\u0130la\u00e7lara y\u0131lda sadece bir kez kur g\u00fcncellemesi yap\u0131lmas\u0131n\u0131n da etkisiyle \u015fu an d\u00f6rt ila\u00e7tan biri bulunamaz haldeyken, m\u00fcteahhitlere yap\u0131lan kur g\u00fcncellemesinin y\u0131lda bir kereden \u00fc\u00e7-d\u00f6rt kereye \u00e7\u0131kar\u0131lmas\u0131 dikkat \u00e7ekti.<\/p>\n
T\u00fcrkiye\u2019de ila\u00e7 fiyatlar\u0131 belirlenirken baz al\u0131nan Euro kuru y\u0131lda bir kez \u015fubat ay\u0131nda g\u00fcncellenirken, bu y\u0131l iki kez g\u00fcncellendi ancak yeterli olmayan bu g\u00fcncelleme piyasada ila\u00e7 yoklu\u011fu ya\u015fanmas\u0131na, hastalar\u0131n ellerinde re\u00e7ete eczane eczane ila\u00e7 aramas\u0131na yol a\u00e7\u0131yor.<\/p>\n
Gelinen noktada ila\u00e7 yoklu\u011fu tansiyon, \u015feker ve kanser ila\u00e7lar\u0131ndan sonra \u00e7ocuk \u015furuplar\u0131 ve antibiyotiklere de s\u0131\u00e7rad\u0131.<\/p>\n
Halk sa\u011fl\u0131\u011f\u0131n\u0131 tehlikeye atan bir sorun varken hala bir \u00e7\u00f6z\u00fcm sunulamam\u0131\u015f olmas\u0131, ak\u0131llara in\u015faat sekt\u00f6r\u00fcne verilen destekleri getirdi.<\/p>\n
\u00c7evre, \u015eehircilik ve \u0130klim De\u011fi\u015fikli\u011fi Bakanl\u0131\u011f\u0131, kamu ihalelerine girecek m\u00fcteahhitleri yak\u0131ndan ilgilendiren in\u015faat birim fiyatlar\u0131n\u0131, artan maliyetler nedeniyle bu y\u0131l \u00fc\u00e7 kez g\u00fcncelledi.<\/p>\n
Bunun d\u0131\u015f\u0131nda kamu \u00f6zel \u0130\u015fbirli\u011fi ile yap\u0131lan k\u00f6pr\u00fc ve otoyollar\u0131n d\u00f6viz cinsinden gelir garantilerine de ge\u00e7en y\u0131l iki kez g\u00fcncelleme gelirken, bu y\u0131l d\u00f6rt g\u00fcncelleme geldi.<\/p>\n
BAKANLIK DEVREYE G\u0130RECE\u011e\u0130N\u0130 A\u00c7IKLADI<\/b><\/p>\n
AA muhabirinin Hazine ve Maliye Bakanl\u0131\u011f\u0131ndan edindi\u011fi bilgilere g\u00f6re, ilaca eri\u015fim sorunu art\u0131nca Hazine ve Maliye Bakanl\u0131\u011f\u0131 devreye girdi.<\/span><\/p>\n Buna g\u00f6re bakanl\u0131k, ila\u00e7 fiyatlar\u0131nda \u015fubat ay\u0131nda yap\u0131lmas\u0131 planlanan d\u00fczenlemeyi, sekt\u00f6r\u00fcn tedarik, \u00fcretim ve planlamalar\u0131na destek olmak amac\u0131yla \u00f6ne \u00e7ekmeye haz\u0131rlan\u0131yor.<\/span><\/p>\n Bu d\u00fczenlemeyle, ham madde temini, \u00fcretim maliyetlerindeki art\u0131\u015f ve \u00fcretim planlamas\u0131 konusunda sekt\u00f6re destek olacak uygulama hayata ge\u00e7irilerek vatanda\u015flar\u0131n ilaca zaman\u0131nda eri\u015fimi sa\u011flanacak.<\/span><\/p>\n HAZ\u0130NE\u2019DEN KARAYOLLARI\u2019NA 10 AYDA 76 M\u0130LYAR TL<\/b><\/p>\n Hazine ve Maliye Bakanl\u0131\u011f\u0131 Muhasebat Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc taraf\u0131ndan a\u00e7\u0131klanan kamu harcamalar\u0131 istatistiklerine g\u00f6re, Karayollar\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc, 2022’de 85,3 milyar TL olarak belirlenen ancak 98,5 milyar TL’ye \u00e7\u0131kar\u0131lan b\u00fct\u00e7e \u00f6dene\u011finden, ekim ay\u0131 sonunda 80,5 milyar TL harcama yapt\u0131.<\/p>\n Hazine, garanti \u00f6demeleri ve artan d\u00f6viz kuru nedeniyle Karayollar\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc b\u00fct\u00e7esine y\u0131l\u0131n ilk 10 ay\u0131nda 76 milyar TL aktard\u0131.