{"id":776,"date":"2013-12-25T23:45:17","date_gmt":"2013-12-25T21:45:17","guid":{"rendered":"http:\/\/www.es-ses.org\/?p=776"},"modified":"2013-12-25T23:46:09","modified_gmt":"2013-12-25T21:46:09","slug":"saglikta-kazankazan-ve-ayakkabi-kutusu","status":"publish","type":"post","link":"http:\/\/www.es-ses.org\/?p=776","title":{"rendered":"Sa\u011fl\u0131kta kazan\/kazan ve ayakkab\u0131 kutusu"},"content":{"rendered":"<p style=\"text-align: justify;\"><a href=\"http:\/\/www.es-ses.org\/wp-content\/uploads\/2013\/12\/cf6a75a804f993c51b2d.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-777\" alt=\"-cf6a75a804f993c51b2d\" src=\"http:\/\/www.es-ses.org\/wp-content\/uploads\/2013\/12\/cf6a75a804f993c51b2d-227x300.jpg\" width=\"227\" height=\"300\" srcset=\"http:\/\/www.es-ses.org\/wp-content\/uploads\/2013\/12\/cf6a75a804f993c51b2d-227x300.jpg 227w, http:\/\/www.es-ses.org\/wp-content\/uploads\/2013\/12\/cf6a75a804f993c51b2d.jpg 272w\" sizes=\"auto, (max-width: 227px) 100vw, 227px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">Faik Bulut bir televizyon program\u0131nda \u201cAk Parti partiden ziyade \u015firkete benziyor\u201d diyordu. \u0130\u015fte o \u201c\u015firketin\u201d hastanelerde h\u00fck\u00fcmet etme hali onca zamand\u0131r sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm olarak adland\u0131r\u0131ld\u0131 muktedirlerce.<br \/>\nBir banka m\u00fcd\u00fcr\u00fcn\u00fcn evine b\u0131rak\u0131lm\u0131\u015f ayakkab\u0131 kutusu \u00f6z\u00fcnde her bir kamu sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n evinde zaten vard\u0131. \u0130\u00e7inin ne kadar dolu oldu\u011fu ger\u00e7ekli\u011fi de\u011fi\u015ftirmiyor. Maliyeciler buna kibarca \u201cSa\u011fl\u0131kta performansa dayal\u0131 \u00f6deme\u201d diyorlar. \u0130ktidar \u201ckazan kazan\u201d ve \u201ckaybet\/kaybet\u201d form\u00fcl\u00fcn\u00fc d\u0131\u015f siyaset ve Ak Parti\/G\u00fclen Cemaati birlikteli\u011finden \u00f6nce sa\u011fl\u0131k\u00e7\u0131lar\u0131n kula\u011f\u0131na f\u0131s\u0131ldam\u0131\u015ft\u0131.<br \/>\nSa\u011fl\u0131kta performans sisteminde kuruma kazand\u0131rd\u0131\u011f\u0131 \u00f6l\u00e7\u00fcde eline ayl\u0131k \u00fccret ge\u00e7iyor \u00e7al\u0131\u015fanlar\u0131n. Halk aras\u0131nda cerrahi giri\u015fimler \u00f6ncesi artma e\u011filimine giren sa\u011fl\u0131k kurumlar\u0131na kar\u015f\u0131 g\u00fcven a\u015f\u0131nmas\u0131 bundand\u0131r. Hasta do\u011fal olarak ku\u015fkulan\u0131yor bu kazan\/kazan ikliminden ve sa\u011fl\u0131\u011f\u0131ndan ve cebinden kaybeden olmak istemiyor hakl\u0131 olarak.<br \/>\nAk Parti \u201c\u015firket\u201d mant\u0131\u011f\u0131n\u0131n sa\u011fl\u0131ktaki \u201ckaybet\/kaybet\u201d tehdidi ise her muayene sonras\u0131 hekimlerin bilgisayar monit\u00f6rlerine yans\u0131t\u0131lan \u015fu ikaz c\u00fcmlesinde sakl\u0131: \u201cDikkat limiti a\u015ft\u0131n\u0131z\u201d. \u201cHalka d\u00fc\u015fman\u201d bu c\u00fcmle tam bir su\u00e7 \u00f6rg\u00fctlenmesi. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 hekimlere mealen \u015f\u00f6yle sesleniyor: \u201cBu hastadan istedi\u011fin tetkiklerin toplam \u00fccreti SGK\u2019nin \u00f6dedi\u011finden fazla. Bu hali ile devam edersen kaybet\/kaybet form\u00fcl\u00fc devreye girer. Hem kurum zarar eder hem de senin ayl\u0131k gelirin azal\u0131r. Ama kimi tetkikleri silersen \u201ckazan\/kazan\u201d s\u00fcreklilik kazan\u0131r\u201d.