<\/p>\n
TTB Merkez Konseyi, H\u00fck\u00fcmetin sa\u011fl\u0131k harcamalar\u0131nda 2010 y\u0131l\u0131nda 3 milyar lira tasarruf sa\u011flanaca\u011f\u0131 iddias\u0131yla ya\u015fama ge\u00e7irdi\u011fi \u201c\u00f6nlemler paketi\u201d ve a\u00e7\u0131klanan kat\u0131l\u0131m pay\u0131 tebli\u011fi konusunda 18.09.2009 g\u00fcn\u00fc bir bas\u0131n toplant\u0131s\u0131 d\u00fczenledi.<\/p>\n
Bas\u0131n a\u00e7\u0131klamas\u0131:<\/p>\n
H\u00dcK\u00dcMET\u0130N \u201cORTA VADEL\u0130 PROGRAMI\u201d HALKIN SA\u011eLI\u011eINI TEHD\u0130T ED\u0130YOR!<\/strong><\/p>\n H\u00fck\u00fcmet ilkbaharda a\u00e7\u0131klanmas\u0131 gereken Orta Vadeli Program\u0131’n\u0131, gecikerek de olsa, sonbaharda a\u00e7\u0131klad\u0131. Programdan tasarruf tedbirleri(!) \u00e7\u0131kt\u0131. Buna g\u00f6re;<\/p>\n – \u201cKara delik\u201d olan sosyal g\u00fcvenlik harcamalar\u0131 disiplin alt\u0131na al\u0131nacak, – \u201cKara delik\u201d olan sosyal g\u00fcvenlik harcamalar\u0131 disiplin alt\u0131na al\u0131nacak:<\/p>\n 2009 Haziran ay\u0131nda istihdamdaki toplam n\u00fcfus 21 milyon 947 bin ve bu n\u00fcfusun 10 milyon 25 bin ki\u015fisinin herhangi bir sosyal g\u00fcvenlik kurumuna kayd\u0131 yok.<\/p>\n \u00dccretli ve yevmiyeli olarak \u00e7al\u0131\u015fan toplam 13 milyon 16 bin ki\u015fiden y\u00fczde 28’ini olu\u015fturan 3 milyon 646 bin ki\u015fi kay\u0131t d\u0131\u015f\u0131 \u00e7al\u0131\u015f\u0131yor.<\/p>\n \u0130\u015fveren olarak faaliyet g\u00f6steren 1 milyon 186 bin ki\u015fiden y\u00fczde 25.6’s\u0131n\u0131 olu\u015fturan 304 bin ki\u015fi ile kendi hesab\u0131na \u00e7al\u0131\u015fan 4 milyon 496 bin ki\u015fiden y\u00fczde 68.8’ini olu\u015fturan 3 milyon 95 bin ki\u015finin de sosyal g\u00fcvenlik kayd\u0131 bulunmuyor.<\/p>\n T\u00dc\u0130K’in bu verilerine g\u00f6re T\u00fcrkiye’nin sigortas\u0131 atm\u0131\u015ft\u0131r. H\u00fck\u00fcmet herkesi kapsayan hangi sosyal g\u00fcvenlik \u015femsiyesinden, hangi kara delikten bahsediyor anlamak m\u00fcmk\u00fcn de\u011fildir. Bu g\u00fcvencesizlik ve \u00fczerine i\u015fsizlik tablosu T\u00fcrkiye’nin sa\u011fl\u0131\u011f\u0131n\u0131 tehdit etmektedir.<\/p>\n – Enerji K\u0130T’lerinin kamu zararlar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilecek:<\/p>\n Bu ba\u015fl\u0131ktafiyat ayarlamas\u0131 ve yerel y\u00f6netimlerin \u00f6z gelirlerini art\u0131rmalar\u0131n\u0131n yasal olanaklar\u0131n\u0131n sa\u011flanaca\u011f\u0131 ifade edilmektedir.D\u00fcnyada en \u00e7ok dolayl\u0131 vergi alan ve en temel ihtiya\u00e7 maddelerine durmadan zam yapan h\u00fck\u00fcmet \u201cfiyat ayarlamas\u0131\u201d ad\u0131 alt\u0131nda zamlar\u0131 rutinle\u015ftirmekte, yerel y\u00f6netimlere de \u201c\u00f6z gelirlerini art\u0131rmalar\u0131n\u0131\u201d \u00f6nererek ayn\u0131 yolu g\u00f6stermektedir.