<\/p>\n GARANT\u0130 \u00d6DEMELER\u0130NE 54 M\u0130LYAR TL<\/b><\/p>\n Kara Yollar\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019n\u00fcn b\u00fct\u00e7esinden ise her ay milyarlarca lira garantilere \u00f6deniyor.<\/p>\n Ula\u015ft\u0131rma ve Altyap\u0131 Bakanl\u0131\u011f\u0131 b\u00fct\u00e7esinin g\u00f6r\u00fc\u015f\u00fcld\u00fc\u011f\u00fc Plan ve B\u00fct\u00e7e Komisyonu’nda a\u00e7\u0131klanan verilere g\u00f6re, Karayollar\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc b\u00fct\u00e7esinin i\u00e7inde 54 milyar TL kamu-\u00f6zel i\u015fbirli\u011fi projelerine ayr\u0131ld\u0131.<\/p>\n Yani k\u00f6pr\u00fc ve otoyol garanti \u00f6demelerine 54 milyar TL ayr\u0131lm\u0131\u015f oldu, bu da yakla\u015f\u0131k 3 milyar dolara tekab\u00fcl ediyor.<\/p>\n \u2018KAYNAK VAR AMA SA\u011eLI\u011eA DE\u011e\u0130L, BETONA\u2019<\/b><\/p>\n Sozcu.com.tr\u2019ye konu\u015fan Ba\u015fkent \u00dcniversitesi \u0130ktisat B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. U\u011fur Emek, kamu \u00f6zel \u0130\u015fbirli\u011fi ile yap\u0131lan k\u00f6pr\u00fc ve otoyollar\u0131n d\u00f6viz cinsinden gelir garantilerine bu y\u0131l d\u00f6rt g\u00fcncelleme geldi\u011fini s\u00f6yledi ve \u201cKaynak var ama \u00f6nceli\u011fi sa\u011fl\u0131\u011fa de\u011fil, betona vermek bir tercih meselesi\u201d de\u011ferlendirmesini yapt\u0131.<\/p>\n \u201cSGK\u2019y\u0131 da b\u00fct\u00e7eden finanse ediyorlar, Kara Yollar\u0131 Genel Md\u00fcr\u00fcl\u00fc\u011f\u00fc\u2019n\u00fc de\u2026 Birine ek b\u00fct\u00e7e yap\u0131p fiyatlar\u0131 art\u0131r\u0131rken, ila\u00e7lar\u0131n fiyatlar\u0131 ise artm\u0131yor ve bu durum vatanda\u015f\u0131n ila\u00e7 bulamamas\u0131na yol a\u00e7\u0131yor\u201d diyen Prof. Dr. Emek, \u015f\u00f6yle devam etti:<\/p>\n \u201cYap\u0131lan uygulamalara bak\u0131l\u0131nca istenilen yerlere kaynak ayr\u0131ld\u0131\u011f\u0131, harcama yap\u0131ld\u0131\u011f\u0131 g\u00f6zlemleniyor. Kur Korumal\u0131 Mevduat\u0131 \u00e7\u0131kar\u0131yorlar ama EYT\u2019lilere gelince hesap yap\u0131yorlar. Bu hesap m\u00fcteahhitlere yap\u0131lm\u0131yor. Benzer \u015fekilde \u015fehir hastanelerinde \u00f6denek art\u0131r\u0131l\u0131yor, k\u00f6pr\u00fclerde art\u0131r\u0131l\u0131yor, pazarl\u0131k usul\u00fc ihalelerde \u00f6deme yap\u0131l\u0131yor ama tar\u0131ma, ilaca, EYT\u2019liye gelince yap\u0131lm\u0131yor. Bu bir tercih meselesi.\u201d<\/p>\n BAKAN \u2018\u00c7\u00d6ZECE\u011e\u0130Z\u2019 DED\u0130 AMA SEKT\u00d6R TEPK\u0130L\u0130: \u00d6NER\u0130LERE KULAK ASILMADI<\/b><\/p>\n \u00d6te yandan, Sa\u011fl\u0131k Bakan\u0131 Fahrettin Koca, ila\u00e7 yoklu\u011funa ili\u015fkin iki g\u00fcn \u00f6nce yapt\u0131\u011f\u0131 a\u00e7\u0131klamada \u201cPiyasada eksikli\u011fi hissedilen ila\u00e7lar oldu\u011funu inkar edemeyiz. Sorunun fark\u0131nday\u0131z ve \u00e7\u00f6z\u00fcm\u00fcm\u00fcz var. M\u00fcsterih olunuz. Hastalar\u0131m\u0131z\u0131 biila\u00e7 b\u0131rakmay\u0131z. Sorunu en k\u0131sa s\u00fcrede \u00e7\u00f6zece\u011fiz\u201d demi\u015fti.