B\u0130R VARMI\u015e B\u0130R YOKMU\u015e, B\u00dcT\u00c7EDE SA\u011eLIK\u00c7IYA PAY YOKMU<\/p>\n
B\u00fct\u00e7e; siyasal iktidarlar\u0131n, rejimin demokratik, sosyal hak ve \u00f6zg\u00fcrl\u00fckler konusundaki duru\u015funun en \u00f6nemli g\u00f6stergesidir. \u00dcretenlerin, de\u011feri yaratanlar\u0131n, yani i\u015f\u00e7ilerin, emek\u00e7ilerin, halk\u0131n, vergi m\u00fckelleflerinin, bu \u00fclkede ya\u015fayan herkesin, do\u011frudan ya da dolayl\u0131 mekanizmalar arac\u0131l\u0131\u011f\u0131yla \u00f6dedikleri vergilerin nerelere harcand\u0131\u011f\u0131n\u0131 ya da harcanmad\u0131\u011f\u0131n\u0131 bilmeleri ve bunu denetleyebilmeleri gerekir. Bu denetim b\u00fct\u00e7enin haz\u0131rlanmas\u0131, uygulanmas\u0131 ve sonu\u00e7land\u0131r\u0131lmas\u0131 s\u0131ras\u0131nda yap\u0131labilmelidir.<\/p>\n
Covid-19 pandemisi ve h\u00fck\u00fcmetin yanl\u0131\u015f ekonomi politikalar\u0131 mevcut ekonomik krizi derinle\u015ftirmekte, \u00e7al\u0131\u015fmaya uygun n\u00fcfusun \u00fc\u00e7te birinden fazlas\u0131 i\u015fsizken ve yak\u0131n gelecekte i\u015f bulma umudunu kaybetmi\u015f durumda iken milyonlarca emek\u00e7i aile de k\u0131\u015fa hi\u00e7bir gelire sahip olmad\u0131\u011f\u0131 \u015fartlarda girmektedir. Asgari \u00fccret ya da d\u00fc\u015f\u00fck \u00fccretlerle \u00e7al\u0131\u015fanlar\u0131n eline ge\u00e7en para temel ihtiya\u00e7 maddelerine bile yetmemektedir,\u00e7\u00fcnk\u00fc temel ihtiya\u00e7 maddelerindeki enflasyon oran\u0131 T\u00dc\u0130K verilerinin \u00e7ok \u00e7ok \u00fczerindedir.<\/p>\n
B\u00fct\u00e7e de\u011ferlendirmeleri, bu d\u00f6nemin belirleyici \u00f6zellikleri g\u00f6z \u00f6n\u00fcne al\u0131narak yap\u0131lmal\u0131d\u0131r.<\/p>\n
2022 y\u0131l\u0131 b\u00fct\u00e7e kanun teklifi g\u00f6r\u00fc\u015fmelerine 20 Ekim tarihinde Plan ve B\u00fct\u00e7e Komisyonu\u2019nda ba\u015fland\u0131.<\/p>\n
B\u00fct\u00e7e \u00f6deneklerine bak\u0131ld\u0131\u011f\u0131nda, ula\u015ft\u0131rma projeleri ile \u015fehir hastaneleri i\u00e7in ayr\u0131lan tutarlarda yine \u00f6nemli art\u0131\u015flar mevcuttur. Bizden toplanan vergilerden ayr\u0131lan bu \u00f6denekler; iktidar\u0131n, d\u00f6viz cinsi \u00fczerinden \u015fehir hastaneleri i\u00e7in m\u00fcteahhitlere verdi\u011fi kira ve hizmet bedelleri i\u00e7in harcanmaktad\u0131r.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n 2022 y\u0131l\u0131 b\u00fct\u00e7e teklifine bakt\u0131\u011f\u0131m\u0131zda \u015funlar\u0131 g\u00f6rmekteyiz:<\/p>\n
\u00d6deneklerin ne kadar\u0131n\u0131n \u201ctedavi edici hizmetlere\u201d ne kadar\u0131n\u0131nsa \u201ckoruyucu hizmetlere\u201d ayr\u0131ld\u0131\u011f\u0131 \u00f6nemlidir. Bu rakam\u0131n %64\u00fc tedavi edici hizmetlere, buna kar\u015f\u0131l\u0131k % 33\u00fc koruyucu hizmetlere ayr\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Koruyucu hizmetlere ayr\u0131lan b\u00fct\u00e7eden pandemi d\u00f6neminde verdikleri insan\u00fcst\u00fc \u00e7al\u0131\u015fma ko\u015fullar\u0131na ve y\u00fczlerce sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n hayat\u0131n\u0131 kaybetmesine ra\u011fmen ayr\u0131lan pay 5\u2019te 1dir.<\/p>\n
