{"id":7626,"date":"2020-11-04T18:28:07","date_gmt":"2020-11-04T15:28:07","guid":{"rendered":"http:\/\/mersinekonomipolitikagazetesi.com\/?p=7626"},"modified":"2020-11-04T18:28:07","modified_gmt":"2020-11-04T15:28:07","slug":"saglik-calisanlarinin-en-temel-sorunu-doner-sermaye-sistemi","status":"publish","type":"post","link":"https:\/\/akdenizolaygazetesi.com\/?p=7626","title":{"rendered":"SA\u011eLIK \u00c7ALI\u015eANLARININ EN TEMEL SORUNU \u2018D\u00d6NER SERMAYE S\u0130STEM\u0130\u2019"},"content":{"rendered":"<p>Sa\u011fl\u0131k-Sen Mersin \u015eubesi, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n temel sorunu d\u00f6ner sermaye ek \u00f6deme sistemi hususunda a\u00e7\u0131klamalarda bulundu. \u015eube Ba\u015fkan\u0131 Hasan \u00d6zer, \u201cBedel \u00f6deyen sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n hi\u00e7biri, bu t\u00fcr haks\u0131zl\u0131klar\u0131 kabul etmemektedir\u201d dedi.<\/p>\n<p>\u201cSa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n y\u00fcz\u00fc g\u00fclerse, T\u00fcrkiye g\u00fcler\u201d<\/p>\n<p>Sa\u011fl\u0131k-Sen Mersin \u015eube Ba\u015fkan\u0131 Hasan \u00d6zer d\u00f6ner sermaye ek \u00f6deme sistemi hususunda a\u00e7\u0131klamalarda bulundu. \u00c7al\u0131\u015fanlar\u0131n bir kesimini maksimum d\u00fczeyde memnun ederken, bir di\u011fer kesimini daha az memnun ederek veyahut memnuniyetlerini s\u0131f\u0131rlayarak sa\u011fl\u0131kl\u0131 bir \u015fekilde s\u00fcrd\u00fcrmenin m\u00fcmk\u00fcn olmad\u0131\u011f\u0131n\u0131 belirten \u00d6zer, \u201cNeticede her bir sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 ayn\u0131 i\u015fi yapmasa da ayn\u0131 sorumluluk bilinciyle hareket ediyor ve risklere kar\u015f\u0131 ayn\u0131 g\u00f6\u011fs\u00fc geriyor. Salg\u0131n s\u00fcrecinde de \u00e7ok net bir \u015fekilde g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi vir\u00fcs, risk, tehdit, cephede, sahada ayr\u0131m yapm\u0131yor. Sa\u011fl\u0131k hari\u00e7 hi\u00e7bir kamu hizmetinde; ayn\u0131 i\u015fi yapmas\u0131na, ayn\u0131 saat \u00e7al\u0131\u015fmas\u0131na ve ayn\u0131 stat\u00fcde olmas\u0131na ra\u011fmen farkl\u0131 \u00fccret alan bir \u00e7al\u0131\u015fana rastlamak m\u00fcmk\u00fcn de\u011fildir. Sonu\u00e7 olarak; fedakar sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131nda ayr\u0131m yapan, hak gasp eden, al\u0131n terini yok sayan, bu \u00e7arp\u0131k d\u00f6ner sermaye sistemine bir an \u00f6nce son verilmelidir. \u0130nsan hayat\u0131n\u0131, insan s\u0131hhatini konu olan bir kamu hizmeti, kangren halini alm\u0131\u015f b\u00f6ylesine b\u00fcy\u00fck bir sorunla sa\u011fl\u0131kl\u0131 i\u015fleyemez. Sa\u011fl\u0131k sistemini tehdit eden d\u00f6ner sermaye sistemi, maalesef h\u0131zla bu y\u00f6nde ilerliyor. Sa\u011fl\u0131k-Sen olarak, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n moral ve motivasyonlar\u0131n\u0131 sarsan ve i\u015f bar\u0131\u015f\u0131n\u0131, huzurunu olumsuz etkileyen ve \u00e7al\u0131\u015fanlar\u0131 meslekten so\u011futan d\u00f6ner sermaye sisteminin bir an \u00f6nce d\u00fczeltilmesi gerekti\u011fine inan\u0131yoruz ve bu y\u00f6ndeki \u00e7a\u011fr\u0131m\u0131z\u0131 bir defa daha tekrarl\u0131yoruz. Yol yak\u0131nken, bu yanl\u0131\u015ftan bir an \u00f6nce d\u00f6n\u00fclmeli, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n y\u00fcz\u00fc g\u00fcld\u00fcr\u00fclmelidir. Unutulmamal\u0131d\u0131r ki sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n y\u00fcz\u00fc g\u00fclerse, T\u00fcrkiye g\u00fcler.