<\/p>\n Sozcu.com.tr\u2019ye konu\u015fan Ankara Eczac\u0131 Odas\u0131 Ba\u015fkan\u0131 Taner Ercanl\u0131, \u015fu an ya\u015fanan ila\u00e7 yoklu\u011funun bir g\u00fcnl\u00fck bir mesele de\u011fil, ila\u00e7ta bug\u00fcne kadar uygulanan yanl\u0131\u015f fiyat politikalar\u0131ndan kaynakland\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izdi ve \u015f\u00f6yle dedi:<\/p>\n \u201cY\u0131llard\u0131r s\u00f6yl\u00fcyoruz, ila\u00e7taki fiyat g\u00fcncellemesi y\u0131l i\u00e7ine yay\u0131l\u0131p, 3-4 kez g\u00fcncellenmeli. Bu bile ila\u00e7 yoklu\u011funu \u00e7\u00f6zmeyecektir ama azaltacakt\u0131r\u201d diyen Ercanl\u0131, \u201c\u00c7\u00f6z\u00fcm \u00f6nerilerine kulak as\u0131lsayd\u0131 bu sorun bug\u00fcne kadar bu kadar b\u00fcy\u00fcmezdi.\u201d<\/p>\n \u2018HASTALAR ELLER\u0130NDE RE\u00c7ETE ECZANE GEZ\u0130YOR\u2019<\/b><\/p>\n Gelinen noktada ila\u00e7 yoklu\u011funun y\u00fczde 25\u2019leri a\u015ft\u0131\u011f\u0131n\u0131 ve \u00e7ocuk \u015furuplar\u0131na da s\u0131\u00e7rad\u0131\u011f\u0131n\u0131 bilgisini veren Ercanl\u0131, \u201c\u015eu an \u00f6zellikle \u00e7ocuk \u015furuplar\u0131nda, antibiytiklerde, tansiyon ve kanser ila\u00e7lar\u0131 ile t\u00fcp bebek tedavisinde kullan\u0131lan ila\u00e7lar ba\u015fta olmak \u00fczere t\u00fcm ila\u00e7 kategorilerinde sorun bulunuyor ve art\u0131k bu ila\u00e7 yoklu\u011fu ciddi boyutlara ula\u015fm\u0131\u015f durumda. Eczanelerdeki n\u00f6betlerde olu\u015fan kuyruklar inan\u0131lmaz seviyelerde. Hastalar ellerinde re\u00e7ete eczane eczane gezip ila\u00e7 ar\u0131yorlar\u201d diye konu\u015ftu.<\/p>\n \u2018YEN\u0130 \u0130LA\u00c7LAR DA T\u00dcRK\u0130YE\u2019YE GELEM\u0130YOR\u2019<\/b><\/p>\n \u0130la\u00e7 yoklu\u011funun sadece belli ba\u015fl\u0131 ila\u00e7lar\u0131n bulunamamas\u0131n\u0131 kapsamad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Ercanl\u0131, ayn\u0131 zamanda d\u00fcnyada yeni geli\u015ftirilen ve tedavilerde kullan\u0131lmaya ba\u015flanan baz\u0131 ila\u00e7lar\u0131n da T\u00fcrkiye\u2019ye gelemedi\u011fi bilgisini verdi ve hastalar\u0131n bu ila\u00e7lardan da mahrum kald\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n F\u0130RMALARIN \u2018ZAM GELECEK\u2019 BEKLENT\u0130S\u0130 DE ETK\u0130L\u0130<\/b><\/p>\n Ercanl\u0131\u2019n\u0131n aktard\u0131\u011f\u0131na g\u00f6re, ila\u00e7 yoklu\u011funun s\u00fcrmesinin alt\u0131nda yatan bir di\u011fer neden de sanayicinin zam talebi.<\/p>\n \u015eubat ay\u0131nda g\u00fcncellenecek olan ila\u00e7 fiyat kararnamesinin, ila\u00e7 yoklu\u011fundan dolay\u0131 erkene \u00e7ekilebilece\u011fi ihtimallerinin piyasada dola\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yleyen Ercanl\u0131, \u201c\u0130la\u00e7lar piyasaya bu y\u00fczden k\u0131s\u0131tl\u0131 veriliyor’ \u015feklinde bilgiler var. Bunun d\u0131\u015f\u0131nda mevcut kurun yetersizli\u011fi nedeniyle yabanc\u0131 firmalar ithalat\u0131 k\u0131s\u0131yor yor ya da durduruyor. Bu da bir yoklu\u011fa neden oluyor\u201d dedi.<\/p>\n ECZACILAR ANLATTI: PEK\u0130 NE YAPILMALI?<\/b><\/p>\n Peki ila\u00e7 yoklu\u011funun \u00e7\u00f6z\u00fcm\u00fc i\u00e7in ne yap\u0131lmal\u0131?