<\/p>\n -\u00d6zelle\u015ftirme: Her\u015feyi satmay\u0131 d\u00fcstur edinmi\u015f bir h\u00fck\u00fcmet olarak kalanlar\u0131 da elden \u00e7\u0131kartmak i\u00e7in bahane yaratmaktad\u0131r. Kar\u0131n \u00f6zelle\u015ftirilmesi, zarar\u0131n kamula\u015ft\u0131r\u0131lmas\u0131 sa\u011flanmaktad\u0131r.<\/p>\n -Sa\u011fl\u0131kta 3 milyarl\u0131k tasarruf: \u201cHizmet bunun neresinde!\u201d<\/p>\n – \u201cKaliteli hizmet sunumuyla ilgili idari tedbirler; ba\u015fl\u0131klar\u0131n\u0131n telafuz edildi\u011fi paketin toplam \u00e7\u0131kt\u0131s\u0131 nettir:<\/p>\n Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n eme\u011finin daha fazla s\u00f6m\u00fcr\u00fcld\u00fc\u011f\u00fc, hizmetin ve kullan\u0131lan malzemelerin niteli\u011finin d\u00fc\u015ft\u00fc\u011f\u00fc, buna ra\u011fmen katk\u0131 pay\u0131nda \u201ck\u00fc\u00e7\u00fck k\u00fc\u00e7\u00fck\u201d art\u0131\u015flarla ve fark \u00fccretleriyle vatanda\u015f\u0131n cebinden paran\u0131n al\u0131nd\u0131\u011f\u0131 bir hizmet sunumu\u2026<\/p>\n Bug\u00fcn (18 Eyl\u00fcl 2009 Cuma) \u201ck\u00fc\u00e7\u00fck k\u00fc\u00e7\u00fck\u201d kat\u0131l\u0131m pay\u0131 tebli\u011fi yay\u0131mland\u0131. Tebli\u011fe g\u00f6re, ye\u015fil kart sahipleri de kat\u0131l\u0131m pay\u0131 uygulamas\u0131na dahil edilmi\u015f durumdalar. \u00d6tesi; birinci basamak sa\u011fl\u0131k kurulu\u015flar\u0131nda ve aile hekimli\u011fi muayenelerinde de kat\u0131l\u0131m pay\u0131 al\u0131nacak. Bilindi\u011fi gibi ye\u015fil kart ile ilgili d\u00fczenlemenin ad\u0131 \u201c\u00d6deme G\u00fcc\u00fc Olmayan Vatanda\u015flar\u0131n Tedavi Giderlerinin Ye\u015fil Kart Verilerek Devlet Taraf\u0131ndan Kar\u015f\u0131lanmas\u0131 Hakk\u0131nda Kanun\u201ddur. Yani \u00f6deme g\u00fcc\u00fc olmayanlardan bile kat\u0131l\u0131m pay\u0131 al\u0131nacakt\u0131r. Hem de tebli\u011fe g\u00f6re, her bir re\u00e7ete i\u00e7in ayr\u0131 ayr\u0131 muayene kat\u0131l\u0131m pay\u0131 hesaplanacakt\u0131r. Birinci basamak sa\u011fl\u0131k kurulu\u015flar\u0131 ve aile hekimli\u011fi muayenelerinde 2, ikinci ve \u00fc\u00e7\u00fcnc\u00fc basamak sa\u011fl\u0131k kurumlar\u0131nda 8, \u00f6zel sa\u011fl\u0131k kurumlar\u0131nda 15 TL kat\u0131l\u0131m pay\u0131 al\u0131nacakt\u0131r.