\u201d dedi<\/p>\n<p>\nSa\u011fl\u0131\u011f\u0131n \u00a0kamunun vatanda\u015flar\u0131na vermekle y\u00fck\u00fcml\u00fc oldu\u011fu hizmetlerin en \u00f6nemlileri aras\u0131nda yer almakta oldu\u011funu belirten ve \u2018Sosyal devlet\u2019 ilkesinin esas al\u0131nd\u0131\u011f\u0131 \u00fclkelerde her bir vatanda\u015f, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n eliyle sunulan hizmetlerden e\u015fit bir \u015fekilde yararlanaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen \u00d6zer, \u201c\u00dclkemiz, d\u00fcnyan\u0131n en kapsaml\u0131 ve en donan\u0131ml\u0131 sa\u011fl\u0131k sistemlerinden birine sahiptir.Pandemi s\u00fcrecinde bir defa daha test edilen bu sistem, tarafl\u0131 tarafs\u0131z herkesin takdirini kazanm\u0131\u015ft\u0131r. Elbette sistem ne kadar iyi olursa olsun ve ne kadar teknolojik donan\u0131ma sahip bulunursa bulunsun, onu i\u015fleten, ayakta tutan, memnuniyeti had safhaya y\u00fckselten, fedakar sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131d\u0131r. Bu manada sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 ordumuz, pandemi s\u00fcreci \u00f6ncesinde oldu\u011fu gibi salg\u0131na kar\u015f\u0131 canlar\u0131 pahas\u0131na y\u00fcr\u00fctt\u00fckleri amans\u0131z m\u00fccadelede de bu hakikati t\u00fcm \u00e7\u0131plakl\u0131\u011f\u0131yla ortaya koymu\u015flard\u0131r. A\u00e7\u0131k\u00e7a s\u00f6ylemek gerekirse sa\u011fl\u0131k sistemimiz, kutsal g\u00f6revlerini her ko\u015ful ve \u015fartta \u00fcst\u00fcn fedakarl\u0131klarla y\u00fcr\u00fcten sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131m\u0131z sayesinde milletimizin s\u0131\u011f\u0131nd\u0131\u011f\u0131 en g\u00fcvenli liman olmu\u015ftur. Hem\u015firesinden doktoruna, ambulans \u015fof\u00f6r\u00fcnden sa\u011fl\u0131k teknikerine y\u00fczbinlerce sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n ortak al\u0131nteri, bu liman\u0131n yegane can suyudur.\u201d diye konu\u015ftu.<\/p>\n<p>\u201cOlumsuzluklar\u0131n ana kayna\u011f\u0131n\u0131 d\u00f6ner sermaye sistemi olu\u015fturmaktad\u0131r\u201d<\/p>\n<p>\u00dcnvan\u0131, stat\u00fcs\u00fc ne olursa olsun her bir sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n al\u0131nterinin, bir di\u011ferinin tamamlay\u0131c\u0131s\u0131 oldu\u011funu vurgulayan \u00d6zer, \u201cBir di\u011fer ifadeyle, sa\u011fl\u0131k hizmetlerinde sunulan hizmetin, verilen eme\u011fin, d\u00f6k\u00fclen al\u0131nterinin tamam\u0131 ortakt\u0131r ve t\u00fcm \u00e7al\u0131\u015fanlar\u0131nd\u0131r. Sa\u011fl\u0131k hizmetlerinin k\u00fclfetinde s\u00f6z konusu olan bu ortak payla\u015f\u0131m, ne yaz\u0131k ki d\u00f6k\u00fclen ortak al\u0131n teriyle ye\u015feren nimetin payla\u015f\u0131m\u0131nda yerini, haks\u0131zl\u0131\u011fa, adaletsizli\u011fe, e\u015fitsizli\u011fe, huzursuzlu\u011fa ve umutsuzlu\u011fa b\u0131rakmaktad\u0131r. T\u00fcm bu olumsuzluklar\u0131n ana kayna\u011f\u0131n\u0131 d\u00f6ner sermaye sistemi olu\u015fturmaktad\u0131r.