<\/p>\n Ercanl\u0131, k\u0131sa vadede yap\u0131lacak ilk \u015feyin ila\u00e7taki kur guncellemesinin y\u0131lda en az 3-4 kereye \u00e7\u0131kar\u0131lmas\u0131 gerekti\u011fini, bunun d\u0131\u015f\u0131nda ila\u00e7 uyar\u0131 sisteminin de devreye sokularak ila\u00e7lar\u0131n belli bir stok seviyesinin alt\u0131na d\u00fc\u015ft\u00fc\u011f\u00fcnde alarm verecek gerekli \u00e7al\u0131\u015fmalar yap\u0131lmas\u0131 gerekti\u011fini anlatt\u0131.<\/p>\n Ercanl\u0131, uzun vadede yap\u0131lmas\u0131 gerekenlere ili\u015fkin ise \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cKutu baz\u0131nda y\u00fczde 87 civar\u0131nda ila\u00e7 \u00fcretimi yurt i\u00e7inde yap\u0131l\u0131yor ancak TL baz\u0131nda bu oran ancak y\u00fczde 50\u2019ye tekab\u00fcl ediyor. Bir de bu y\u00fczde 87\u2019nin i\u00e7indeki ham maddelerin de y\u00fczde 93\u2019\u00fc maalesef ithal. Bu d\u0131\u015fa ba\u011f\u0131ml\u0131l\u0131k oldu\u011fu m\u00fcddet\u00e7e bu sorun s\u00fcrecek.<\/p>\n \u0130lac\u0131n stratejik \u00fcr\u00fcn stat\u00fcs\u00fcne al\u0131nmas\u0131 gerek. Savunma sanayi gibi ayr\u0131 bir poltika belirlenmesi laz\u0131m. Aksi takdirde biz bu sorunlar\u0131 s\u00fcrekli ya\u015fayaca\u011f\u0131z. Bunun d\u0131\u015f\u0131nda, y\u00fcksek teknoloji i\u00e7eren ila\u00e7lar\u0131n \u00fcretimini yurt i\u00e7inde yapabilir hale gelmeliyiz.<\/p>\n Yani uzun vadede ham madde, yard\u0131mc\u0131 madde, ila\u00e7 ambalaj\u0131 ve yeni ila\u00e7 molek\u00fcllerinin geli\u015ftirilmesine y\u00f6nelik, ilaca stratejik \u00f6nem veren devlet politikas\u0131yla yerli \u00fcretimin art\u0131r\u0131lmas\u0131 gerekiyor.\u201d<\/p>\n Sozcu.com.tr\u2019ye konu\u015fan \u0130stanbul Eczac\u0131lar Odas\u0131 Ba\u015fkan\u0131 P\u0131nar \u00d6zcan ise, \u00e7\u00f6z\u00fcm olarak ila\u00e7taki kur g\u00fcncellemesinden ba\u015fka bir fiyatlama sisteminin bulunmas\u0131 gerekti\u011fini; fiyatlar\u0131 d\u00f6vize endekslemenin ileride yine benzer sorunlar yarataca\u011f\u0131n\u0131 vurgulad\u0131 ve \u015f\u00f6yle dedi:<\/p>\n \u201cY\u0131lda bir kere de olsa \u00fc\u00e7 kere de olsa fiyat g\u00fcncelleme tarihi yakla\u015f\u0131nca ila\u00e7taki bulunurluk sorunu art\u0131yor. Bu kurgunun tamamen de\u011fi\u015fmesi laz\u0131m.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":" \u0130la\u00e7lara y\u0131lda sadece bir kez kur g\u00fcncellemesi yap\u0131lmas\u0131n\u0131n da etkisiyle \u015fu an d\u00f6rt ila\u00e7tan biri bulunamaz haldeyken, in\u015faat birim fiyatlar\u0131, artan maliyetler nedeniyle bu y\u0131l \u00fc\u00e7 kere g\u00fcncelledi. K\u00f6pr\u00fc ve otoyollar\u0131n d\u00f6viz cinsinden gelir garantilerine de bu y\u0131l d\u00f6rt g\u00fcncelleme yap\u0131ld\u0131.<\/p>\n","protected":false},"author":1,"featured_media":62312,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[7082,1564,10089,1329,3202],"class_list":["post-62311","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ekonomi","tag-guncelleme","tag-ilac","tag-ilac-yoklugu","tag-kur","tag-sorun"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=62311"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62311\/revisions"}],"predecessor-version":[{"id":62313,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62311\/revisions\/62313"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/62312"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}