<\/p>\n Tedbirler sadece kat\u0131l\u0131m pay\u0131ndan ibaret de\u011fil. Ge\u00e7en y\u0131l y\u00fczde 30 olarak belirlenmi\u015f olan fark \u00fccreti de \u201cg\u00f6zden ge\u00e7irilerek\u201d y\u00fczde 70\u2019e hatta gerekti\u011finde y\u00fczde 100\u2019e kadar d\u00fczenlenebilecektir.<\/p>\n 5 Temmuz 2008’de Sa\u011fl\u0131k Bakan\u0131 Recep Akda\u011f(*), \u201cT\u00fcrkiye’de cebinden para \u00f6deyerek sa\u011fl\u0131k hizmeti alabilecek insan say\u0131s\u0131n\u0131n \u00e7ok fazla olmad\u0131\u011f\u0131n\u0131, y\u00fczde 30’un bile baz\u0131 vatanda\u015flar i\u00e7in \u00f6denmesi zor bir oran oldu\u011funu s\u00f6yl\u00fcyordu.<\/p>\n 5 Temmuz 2008’de y\u00fczde 30’un bile baz\u0131 vatanda\u015flar i\u00e7in \u00f6denmesinin zor oldu\u011fu bir T\u00fcrkiye varken \u015fimdi H\u00fck\u00fcmet\u00e7e fark \u00fccretinin y\u00fczde 70’lere \u00e7\u0131kar\u0131lmas\u0131 haz\u0131rlanm\u0131\u015f durumdad\u0131r. Anla\u015f\u0131lan o ki son bir y\u0131lda ekonomide her\u015fey iyiye gitmi\u015ftir!<\/p>\n Sa\u011fl\u0131k Bakan\u0131 Ocak 2009’da \u201csa\u011fl\u0131k harcamalar\u0131nda bir s\u0131k\u0131nt\u0131 yok\u201d diye sunu yapmaktayken Eyl\u00fcl 2009’da \u00e7ok fazla artan sa\u011fl\u0131k harcamalar\u0131 i\u00e7in Ba\u015fbakan, ekonomiden sorumlu ba\u015fbakan yard\u0131mc\u0131s\u0131, \u00e7al\u0131\u015fma bakan\u0131, sa\u011fl\u0131k bakan\u0131 toplanmakta, toplant\u0131n\u0131n ard\u0131ndan \u201csa\u011fl\u0131k hizmetlerinin kapsam\u0131, niteli\u011fi ve eri\u015fimiyle ilgili herhangi bir k\u0131s\u0131tlama yapmay\u0131\u201d d\u00fc\u015f\u00fcnmedikleri a\u00e7\u0131klanmaktad\u0131r. Sa\u011fl\u0131k hizmetlerinin kapsam\u0131, niteli\u011fi ve eri\u015fimiyle ilgili herhangi bir k\u0131s\u0131tlama yapmadan tasarruf nas\u0131l m\u00fcmk\u00fcn olacakt\u0131r?<\/p>\n B\u00fct\u00fcn bu tabloda i\u015flerin \u201cy\u00fcr\u00fcyebilmesi\u201di\u00e7in sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n bask\u0131 alt\u0131nda tutulmas\u0131 zorunludur. O nedenle olsa gerek, Bakanl\u0131k \u201csa\u011fl\u0131k alan\u0131nda ya\u015fanan aksakl\u0131klar\u0131 iyile\u015ftirmeye y\u00f6nelik g\u00f6n\u00fcll\u00fc sa\u011fl\u0131k g\u00f6zlemcili\u011fi uygulamas\u0131na ge\u00e7meye\u201d haz\u0131rlan\u0131yor. Her an her yerde hafiyelerin kol gezdi\u011fi bir \u00e7al\u0131\u015fma ortam\u0131; \u00e7ekinme, korku, endi\u015fe, bask\u0131n\u0131n hakim oldu\u011fu bir atmosfer! Ku\u015fkusuz bu \u201cg\u00f6zlemciler\u201d \u00e7\u00f6pten ekmek toplayanlar\u0131, i\u015fsizleri vb. sa\u011fl\u0131\u011f\u0131 do\u011frudan etkileyen durumlar\u0131 rapor etmeyecekler.