{"id":1283,"date":"2009-07-25T19:35:15","date_gmt":"2009-07-25T16:35:15","guid":{"rendered":"http:\/\/birlikdayanisma.com\/v3\/?p=1283"},"modified":"2009-07-25T19:35:15","modified_gmt":"2009-07-25T16:35:15","slug":"saglik-orgutlerinden-aciklama-krizin-faturasini-ustlenmeyecegiz","status":"publish","type":"post","link":"https:\/\/birlikdayanisma.com\/v3\/2009\/07\/saglik-orgutlerinden-aciklama-krizin-faturasini-ustlenmeyecegiz\/","title":{"rendered":"Sa\u011fl\u0131k \u00f6rg\u00fctlerinden a\u00e7\u0131klama; Krizin faturas\u0131n\u0131 \u00fcstlenmeyece\u011fiz!"},"content":{"rendered":"

<\/p>\n

A\u00e7\u0131lamada, Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131’n\u0131n tedavi odakl\u0131 bir sa\u011fl\u0131k hizmeti anlay\u0131\u015f\u0131n\u0131 yerle\u015ftirdi\u011fi, koruyucu hizmetleri \u00f6ncelemek yerine sa\u011fl\u0131k hizmetlerini metala\u015ft\u0131ran, piyasaya a\u00e7an ve bu sistemin sa\u011fl\u0131k harcamalar\u0131n\u0131 artt\u0131raca\u011f\u0131 tekrardan vurguland\u0131.<\/p>\n

Tam g\u00fcn \u00e7al\u0131\u015fma uygulanmaya ba\u015flad\u0131\u011f\u0131 takdirde hekimlere verilece\u011fi iddia edilen \u00fccretlerin nas\u0131l \u00f6denece\u011finin halen ayd\u0131nlat\u0131lmad\u0131\u011f\u0131, \u201ctasarruf\u201d tedbirleri ad\u0131 alt\u0131nda l\u00fcks otellerde e\u011fitim ve seminerlere devam edildi\u011fi sorguland\u0131.<\/p>\n

Ta\u015feron \u00e7al\u0131\u015ft\u0131rma yerine, \u00e7\u00f6z\u00fcm yolunun kadrolu ve i\u015f g\u00fcvenceli eleman \u00e7al\u0131\u015ft\u0131rmak oldu\u011fu a\u00e7\u0131kland\u0131.<\/p>\n

Sa\u011fl\u0131k \u00f6rg\u00fctleri a\u00e7\u0131klamas\u0131;<\/p>\n

Krizin faturas\u0131n\u0131n halka ve sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131na y\u00fcklenmesine sessiz kalmayaca\u011f\u0131z!<\/strong><\/p>\n

Ba\u015fbakan\u2019\u0131n \u00fclkemizi te\u011fet ge\u00e7ece\u011fini s\u00f6yledi\u011fi krize y\u00f6nelik ekonomi b\u00fcrokratlar\u0131n\u0131n 37 maddelik tedbir paketi haz\u0131rlad\u0131\u011f\u0131 ge\u00e7ti\u011fimiz g\u00fcnlerde bas\u0131na yans\u0131d\u0131. Tedbir \u00f6nerilerinin bir k\u0131sm\u0131n\u0131n uygulamaya konuldu\u011fu, di\u011fer bir k\u0131sm\u0131n\u0131n ise \u00f6n\u00fcm\u00fczdeki g\u00fcnlerde uygulanaca\u011f\u0131 ayn\u0131 haberlerde yer ald\u0131. \u00d6yle anla\u015f\u0131l\u0131yor ki AKP H\u00fck\u00fcmeti \u201cbizi etkilemez\u201d dedi\u011fi krizin faturas\u0131n\u0131 \u00e7al\u0131\u015fanlara \u00f6detmenin ad\u0131mlar\u0131n\u0131 atmaya ba\u015flad\u0131.<\/p>\n

\u201cGenel tedbirler\u201d mahiyetinde de\u011ferlendirilebilecek olan akaryak\u0131t \u00d6TV\u2019sinin art\u0131r\u0131lmas\u0131 ba\u015fta olmak \u00fczere al\u0131nan ve al\u0131nacak \u201c\u00f6nlem\u201dlerin amac\u0131n\u0131n krizin y\u00fck\u00fcn\u00fc topluma y\u00fckleme \u00e7abas\u0131 oldu\u011funu biliyoruz.<\/p>\n