Pandemi s\u00fcrecinde de daha net ortaya \u00e7\u0131kan tablo koruyucu sa\u011fl\u0131k hizmetlerine ayr\u0131lan pay\u0131n artt\u0131r\u0131lmas\u0131n\u0131n \u00f6nemini ortaya koymaktad\u0131r. Bakanl\u0131\u011f\u0131n kendi b\u00fct\u00e7e teklifinde ortaya koydu\u011fu rakamlara bakt\u0131\u011f\u0131m\u0131zda aile hekimli\u011fi birimi ba\u015f\u0131na d\u00fc\u015fen n\u00fcfus azalmam\u0131\u015f tam tersine artm\u0131\u015ft\u0131r. Bu y\u00f6nde taleplere y\u00f6nelik bir d\u00fczenleme yap\u0131lmad\u0131\u011f\u0131 gibi ge\u00e7ti\u011fimiz g\u00fcnlerde yay\u0131nlanan Ceza y\u00f6netmeli\u011fi ile ASM\u2019lerde\u00e7al\u0131\u015fanlar\u0131n mevcut haklar\u0131n\u0131 kaybetmesine yol a\u00e7an kararlar al\u0131nm\u0131\u015ft\u0131r.<\/p>\n
En temel taleplerimizden olan sa\u011fl\u0131k hizmeti sunmaya uygun olmayan binalarda sa\u011fl\u0131k hizmeti \u00fcretilemeyece\u011fi,ASM\u2019lerin \u015fartlara uygun kamu binalar\u0131 olmas\u0131 gerekti\u011fi talebi g\u00f6rmezden gelinmi\u015f, bu konuda sorumluluk yine sa\u011fl\u0131k emek\u00e7ilerinin s\u0131rt\u0131na b\u0131rak\u0131lm\u0131\u015ft\u0131r.<\/p>\n
2023 tahmini b\u00fct\u00e7esine bakt\u0131\u011f\u0131m\u0131zda ise s\u00fcrekli de\u011fer kaybeden TL baz\u0131nda bile \u00f6n\u00fcm\u00fczdeki seneye daha az para aktar\u0131lmas\u0131n\u0131n planland\u0131\u011f\u0131 ve mevcut durumu iyile\u015ftirmeye y\u00f6nelik ad\u0131mlar\u0131n at\u0131lmayaca\u011f\u0131g\u00f6r\u00fclmektedir.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n 2019 y\u0131l\u0131 i\u00e7in 48.232 milyon TL b\u00fct\u00e7esi bulunmakta iken 57.424 milyon TL d\u00f6ner sermaye b\u00fct\u00e7esi ayr\u0131lm\u0131\u015ft\u0131r. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 kurumlar\u0131 \u00f6zel b\u00fct\u00e7eli i\u015fletmelere d\u00f6n\u00fc\u015ft\u00fcr\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n
D\u00f6ner sermaye gelirlerini genel b\u00fct\u00e7eye sa\u011flayan emek\u00e7ilere, d\u00f6ner sermayeden sadaka verircesine 4-5TL gibi komik \u00f6demeler yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fct\u00e7esinin be\u015fte biri \u015fehir hastanelerine ayr\u0131lm\u0131\u015ft\u0131r. Ancak Say\u0131\u015ftay\u2019\u0131n raporlar\u0131na g\u00f6re \u015fehir hastanelerine bir\u00e7ok kalemde usuls\u00fcz ve fazladan \u00f6demeler yap\u0131lmakta, uygun olmayan veya yetersiz ekipmanlar\u0131n yerini kapat\u0131lan hastanelerdeki ekipmanlar almaktad\u0131r.<\/p>\n
2022 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fct\u00e7e teklifine bakt\u0131\u011f\u0131m\u0131zda sa\u011fl\u0131k e\u011fitiminin, ara\u015ft\u0131rman\u0131n ve tedavi edici hizmetlerin b\u00fcy\u00fck k\u0131sm\u0131n\u0131 s\u0131rtlanan \u00fcniversite hastanelerinin yok say\u0131ld\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.B\u00fct\u00e7eden yaln\u0131zca 6,2 milyar TL ayr\u0131lan \u00fcniversite hastaneleri, b\u00fct\u00fcnl\u00fckl\u00fc sa\u011fl\u0131k politikalar\u0131 planlamas\u0131n\u0131n bile d\u0131\u015f\u0131nda b\u0131rak\u0131lmakta, herhangi bir yat\u0131r\u0131m yapamad\u0131\u011f\u0131 gibi mevcut bor\u00e7lar\u0131n\u0131 \u00f6demek i\u00e7in sa\u011fl\u0131k emek\u00e7ilerinin d\u00f6ner sermaye kazan\u00e7lar\u0131na el koymaktad\u0131r. Bu ko\u015fullarda \u00fcniversite hastaneleri nitelikli hizmet veremez hale getirilmi\u015f ve \u00e7al\u0131\u015fanlar a\u00e7\u0131s\u0131ndan da ko\u015fullar giderek zorla\u015fm\u0131\u015ft\u0131r.<\/p>\n