<\/p>\n Ta\u015feron i\u015f\u00e7ilerin May\u0131s 2009 genelgesiyle say\u0131lar\u0131n\u0131n azalt\u0131ld\u0131\u011f\u0131, asgari \u00fccretten fazla para verilmeyece\u011finin belirtildi\u011fi, maa\u015flar\u0131n\u0131n 2.5 ay \u00f6denmedi\u011fi, hastanelere haciz gelip d\u00f6ner sermaye \u00f6demelerinin yap\u0131lamad\u0131\u011f\u0131, kamu \u00e7al\u0131\u015fanlar\u0131na %2.5 zamm\u0131n verildi\u011fi, \u00f6zel sekt\u00f6rde \u00e7al\u0131\u015fanlar\u0131n i\u015f g\u00fcvencesinden yoksun, \u00fccretlerin d\u00fc\u015f\u00fcr\u00fcld\u00fc\u011f\u00fc ko\u015fullarda \u00f6ncelikli ihtiyac\u0131n \u201cya\u015fanan aksakl\u0131klar\u201d i\u00e7in g\u00f6n\u00fcll\u00fc g\u00f6zlemci uygulamas\u0131 olmas\u0131 ak\u0131llara durgunluk verecek bir bulu\u015ftur.<\/p>\n H\u00fck\u00fcmetin son tedbirleri de zenginler i\u00e7indir. Halk\u0131n \u00e7o\u011funlu\u011fu i\u00e7in ya\u015fam i\u015fsizlik, zamlar, sa\u011fl\u0131k kurulu\u015funa gidebilenler i\u00e7in katk\u0131 pay\u0131 ve fark uygulamalar\u0131yla iyice katlan\u0131lmaz olmu\u015ftur.<\/p>\n H\u00fck\u00fcmetin halk\u0131n sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan yaratt\u0131\u011f\u0131 tehditin yan\u0131nda domuz gribi gibi hastal\u0131klar\u0131n yaratt\u0131\u011f\u0131 risk \u00e7ok hafif kalmaktad\u0131r. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n g\u00f6n\u00fcll\u00fc g\u00f6zlemcilerinin hafiyelik yerine orta vadeli programa dayanacak vatanda\u015f bulmalar\u0131 yerinde olacakt\u0131r.<\/p>\n T\u00fcrk Tabipleri Birli\u011fi b\u00fct\u00fcn sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 ile birlikte bu tablonun halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 bozmamas\u0131 i\u00e7in, e\u015fitsizlikleri-s\u00f6m\u00fcr\u00fcy\u00fc azaltacak politikalar\u0131n uygulanmas\u0131n\u0131 zorlayacak, hekimler ba\u015fta olmak \u00fczere sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00f6zl\u00fck haklar\u0131 i\u00e7in somut taleplerle m\u00fccadele edecektir. Sa\u011fl\u0131k hakk\u0131n\u0131n al\u0131n\u0131p sat\u0131lamayaca\u011f\u0131n\u0131, k\u0131s\u0131tlanamayaca\u011f\u0131n\u0131, tasarruf yap\u0131lamayaca\u011f\u0131n\u0131, e\u015fit, \u00fccretsiz ve ula\u015f\u0131labilir olmas\u0131 gerekti\u011fini herkesin duyabilmesi i\u00e7in \u015fimdi her zamankinden daha fazla y\u00fcksek sesle s\u00f6yleyecektir.<\/p>\n Orta Vadeli Programa kar\u015f\u0131 \u00e7\u0131kma program\u0131n\u0131 k\u0131sa vadede hep birlikte y\u00fcr\u00fcrl\u00fc\u011fe koymak T\u00fcrk Tabipleri Birli\u011fi’nin b\u00fct\u00fcn emek\u00e7ilere\u00a0\u00e7a\u011fr\u0131s\u0131d\u0131r.