Art\u0131k herkes\u00e7e g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 tedavi odakl\u0131 bir sa\u011fl\u0131k hizmeti anlay\u0131\u015f\u0131n\u0131 yerle\u015ftirmektedir. Koruyucu hizmetleri \u00f6ncelemek yerine sa\u011fl\u0131k hizmetlerini metala\u015ft\u0131ran, piyasaya a\u00e7an tedavi odakl\u0131 bu sistemin sa\u011fl\u0131k harcamalar\u0131n\u0131 artt\u0131raca\u011f\u0131 t\u00fcm emek ve meslek \u00f6rg\u00fctleri taraf\u0131ndan defalarca tekrarlanm\u0131\u015ft\u0131r. Bug\u00fcn dile getirilen tasarruf tedbirleri de Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131\u2019na y\u00f6nelik ele\u015ftirilerimizi hakl\u0131 \u00e7\u0131karm\u0131\u015ft\u0131r.<\/p>\n

H\u00fck\u00fcmet b\u00fct\u00e7e a\u00e7\u0131\u011f\u0131n\u0131 kapatmak i\u00e7in d\u00fc\u015f\u00fcn\u00fclen bir tedbir olarak e\u015fde\u011fer ila\u00e7 uygulamas\u0131nda de\u011fi\u015fikli\u011fe gitmi\u015fti. Bug\u00fcne kadar devlet en ucuz ilac\u0131n y\u00fczde 22 fazlas\u0131 kadar\u0131n\u0131 \u00f6derken, yeni d\u00fczenlemeyle bu oran y\u00fczde 15\u2019e \u00e7ekilmi\u015fti. E\u015fde\u011fer ila\u00e7 band\u0131 i\u00e7inde kalan ila\u00e7lar i\u00e7in fiyat fark\u0131 \u00f6denmezken 1 A\u011fustos\u2019tan itibaren hastalar\u0131n verecekleri katk\u0131 pay\u0131 artacakt\u0131r. Hastan\u0131n cepten \u00f6demelerini art\u0131racak bir di\u011fer tedbir ise ila\u00e7ta kat\u0131l\u0131m paylar\u0131n\u0131n emekliler i\u00e7in % 10\u2019dan % 15\u2019e, \u00e7al\u0131\u015fanlar i\u00e7in %20\u2019den % 30\u2019a y\u00fckseltilmesidir. Bu uygulama ile hasta kendi tedavisi i\u00e7in daha fazla para harcayacakt\u0131r. \u00d6te yandan, e\u015fde\u011fer band\u0131 d\u0131\u015f\u0131nda kalan ila\u00e7lar\u0131n fiyatlar\u0131 d\u00fc\u015ft\u00fc\u011f\u00fcnde eczac\u0131lar\u0131n elindeki ila\u00e7lar bedeli kimse taraf\u0131ndan \u00f6denmeksizin a\u00e7\u0131k\u00e7a kamula\u015ft\u0131r\u0131lm\u0131\u015f olacak ve eczanelerin varl\u0131klar\u0131n\u0131 tehdit edecek s\u00fcre\u00e7lere yol a\u00e7acakt\u0131r.<\/p>\n

