\u0131m\u0131z gidiyor…<\/p>\n

5510 say\u0131l\u0131 Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 (GSS) Kanunu \u00e7\u0131k\u0131ncaya kadar muayene \u00fccretimiz, 20 g\u00f6sterge rakam\u0131n\u0131n, memur maa\u015f katsay\u0131s\u0131 ile \u00e7arp\u0131m\u0131 kadar idi. Bug\u00fcn i\u00e7in bu rakam 20 X 0.079308=1.5 lira. (506 say\u0131l\u0131 Kanun\u2019un, ek 3. maddesine g\u00f6re; 06\/08\/1992 tarih ve 92\/3337 say\u0131l\u0131 BKK. ile 01\/10\/1992 tarihinden itibaren (20) g\u00f6sterge rakam\u0131n\u0131n memur maa\u015f katsay\u0131s\u0131 ile \u00e7arp\u0131m\u0131 sonucu bulunacak miktar olarak belirlenmi\u015ftir.)<\/p>\n

\u00dcCRETLER NASIL DE\u011e\u0130\u015eT\u0130<\/strong><\/p>\n

GSS gere\u011fince kamu hastanelerine giderseniz 8 lira, \u00f6zel hastanelere giderseniz 15 lira muayene \u00fccreti \u00f6d\u00fcyorsunuz. Eskiden \u00f6zel hastanelerde ilave \u00fccret yoktu \u015fimdi y\u00fczde 200 oran\u0131nda olup en az 60 lirad\u0131r. Yani \u00f6zel hastaneye giden hi\u00e7 tetkik-tahlil yapt\u0131rmazsa 60 lira ilave \u00fccret, 15 lira muayene \u00fccreti ile en az 75 lirad\u0131r. Yani hayaldi ger\u00e7ek oldu.<\/p>\n

Eskiden sabah\u0131n k\u00f6r\u00fcnde hastaneye gidip s\u0131ra veya randevu al\u0131rd\u0131k \u015fimdi telefonla al\u0131yoruz. Telefonla randevu almadan hastaneye gidemiyoruz. Mesela daha ge\u00e7en g\u00fcn bas\u0131na yans\u0131d\u0131, bir vatanda\u015f\u0131n \u015fikayeti \u00fczerine Sa\u011fl\u0131k Bakan\u0131 da denedi ama telefon ile randevu alamad\u0131. Bu sebeple art\u0131k hastanede kuyruk yok ama evlerde telefon ba\u015f\u0131nda randevu almay\u0131 bekleyen kuyruklar var.<\/p>\n

ESK\u0130DEN REH\u0130N KALIRDIK<\/strong><\/p>\n

Evet, ger\u00e7ekten do\u011fru eskiden hastaneye paras\u0131z gider, tedavi olurdunuz ve tedavi sonras\u0131 para \u00f6deyemezseniz, sizi hastanede rehin tutarlard\u0131. Art\u0131k rehin kalm\u0131yoruz \u00e7\u00fcnk\u00fc, art\u0131k provizyon sistemi var. Yani daha hastaneye girmeden kimli\u011finizi istiyorlar ve TC kimlik numaran\u0131zla, SGK\u2019dan sorgulama yap\u0131yorlar. Sorgulamadan yani provizyondan olumlu sonu\u00e7 \u00e7\u0131kmazsa da sizi hastaneye alm\u0131yorlar. Yani hastanenin i\u00e7ine giremedi\u011finiz i\u00e7in tedavi olam\u0131yorsunuz ve art\u0131k rehin kalma \u015fans\u0131n\u0131z da yok.<\/p>\n

Eskiden eczaneden ila\u00e7 al\u0131rken, \u00e7al\u0131\u015fanlar y\u00fczde 20, emekliler y\u00fczde 10 katk\u0131 pay\u0131 \u00f6derdi, \u015fimdi de ayn\u0131s\u0131. Ancak eskiden re\u00e7ete ba\u015f\u0131na 3 lira, re\u00e7etede 3\u2019den fazla ila\u00e7 yaz\u0131l\u0131 ise her ilave ila\u00e7 i\u00e7in 1 lira re\u00e7ete paras\u0131 yoktu. Ama \u015fimdi var.<\/p>\n