\u201d dedi.<\/p>\n<p>\u201cSistem hakkaniyetli bir payla\u015f\u0131ma imkan vermemektedir\u201d<\/p>\n<p>2004 y\u0131l\u0131nda, sa\u011fl\u0131kta yeni d\u00f6neme ge\u00e7i\u015f s\u00fcrecinde \u00f6nemli sorunlar\u0131n \u00e7\u00f6z\u00fcm\u00fcnde anahtar rol g\u00f6rmesi amac\u0131yla t\u00fcm sa\u011fl\u0131k tesislerinde uygulanmaya ba\u015flanan d\u00f6ner sermaye sisteminin, ilk y\u0131llarda ba\u015far\u0131yla uyguland\u0131\u011f\u0131n\u0131 fakat i\u015flevini yitirip, kronik bir sorun halini ald\u0131\u011f\u0131n\u0131 belirten \u00d6zer, \u201cBu sistem nedeniyle \u00f6zellikle son 6-7 y\u0131ld\u0131r, meslek ve unvan baz\u0131ndaki farkl\u0131 hak edi\u015fler, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131nda memnuniyet s\u0131n\u0131rlar\u0131n\u0131n \u00f6tesinde ne yaz\u0131k ki karga\u015faya yol a\u00e7m\u0131\u015ft\u0131r. Sistem; gerek hekimler aras\u0131nda gerekse hekim d\u0131\u015f\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131nda dengeli ve hakkaniyetli bir payla\u015f\u0131ma imkan vermemektedir. Vicdanlar\u0131 yaralayan ayn\u0131 ac\u0131 durum; iller, hastaneler ve birimler aras\u0131ndaki sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in de ge\u00e7erlidir. Sorun ne yaz\u0131k ki her ge\u00e7en g\u00fcn daha da b\u00fcy\u00fcmekte ve i\u00e7inden \u00e7\u0131k\u0131lmaz hal almaya do\u011fru ilerlemektedir. Endi\u015femiz ve ayn\u0131 zamanda umudumuz, sa\u011fl\u0131k sistemine dolay\u0131s\u0131yla insan\u0131m\u0131za zarar verici noktalara ula\u015fmadan \u00e7\u00f6z\u00fcme kavu\u015fmas\u0131d\u0131r.\u201d ifadelerini kulland\u0131.<\/p>\n<p>\u201cGeni\u015fletilmeden ortaya konacak her bir d\u00fczenleme, sorunun derinle\u015fmesinden ba\u015fka bir i\u015fe yaramayacakt\u0131r\u201d<\/p>\n<p>\u00c7\u00f6z\u00fcm ama\u00e7l\u0131 palyatif tedbirlerin bir \u00a0sonuca \u00e7\u0131kmad\u0131\u011f\u0131n\u0131 vurgulayan \u00d6zer, \u201cMart ay\u0131 ba\u015f\u0131nda, y\u00f6netmelik de\u011fi\u015fikli\u011fiyle y\u00fcr\u00fcrl\u00fc\u011fe konulan uygulama bunun en son \u00f6rne\u011fidir. Bu y\u00f6netmelik de\u011fi\u015fikli\u011fiyle, k\u0131smi \u00e7\u00f6z\u00fcm bir yana, sorunun derinli\u011fi ve yak\u0131c\u0131l\u0131\u011f\u0131 daha da artm\u0131\u015ft\u0131r. \u015e\u00f6yle ki yap\u0131lan de\u011fi\u015fiklikle birka\u00e7 meslek grubunun lehine ad\u0131m at\u0131l\u0131rken, say\u0131lar\u0131 y\u00fcz binleri bulan hekim d\u0131\u015f\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 tam bir hayal k\u0131r\u0131kl\u0131\u011f\u0131na u\u011frat\u0131lm\u0131\u015ft\u0131r. Hakkaniyetle, adaletle ve vicdanla ba\u011fda\u015fmayan bu ve benzer d\u00fczenlemeleri kabul etmek m\u00fcmk\u00fcn de\u011fildir. D\u00f6ner sermaye uygulamas\u0131ndaki ana kurgu de\u011fi\u015fmeden, emek ve al\u0131nteri temelli dengeli ve adil bir payla\u015f\u0131m g\u00f6zetilmeden, sistemin te\u015fvik edicili\u011fi her bir \u00e7al\u0131\u015fan\u0131 kapsayacak \u015fekilde geni\u015fletilmeden ortaya konacak her bir d\u00fczenleme, sorunun derinle\u015fmesinden ba\u015fka bir i\u015fe yaramayacakt\u0131r.\u201d dedi.