Sa\u011fl\u0131k alan\u0131nda ger\u00e7ekten tasarrufu d\u00fc\u015f\u00fcnen bir h\u00fck\u00fcmetin piyasac\u0131 sa\u011fl\u0131k sisteminin her y\u00f6n\u00fcyle israf\u0131 artt\u0131rd\u0131\u011f\u0131n\u0131 bilmesi gerekir. Birinci basama\u011f\u0131n piyasala\u015ft\u0131r\u0131lmas\u0131 olan aile hekimli\u011fi pilot uygulamas\u0131n\u0131n bir tasarruf tedbiri olarak 33 ille s\u0131n\u0131rl\u0131 kalmas\u0131 \u00f6nerisi, uygulamas\u0131 s\u00fcresiz ertelenen sevk sistemindeki \u201ct\u0131kanma\u201d ile birlikte yorumlanmal\u0131d\u0131r. Ba\u015flad\u0131\u011f\u0131 illerde aile hekimi olmay\u0131 kabul eden hekimlere verilen \u00fccreti israf olarak g\u00f6ren bir h\u00fck\u00fcmetin k\u0131sa s\u00fcre \u00f6ncesinde kamuoyunun g\u00fcndemine getirdi\u011fi \u201ctam g\u00fcn\u201d \u00e7al\u0131\u015fma uygulanmaya ba\u015flad\u0131\u011f\u0131 takdirde hekimlere verilece\u011fini iddia etti\u011fi \u00fccretleri nas\u0131l \u00f6deyece\u011fi ayr\u0131 bir sorudur. \u201cTasarruf tedbiri\u201d aran\u0131rken, aile hekimli\u011fi e\u011fitimlerinin neden halen 5 y\u0131ld\u0131zl\u0131 otellerde yap\u0131lmaya devam edildi\u011fini, neden binlerce dolar maa\u015fl\u0131 Bakan dan\u0131\u015fmanlar\u0131n\u0131n halen orta yerde dola\u015fmaya devam ettiklerini, ila\u00e7ta ve t\u0131bbi malzemede neden toplu al\u0131mlar\u0131n yap\u0131lmad\u0131\u011f\u0131n\u0131 da merak ediyoruz. En \u00f6nemlisi, \u00e7ok daha etkin ve verimli oldu\u011fu herkes\u00e7e kabul g\u00f6ren sa\u011fl\u0131k ocaklar\u0131n\u0131n neden yeniden faal hale getirilmediklerini, t\u00fcm bu yanl\u0131\u015flardan d\u00f6n\u00fclmek i\u00e7in halen neyin beklendi\u011fini de \u00f6\u011frenmek istiyoruz.<\/p>\n

\u201cTasarruf\u201d pe\u015finde ko\u015farken \u00e7al\u0131\u015fanlar\u0131n emekleri konusunda ise angaryan\u0131n tercih edildi\u011fini g\u00f6r\u00fcyoruz. Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 s\u00fcrecinin bir sonucu olarak g\u00fcvencesiz \u00e7al\u0131\u015fma ve ta\u015feronla\u015ft\u0131rma uygulamas\u0131n\u0131n b\u00fct\u00fcn birimlere yayg\u0131nla\u015ft\u0131r\u0131lmas\u0131 hedeflenmektedir. Kamu hastane birlikleri yasa tasar\u0131s\u0131, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n ta\u015feron \u015firketler arac\u0131l\u0131\u011f\u0131 ile \u00e7al\u0131\u015ft\u0131r\u0131lan sa\u011fl\u0131k i\u015f\u00e7ilerinin asgari \u00fccretten fazla maa\u015f alamamas\u0131 ve personel say\u0131s\u0131n\u0131n azalt\u0131lmas\u0131 genelgesi ile fazla \u00e7al\u0131\u015fman\u0131n \u00f6n\u00fc a\u00e7\u0131larak angarya i\u015fin artt\u0131r\u0131lmas\u0131 s\u00f6z konusu olmaktad\u0131r. Say\u0131lar\u0131 110 bine yakla\u015fan ta\u015feron \u00e7al\u0131\u015ft\u0131rma ekonomik olmad\u0131\u011f\u0131 gibi hizmetin niteli\u011fini de olumsuz etkilemekte, \u00e7al\u0131\u015fan\u0131 ma\u011fdur etmektedir. \u00c7\u00f6z\u00fcm yolu kadrolu ve i\u015f g\u00fcvenceli \u00e7al\u0131\u015ft\u0131rmakt\u0131r.<\/p>\n

Sa\u011fl\u0131k personeline emeklerinin kar\u015f\u0131l\u0131\u011f\u0131 adeta \u201csus pay\u0131\u201d olarak \u00f6denen d\u00f6ner sermaye, performans, aile hekimli\u011fi \u00f6dene\u011finin ise emeklili\u011fe yans\u0131mayan, kal\u0131c\u0131 olmayan d\u00fczenlemeler oldu\u011fu bilinmektedir. Oysa sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00fccretlerinde \u00f6zl\u00fck haklar\u0131na yans\u0131yan, kal\u0131c\u0131 iyile\u015ftirmeler yap\u0131lmal\u0131d\u0131r. Kamuoyu hi\u00e7bir kal\u0131c\u0131l\u0131\u011f\u0131 olmayan ve giderek artan \u00f6deme gecikmeleri ya\u015fanan performans uygulamas\u0131ndaki y\u00fczdelerle aldat\u0131lmaktan vazge\u00e7ilmelidir.<\/p>\n