E\u011fitim almas\u0131 gereken int\u00f6rn ve asistan hekimlerin personel eksikli\u011fi, evrak i\u015fleri gibi e\u011fitimleriyle ve sorumluluklar\u0131yla ilgisi olmayan angarya i\u015fleri yapmak zorunda kalmalar\u0131 ile i\u015f y\u00fckleri artm\u0131\u015ft\u0131r.Y\u00f6netmeli\u011fe ayk\u0131r\u0131 \u015fekilde bitmeyen n\u00f6betler, \u00f6denmeyen \u00fccretler vb bir\u00e7ok sorunla ba\u015f etmek zorunda kal\u0131p canlar\u0131yla bedel \u00f6demeye ba\u015flam\u0131\u015flard\u0131r.Bu d\u00f6nemde \u00e7ok say\u0131da sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 intihar\u0131 ya\u015fanm\u0131\u015ft\u0131r. Servislerde 3-4 hem\u015firenin yapmas\u0131 gereken i\u015fi bir hem\u015fireye yapt\u0131racak kadar angarya \u00e7al\u0131\u015ft\u0131rma derinle\u015fmi\u015ftir.<\/p>\n
2022 y\u0131l\u0131nda personel giderlerinin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fct\u00e7esindeki pay\u0131 %33\u2019e d\u00fc\u015fm\u00fc\u015ft\u00fcr. Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 \u00f6ncesi 2003 y\u0131l\u0131nda bu oran %70\u2019dir.<\/p>\n
\u201cHakk\u0131n\u0131z \u00f6denmez\u201d denilen emek\u00e7iler canlar\u0131 pahas\u0131na hizmet \u00fcretirken, yeni personel al\u0131m\u0131na pay aktar\u0131lmad\u0131\u011f\u0131 gibi \u00fccretlerinde de art\u0131\u015f ya\u015fanmam\u0131\u015ft\u0131r. 2022 sa\u011fl\u0131k b\u00fct\u00e7esi bu haliyle bir utan\u00e7 belgesidir.<\/p>\n
Bu konuda Eski\u015fehir SES \u015fubesi olarak taleplerimiz \u015f\u00f6yledir:<\/p>\n
1. Genel b\u00fct\u00e7e gelirleri i\u00e7inde gelir vergisi pay\u0131 art\u0131r\u0131lmal\u0131d\u0131r. Bu art\u0131\u015f, gelir vergisi i\u00e7inde kurumlar vergisi pay\u0131 art\u0131r\u0131larak sa\u011flanmal\u0131d\u0131r. Yoksullardan, emek\u00e7ilerden, \u00fccretlilerden al\u0131nan direk ve dolayl\u0131 vergi paylar\u0131 azalt\u0131lmal\u0131, sermaye sahiplerinin vergi sorumlulu\u011fu artt\u0131r\u0131lmal\u0131d\u0131r.<\/p>\n
2. Sa\u011fl\u0131k hizmetleri harcamalar\u0131nda merkezi b\u00fct\u00e7enin pay\u0131 artt\u0131r\u0131lmal\u0131d\u0131r.<\/p>\n
3. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fct\u00e7esinin genel b\u00fct\u00e7e i\u00e7indeki pay\u0131 %10\u2019un \u00fczerine \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<\/p>\n
4. Sa\u011fl\u0131k hizmetleri harcamalar\u0131nda merkezi devlet harcamalar\u0131n\u0131n pay\u0131 art\u0131r\u0131lmal\u0131, SGK ve hane halklar\u0131 harcamalar\u0131n\u0131n pay\u0131 azalt\u0131lmal\u0131d\u0131r. Katk\u0131-kat\u0131l\u0131m, ilave \u00fccret gibi hi\u00e7bir ad alt\u0131nda halktan sa\u011fl\u0131k hizmetleri i\u00e7in \u00fccret al\u0131nmamal\u0131d\u0131r.<\/p>\n
5.Alanda \u00e7al\u0131\u015facak yeterli say\u0131da yeni sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 istihdam edilmelidir<\/p>\n