<\/p>\n T\u00dcRK TAB\u0130PLER\u0130 B\u0130RL\u0130\u011e\u0130<\/strong><\/p>\n MERKEZ KONSEY\u0130<\/strong><\/p>\n (*) “Bir \u00f6zel hastane duvar\u0131na, (herkes i\u00e7in sa\u011fl\u0131k) diye yaz\u0131 asm\u0131\u015f. Bu \u00f6zel hastane sahipleri diyelim ki, y\u00fczde 30 ilave \u00fccret al\u0131nmas\u0131na \u015fiddetle kar\u015f\u0131 \u00e7\u0131k\u0131yorlar. O zaman, oraya (herkes i\u00e7in sa\u011fl\u0131k) diye asmayacaks\u0131n, (paras\u0131 olan gelsin) diye yazman laz\u0131m” diye konu\u015ftu. H\u00fck\u00fcmet olarak y\u00fczde 30 fark\u0131 az bulmad\u0131klar\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Akda\u011f, “Makul bir \u00f6l\u00e7\u00fc oldu\u011funa inan\u0131yoruz. Burada vatanda\u015f\u0131n sesine kulak vermek laz\u0131m.” ifadesini kulland\u0131. Vatanda\u015f\u0131n i\u015fini kolayla\u015ft\u0131rmak i\u00e7in, \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131ndan sa\u011fl\u0131k hizmeti al\u0131nd\u0131\u011f\u0131n\u0131 vurgulayan Akda\u011f, “Bir \u00f6zel sa\u011fl\u0131k kurulu\u015fu SGK’dan ald\u0131\u011f\u0131n\u0131n \u00fcst\u00fcne, bir iki daha koyarak bu hizmeti verirse, hizmet bunun neresinde. Vatanda\u015f hizmeti yine paras\u0131 ile alm\u0131\u015f oluyor.” \u015feklinde konu\u015ftu (5 Temmuz 2008, Sa\u011fl\u0131k Bakan\u0131 Recep Akda\u011f).<\/em><\/p>\n <\/em><\/p>\n","protected":false},"excerpt":{"rendered":" TTB Merkez Konseyi, H\u00fck\u00fcmetin sa\u011fl\u0131k harcamalar\u0131nda 2010 y\u0131l\u0131nda 3 milyar lira tasarruf sa\u011flanaca\u011f\u0131 iddias\u0131yla ya\u015fama ge\u00e7irdi\u011fi \u201c\u00f6nlemler paketi\u201d ve a\u00e7\u0131klanan kat\u0131l\u0131m pay\u0131 tebli\u011fi konusunda 18.09.2009 g\u00fcn\u00fc bir bas\u0131n toplant\u0131s\u0131 d\u00fczenledi.<\/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":[],"class_list":["post-1514","post","type-post","status-publish","format-standard","hentry","category-turkiyeden","et-doesnt-have-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\n
\n– Enerji K\u0130T’lerinin kamu zararlar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilecek,
\n– \u00d6zelle\u015ftirme yap\u0131lacak,
\n– Sa\u011fl\u0131kta 3 milyarl\u0131k tasarruf edilecek.<\/p>\n
\n– Hizmet, ila\u00e7 vb. \u00fcr\u00fcn tedarikinde fiyatlarda d\u00fc\u015f\u00fc\u015f sa\u011flanmas\u0131,
\n– Talebi dengelemek i\u00e7in vatanda\u015f\u0131n hizmet al\u0131rken \u00f6dedi\u011fi katk\u0131 pay\u0131nda d\u00fczenleme ve
\n– Hastanelerde sunulan hizmete g\u00f6re fark al\u0131nmas\u0131\u201d<\/p>\n