<\/p>\n<p>\u201cGeni\u015fletilmesini beklerken, 15 Temmuz itibar\u0131yla uygulama sona ermi\u015ftir\u201d<\/p>\n<p>Salg\u0131nla m\u00fccadele s\u00fcrecindeki uygulamalara bak\u0131ld\u0131\u011f\u0131n da benzer olumsuzluklar\u0131 g\u00f6rd\u00fcklerini belirten \u00d6zer, \u201cBakanl\u0131k, s\u00fcrecin en ba\u015f\u0131nda, performansa bakmaks\u0131z\u0131n belirlemi\u015f oldu\u011fu usul ve esaslar \u00e7er\u00e7evesinde, \u2018Pandemiyle m\u00fccadelede direk yer alan hekimler i\u00e7in tavandan, di\u011fer hekimler i\u00e7in ise kadro ve \u00fcnvanlar\u0131na g\u00f6re tavan\u0131n y\u00fczde 45 ile 75 aral\u0131\u011f\u0131nda, hekim d\u0131\u015f\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in ise tavandan ek \u00f6deme verilece\u011fi y\u00f6n\u00fcnde karar ald\u0131. \u00a0Ancak perfomansa dayal\u0131 ek \u00f6deme sisteminin adil ve hakkaniyetli olmad\u0131\u011f\u0131, mevcut sorunlar\u0131 \u00e7\u00f6z\u00fcc\u00fc \u00f6zelli\u011finin kalmad\u0131\u011f\u0131, ihtiya\u00e7lar\u0131 kar\u015f\u0131lamad\u0131\u011f\u0131 gibi nedenlerle, zorlu salg\u0131n g\u00fcnlerinde sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda ciddi huzursuzluklara yol a\u00e7m\u0131\u015ft\u0131r. \u00a0Daha vahimi, salg\u0131n s\u00fcresince, hakkaniyetli olmasa da t\u00fcm sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n yararlanaca\u011f\u0131 a\u00e7\u0131klanan ek \u00f6deme deste\u011fi, al\u0131nan yeni bir kararla, salg\u0131nla m\u00fccadele eden sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 ile s\u0131n\u0131rland\u0131r\u0131ld\u0131. \u00dc\u00e7 ayl\u0131k d\u00f6nemi kapsayan ek \u00f6deme deste\u011fi uygulamas\u0131nda da s\u00fcre uzat\u0131m\u0131na dair yeni bir karar olmad\u0131\u011f\u0131 i\u00e7in 15 Temmuz itibar\u0131yla sona gelinmi\u015ftir. Bu yanl\u0131\u015ftan acilen d\u00f6n\u00fclmelidir. Neticede, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n salg\u0131nla m\u00fccadelesi devam etmektedir. Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131, hi\u00e7 olmazsa salg\u0131nla m\u00fccadele s\u00fcresince, uygulamadaki haks\u0131zl\u0131klar\u0131n giderilip ek \u00f6deme deste\u011finin her bir \u00e7al\u0131\u015fan\u0131 kapsayacak \u015fekilde geni\u015fletilmesini beklerken, 15 Temmuz itibar\u0131yla uygulama sona ermi\u015ftir.\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sa\u011fl\u0131k-Sen Mersin \u015eubesi, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n temel sorunu d\u00f6ner sermaye ek \u00f6deme sistemi hususunda a\u00e7\u0131klamalarda bulundu. \u015eube Ba\u015fkan\u0131 Hasan \u00d6zer, \u201cBedel \u00f6deyen sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n hi\u00e7biri, bu t\u00fcr haks\u0131zl\u0131klar\u0131 kabul etmemektedir\u201d dedi. &hellip; <a href=\"https:\/\/akdenizolaygazetesi.com\/?p=7626\" class=\"more-link\">Devam\u0131n\u0131 Oku&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/7626"}],"collection":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7626"}],"version-history":[{"count":0,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=\/wp\/v2\/posts\/7626\/revisions"}],"wp:attachment":[{"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolaygazetesi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}