6. Sa\u011fl\u0131k emek\u00e7ilerine ek \u00f6deme, d\u00f6ner sermaye vb. adlarla yap\u0131lan, ekip anlay\u0131\u015f\u0131n\u0131 bozan, rekabet olu\u015fturan ve \u00e7al\u0131\u015fma bar\u0131\u015f\u0131n\u0131 bozan \u00f6deme y\u00f6ntemi yerine yoksulluk s\u0131n\u0131r\u0131n\u0131n \u00fczerinde, tek kalemde, tamam\u0131 emeklili\u011fe yans\u0131yacak \u015fekilde maa\u015f \u00f6denmesine ba\u015flanmal\u0131d\u0131r.<\/p>\n
7. \u00d6zel sa\u011fl\u0131k kurumlar\u0131na aktar\u0131lan her t\u00fcrl\u00fc pay kald\u0131r\u0131lmal\u0131d\u0131r. Kamu sa\u011fl\u0131k kurumlar\u0131 ve sa\u011fl\u0131k e\u011fitimleri i\u00e7in b\u00fct\u00e7eden ayr\u0131lan pay y\u00fckseltilmelidir.<\/p>\n
8. Covid-19 pandemisindeya\u015fad\u0131\u011f\u0131m\u0131z gibi mevcut sa\u011fl\u0131k sistemlerimiz yetersiz kalm\u0131\u015ft\u0131r.Ya\u015fanmas\u0131 muhtemel yeni salg\u0131nlara kar\u015f\u0131 da b\u00fct\u00e7e kalemi olu\u015fturulmal\u0131d\u0131r.<\/p>\n
9. Sa\u011fl\u0131kl\u0131 bir toplum i\u00e7in tedavi edici hizmetler yeterli de\u011fildir. Koruyucu sa\u011fl\u0131k hizmetlerinin yeniden ele al\u0131nmas\u0131 ve g\u00fc\u00e7lendirilmesi planlanmaktad\u0131r.<\/p>\n
10. Sa\u011fl\u0131k hizmetlerinin \u00fcretilmesi planlanmas\u0131 ve sunulmas\u0131n\u0131n t\u00fcm a\u015famalar\u0131nda sa\u011fl\u0131k emek\u00e7ileri ve \u00f6rg\u00fctlerini ve halk\u0131 karar alma s\u00fcre\u00e7lerine dahil edecek mekanizmalar olu\u015fturulmal\u0131d\u0131r.<\/p>\n
11. Hukuksuz bir \u015fekilde ihra\u00e7 edilen ve hakk\u0131nda kesinle\u015fmi\u015f yarg\u0131 karar\u0131 bulunmayan sa\u011fl\u0131k emek\u00e7ileri derhal i\u015fe ba\u015flat\u0131lmal\u0131d\u0131r.<\/p>\n
SES Eski\u015fehir \u015eubesi Y\u00f6netim Kurulu ad\u0131na<\/p>\n
ERHAN KAMI\u015e<\/p>\n
\n\n
- <\/li>\n<\/ol>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"
B\u0130R VARMI\u015e B\u0130R YOKMU\u015e, B\u00dcT\u00c7EDE SA\u011eLIK\u00c7IYA PAY YOKMU B\u00fct\u00e7e; siyasal iktidarlar\u0131n, rejimin demokratik, sosyal hak ve \u00f6zg\u00fcrl\u00fckler konusundaki duru\u015funun en \u00f6nemli g\u00f6stergesidir. \u00dcretenlerin, de\u011feri yaratanlar\u0131n, yani i\u015f\u00e7ilerin, emek\u00e7ilerin, halk\u0131n, vergi m\u00fckelleflerinin, bu \u00fclkede ya\u015fayan herkesin, do\u011frudan ya da dolayl\u0131 mekanizmalar arac\u0131l\u0131\u011f\u0131yla \u00f6dedikleri vergilerin nerelere harcand\u0131\u011f\u0131n\u0131 ya da harcanmad\u0131\u011f\u0131n\u0131 bilmeleri ve bunu denetleyebilmeleri gerekir. Bu denetim […]<\/p>\n","protected":false},"author":2,"featured_media":4146,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"_links":{"self":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4145"}],"version-history":[{"count":1,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4145\/revisions"}],"predecessor-version":[{"id":4147,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/4145\/revisions\/4147"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/4146"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4145"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}