SSK \u0130LA\u00c7LARDAN \u015e\u0130MD\u0130 ZARAR ED\u0130YOR<\/strong><\/p>\n

SSK, bakt\u0131\u011f\u0131 35 milyonluk n\u00fcfusa ilac\u0131 kendi eczanelerinde da\u011f\u0131t\u0131rd\u0131. Toplu ila\u00e7 al\u0131m\u0131 yapt\u0131\u011f\u0131ndan ila\u00e7lar\u0131 \u00e7ok d\u00fc\u015f\u00fck fiyata al\u0131rd\u0131. Mesela, etiket fiyat\u0131 10 lira olan \u00f6ks\u00fcr\u00fck \u015furubunu toplu al\u0131m avantaj\u0131 ile 1 liraya al\u0131rd\u0131. Bir liraya ald\u0131\u011f\u0131 ilac\u0131 \u00e7al\u0131\u015fana y\u00fczde 20 katk\u0131 pay\u0131 ile 2 liraya satar k\u00e2r ederdi. \u015eimdi ayn\u0131 ilaca 10 lira veriyor. Bu sebeple de 2002\u2019de 4.3 milyar lira olan ila\u00e7 giderimiz 2014 y\u0131l\u0131nda 16 milyara \u00e7\u0131kt\u0131.<\/p>\n

DEVLET\u0130N TEK \u0130LA\u00c7 FABR\u0130KASINI KAPATTILAR<\/strong><\/p>\n

Ayr\u0131ca SSK\u2019n\u0131n elinde 24 ila\u00e7 ruhsat\u0131 olan Bomonti \u0130la\u00e7 Fabrikas\u0131 vard\u0131. Kendi ilac\u0131n\u0131 kendisi \u00fcretir ve \u00e7ok ucuza ila\u00e7 temin ederdi. Buna ilaveten de di\u011fer firmalar\u0131n fiyat isteklerine kar\u015f\u0131 da (\u0130la\u00e7 ve Eczac\u0131l\u0131k Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019nde) \u00e7ok g\u00fczel fiyat indirme i\u015flevi g\u00f6r\u00fcrd\u00fc. Bu ila\u00e7 fabrikas\u0131n\u0131 satmak veya \u00fcretime devam ettirmek yerine kapatmay\u0131 tercih ettiler. \u015eimdi yerine \u00e7ok g\u00fczel AVM yap\u0131yorlar.<\/p>\n

SA\u011eLI\u011eI P\u0130YASALA\u015eTIRDIK<\/strong><\/p>\n

Yapt\u0131\u011f\u0131m\u0131z sosyal g\u00fcvenlik reformu ile sosyal g\u00fcvenli\u011fi ikiye ay\u0131rd\u0131k. Biri emeklilik di\u011feri sa\u011fl\u0131k diye. Direkt vatanda\u015f\u0131n cebine para veren emeklilik sistemiyle oynad\u0131k ve emekli ayl\u0131klar\u0131n\u0131 d\u00fc\u015f\u00fcrd\u00fck. Tam tersi olarak da vatanda\u015f hastaland\u0131k\u00e7a para verdi\u011fimiz sa\u011fl\u0131k yat\u0131r\u0131mc\u0131lar\u0131n\u0131 ise sevindirdik. Y\u0131ll\u0131k kamu sa\u011fl\u0131k harcamam\u0131z 2002\u2019de GSMH\u2019nin y\u00fczde ikisi kadar iken \u015fimdi y\u00fczde 5\u2019in \u00fczerine \u00e7\u0131kard\u0131k. 2014 y\u0131l\u0131nda Devletin ve vatanda\u015f\u0131n SGK dahil toplam sa\u011fl\u0131k harcamam\u0131z 300 milyar liray\u0131 a\u015ft\u0131.<\/p>\n

Bu arada hekimleri ve sa\u011fl\u0131k personelini de t\u0131pk\u0131 i\u015f\u00e7iler gibi \u00fcretim band\u0131n\u0131n i\u015f\u00e7ileri yapt\u0131k, ne kadar \u00e7ok muayene ederlerse, ne kadar \u00e7ok keser, bi\u00e7erlerse o kadar para kazan\u0131yoruz zannettirip, sa\u011fl\u0131k yat\u0131r\u0131mc\u0131lar\u0131na para kazand\u0131r\u0131yoruz.<\/p>\n","protected":false},"excerpt":{"rendered":"

AL\u0130 TEZEL (M\u0130LLET, 13 \u015eubat 2015) H\u00fck\u00fcmetin en b\u00fcy\u00fck ve yayg\u0131n s\u00f6ylemlerinden biri, “Sa\u011fl\u0131k sisteminde reform yapt\u0131k, art\u0131k \u00f6zel hastanelere...<\/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":[62],"tags":[],"class_list":["post-4694","post","type-post","status-publish","format-standard","hentry","category-sagliktan-haberler"],"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\/4694","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=4694"}],"version-history":[{"count":1,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4694\/revisions"}],"predecessor-version":[{"id":4695,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/4694\/revisions\/4695"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4694"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}