<br \/>\nHasta i\u00e7in gereken tetkiklerin istenmesini Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 hastaneleri ve \u00e7al\u0131\u015fanlar\u0131 i\u00e7in \u201ckay\u0131p\u201d olarak tan\u0131mlayan y\u00f6netim anlay\u0131\u015f\u0131n\u0131 \u201cHalk\u0131n aleyhine su\u00e7a te\u015fvik\u201d ve devletin olanaklar\u0131n\u0131 halka kar\u015f\u0131 kullanma gayreti i\u00e7erisinde organize bir su\u00e7 yap\u0131lanmas\u0131 olarak alg\u0131lamaktay\u0131m. Aynen \u015fu g\u00fcnlerde ya\u015fad\u0131\u011f\u0131m\u0131z \u201cyolsuzluk\/r\u00fc\u015fvet \/paralel devlet\u201d tart\u0131\u015fmalar\u0131nda oldu\u011fu gibi.<br \/>\nHat\u0131rlarsan\u0131z ge\u00e7mi\u015f haftalarda bir bakan, G\u00fclen Cemaatine hitaben \u201ckazan\/kazan\u201d g\u00fcnlerinin s\u00fcrmesi i\u00e7in \u00e7a\u011fr\u0131da bulunmu\u015ftu. Sonras\u0131nda bakan \u00e7ocuklar\u0131n\u0131n ve bir bankan\u0131n genel m\u00fcd\u00fcr\u00fcn\u00fcn g\u00f6zalt\u0131 haberinin ilk dakikalar\u0131nda Ba\u015fbakan\u0131n ba\u015fdan\u0131\u015fman\u0131 yine ayn\u0131 cemaate \u201ckaybet\/kaybet\u201d g\u00fcnlerinin risklerini ayn\u0131 kelimeleri kullanarak hat\u0131rlatm\u0131\u015ft\u0131.<br \/>\nDiyebiliriz ki Ak Parti h\u00fck\u00fcmetinin Cemaatle y\u00fcr\u00fctt\u00fc\u011f\u00fc kavgan\u0131n dili, \u015fiddet y\u00fck\u00fc ve kulland\u0131\u011f\u0131 metotlar \u00f6ncesinde sa\u011fl\u0131k alan\u0131nda ya\u015fand\u0131. D\u00fcn\u00fcn iktidar\u0131nda yol arkada\u015f\u0131 olan Cemaat ve milli g\u00f6r\u00fc\u015f\u00e7\u00fcler bug\u00fcn birbirlerine s\u0131n\u0131r tan\u0131maz beddualarda bulunuyor. Aralar\u0131nda \u201cd\u00fc\u015fman hukuku\u201d s\u00fcrecini kar\u015f\u0131l\u0131kl\u0131 olarak ba\u015flatt\u0131lar.<br \/>\nBu \u201cd\u00fc\u015fman hukuku\u201dnun olas\u0131 yol haritas\u0131n\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 sanal k\u00fct\u00fcphanesindeki bir kitaptan izlemek m\u00fcmk\u00fcn. O \u00e7eviri kitab\u0131n ba\u015f edit\u00f6r\u00fc bir \u00f6nceki Sa\u011fl\u0131k Bakan\u0131 Recep Akda\u011f idi. Kitap, Bakanl\u0131k y\u00f6neticileri i\u00e7in sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm s\u00fcrecinde el kitab\u0131 olarak haz\u0131rlanm\u0131\u015ft\u0131.<br \/>\nK\u0131lavuz kitap s\u00fcrece muhalif olanlar\u0131 \u201cd\u00fc\u015fman\u201d olarak tan\u0131mlarken bunun etik olmad\u0131\u011f\u0131n\u0131n fark\u0131nda oldu\u011funu belirtiyordu. B\u00fcrokratlara tavsiyeleri aras\u0131nda muhalif kurumlar\u0131n y\u00f6neticilerini yanda\u015f bas\u0131n \u00fczerinden as\u0131ls\u0131z haberlerle itibars\u0131zla\u015ft\u0131rmaktan tutun da ak\u00e7eli konularda iftiraya varacak edimlere nice su\u00e7 devlet korumas\u0131 aras\u0131nda kullan\u0131ma sunuluyordu adeta.<br \/>\nKitap Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131nca yay\u0131nland\u0131\u011f\u0131nda \u015fimdilerin d\u00fc\u015fman karde\u015fleri birlikte y\u00f6netiyorlard\u0131 \u00fclkeyi. Ba\u015fbakan\u0131n tan\u0131m\u0131 ile \u201cparalel devlet\u201d yap\u0131lanmas\u0131 elbet atad\u0131klar\u0131 y\u00f6neticiler eli ile kamu sa\u011fl\u0131k kurumlar\u0131nda da hayata ge\u00e7irilmi\u015fti. TBMM\u2019den ge\u00e7irilen bir yasa ile hekim meslek \u00f6rg\u00fct\u00fc TTB\u2019nin yasas\u0131ndan \u201cHalk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 korumak\u201d maddesini \u00e7\u0131kartan ama bir ba\u015fka yasa maddesinde Cemaat vak\u0131flar\u0131na bu alan\u0131 a\u00e7an anlay\u0131\u015f \u201cparalel devlet\u201d yakla\u015f\u0131m\u0131 de\u011fil de nedir ki? Ya d\u00fcnyada benzeri olmayan \u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131ndan habersiz hasta muayenesinde tan\u0131mlanan hapis cezas\u0131 tehdidine ne demeli? Peki gezi g\u00fcnlerinde g\u00f6zalt\u0131na al\u0131nan sa\u011fl\u0131k\u00e7\u0131lar bahsini nereye koyaca\u011f\u0131z.