Ekonomik kriz gittik\u00e7e derinle\u015fmektedir. \u00d6z\u00fcrl\u00fclere yap\u0131lan e\u011fitim ve evde bak\u0131m deste\u011finin d\u00fc\u015f\u00fcr\u00fclmesi ve huzur evinde kalanlar\u0131n \u00f6demelerinin art\u0131r\u0131lmas\u0131 d\u00fc\u015f\u00fcncesinden vazge\u00e7ilerek bu kesimlere destek art\u0131r\u0131lmal\u0131d\u0131r.<\/p>\n

\u0130\u015fsizlik ve yoksulluk verilerine, ya\u015fam g\u00fc\u00e7l\u00fcklerine ra\u011fmen akaryak\u0131t ba\u015fta olmak \u00fczere yap\u0131lan ve yap\u0131lacak zamlar toplumsal ya\u015fam\u0131 \u00f6rselemektedir. H\u00fck\u00fcmet zengini vergilemekten ka\u00e7\u0131n\u0131rken dolayl\u0131 vergilerle yoksulun s\u0131rt\u0131na y\u00fcklenmektedir.<\/p>\n

Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131\u2019n\u0131n di\u011fer bile\u015fenlerinden Genel Sa\u011fl\u0131k Sigortas\u0131n\u0131n, i\u015fsizli\u011fin rekor boyutlara \u00e7\u0131kt\u0131\u011f\u0131 ko\u015fullarda t\u00fcm toplumu kapsamas\u0131 imk\u00e2ns\u0131zd\u0131r. Bu Program t\u00fcm y\u00f6nleriyle tam bir toplumsal k\u0131y\u0131ma d\u00f6n\u00fc\u015fmeden terk edilmelidir. Yerine konacak yoksullar ve i\u015fsizler ba\u015fta olmak \u00fczere toplumun t\u00fcm kesimlerinin sa\u011fl\u0131k hakk\u0131n\u0131n g\u00fcvenceye al\u0131nd\u0131\u011f\u0131 toplumcu bir sa\u011fl\u0131k sistemi i\u00e7in sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 olarak t\u00fcm birikimimizle g\u00f6rev, sorumluluk almaya haz\u0131r oldu\u011fumuzu kamuoyuna duyururuz.<\/p>\n

Devrimci Sa\u011fl\u0131k \u0130\u015f<\/strong><\/p>\n

T\u00fcrk Hem\u015fireler Derne\u011fi<\/strong><\/p>\n

Sa\u011fl\u0131k ve Sosyal Hizmet Emek\u00e7ileri Sendikas\u0131<\/strong><\/p>\n

T\u00fcrk Eczac\u0131lar Birli\u011fi<\/strong><\/p>\n

T\u00fcrk Tabipleri Birli\u011fi<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

A\u00e7\u0131lamada, Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131’n\u0131n tedavi odakl\u0131 bir sa\u011fl\u0131k hizmeti anlay\u0131\u015f\u0131n\u0131 yerle\u015ftirdi\u011fi, koruyucu hizmetleri \u00f6ncelemek yerine sa\u011fl\u0131k hizmetlerini metala\u015ft\u0131ran, piyasaya a\u00e7an ve bu sistemin sa\u011fl\u0131k harcamalar\u0131n\u0131 artt\u0131raca\u011f\u0131 tekrardan vurguland\u0131.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[103],"tags":[99,48],"class_list":["post-1283","post","type-post","status-publish","format-standard","hentry","category-turkiyeden","tag-hsgg","tag-ssgss","et-doesnt-have-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nSa\u011fl\u0131k \u00f6rg\u00fctlerinden a\u00e7\u0131klama; Krizin faturas\u0131n\u0131 \u00fcstlenmeyece\u011fiz! 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