<br \/>\nAnla\u015f\u0131lan o ki h\u00fck\u00fcmet devletin derini\/paraleline de\u011fil de oralarda kimlerin oldu\u011funa ilgi g\u00f6stermekte. Kar\u015f\u0131tl\u0131\u011f\u0131 de\u011fil kadrola\u015fma arzusudur diline vuran.<br \/>\n\u0130\u015fte b\u00f6ylesine \u015firketvari h\u00fck\u00fcmet eyleme hali sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n maa\u015f\u0131n\u0131 olduk\u00e7a d\u00fc\u015f\u00fck tutarak adeta her birine halk\u0131n sa\u011fl\u0131k hakk\u0131 aleyhine hekimlik icra edildi\u011finde daha fazla kazand\u0131racak bir sistemi hayata ge\u00e7irmi\u015f oldu. Sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm s\u00fcrecinin \u201cbir halk d\u00fc\u015fman\u0131\u201d olma hali bundand\u0131r. Emek m\u00fccadelesinin i\u00e7inden gelen sa\u011fl\u0131k\u00e7\u0131lar\u0131n \u201cSermayenin de\u011fil halk\u0131n doktorlar\u0131, hem\u015fireleriyiz\u201d derken s\u00f6ylemek istedi\u011fi i\u015fte bu evlerine b\u0131rak\u0131lmak istenen \u201cayakkab\u0131 kutular\u0131\u201d i\u00e7indeki maa\u015fa isyand\u0131r. Performansa dayal\u0131 \u00fccret b\u00f6yle bir \u015feydir. Ve iktidar sa\u011fl\u0131k\u00e7\u0131lardan \u201chalk\u0131na d\u00fc\u015fman\u201d bir ku\u015fak yaratma ad\u0131na misal uzman doktorlar\u0131n temel maa\u015f\u0131n\u0131 ba\u015f\u00e7avu\u015f maa\u015f\u0131na indirerek yol almak istemektedir. Performansa dayal\u0131 ek \u00f6demeye itiraz\u0131 b\u00f6ylece halledece\u011fi zann\u0131 ile yan\u0131lmaktad\u0131r.<br \/>\nSa\u011fl\u0131cakla kal\u0131n\u2026<\/p>\n<p style=\"text-align: justify;\">(Evrensel Gazetesinden al\u0131nm\u0131\u015ft\u0131r)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Faik Bulut bir televizyon program\u0131nda \u201cAk Parti partiden ziyade \u015firkete benziyor\u201d diyordu. \u0130\u015fte o \u201c\u015firketin\u201d hastanelerde h\u00fck\u00fcmet etme hali onca zamand\u0131r sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm olarak adland\u0131r\u0131ld\u0131 muktedirlerce. Bir banka m\u00fcd\u00fcr\u00fcn\u00fcn evine b\u0131rak\u0131lm\u0131\u015f ayakkab\u0131 kutusu \u00f6z\u00fcnde her bir kamu sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n evinde zaten vard\u0131. \u0130\u00e7inin ne kadar dolu oldu\u011fu ger\u00e7ekli\u011fi de\u011fi\u015ftirmiyor. Maliyeciler buna kibarca \u201cSa\u011fl\u0131kta performansa dayal\u0131 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":777,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-776","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/776","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\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=776"}],"version-history":[{"count":0,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/776\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/777"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=776"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}