Referans "Eczacı"

Tüm Eczacı İşverenler
Sendikasının yaptığı ankete göre eczane sahibi eczacıların yüzde 73’ü hâlinden
hiç memnun değil. Hatta bunun yüzde 23’ü iş değişikliği yapmayı düşünüyor.
Sebebini az çok biliyorsunuzdur, kısaca değinelim.



Türkiye'de eczane işleten eczacılar son yıllarda "Sağlık harcamalarının kısıtlanması" politikalarından en olumsuz yönde etkilenen
meslek gruplarından biri hâline geldi. Sağlıkta bütçe açığından kaynaklı
olarak, diğer dikkat çeken harcamalar göz ardı edilip fatura en başta ilaç
harcamalarına kesildi. "Referans Fiyat Uygulaması" kapsamında bir
ilacın dünyadaki eşdeğerlerinden en ucuzunun fiyatı referans alınarak ilaç
fiyatları düşürüldü. Aslında bu temelde haklı ve doğru bir işti. Ancak bu süreç
doğru yönetilemediği için eczacıları madur etti. Eczacılar fiyat düşüşleri
oranında çok ciddi stok zararıyla karşı karşıya kaldılar. Maliyet ve girdileri
sürekli artmasına rağmen stok zararlarıyla birlikte, ciroların -doğal olarak-
nerdeyse %100'e varan oranlarda düşmesi eczacıları zor durumda bıraktı.
 Bu süreçte neredeyse dört-beş kat fiyatı ucuzlayan ilaçlar olduğunu
gördük. Zamanında ilaç sektörünün Türkiye'mizden büyük paralar götürmüş olduğunu
da böylelikle öğrendik. Fiyatlar düşürülsün, bir ilacın hakiki değeri ne ise
bedeli o şekilde ödensin eczacının buna itiraz ettiği yok. Nitekim her dönem
"Referanstan İlaç Fiyatı Düşüşleri"
 devam ediyor. Ancak bunlar yapılırken  vatandaş açısından
durum nedir, Türkiye'de sayısı 26 bini aşkın eczane ve orda çalışanlar
 açısından durum nedir, maduriyetler nasıl giderilebilir diye
bakılmalıdır.



İlaç fiyatları düşüyor da vatandaşın cebinden çıkan para düşüyor mu? Sigorta
primini ödemiş veya ödemekte olanlar dahil olmak üzere, her muayeneden ve
reçete edilen ilaç kutusu başına SGK vatandaştan "muayene ve reçete bedeli" adı altında para kesiyor. Eğer ki vatandaş
emekli statüsündeyse bu ücretler vatandaşın maaşından kesiliyor, eğer emekli
değilse Sosyal Güvenlik Kurumu adına vezneliği eczaneler yapıyor. Eczacılar
vatandaşla karşı karşıya kalıyor, bu ücretlerin devlete kesildiği anlatmakta
büyük sıkıntılar yaşanıyor.  Öte yandan birçok ilaç, fiyatını eşdeğer
referans ilaç fiyatına tam olarak çekmediği için, kurumun ödememesinden
kaynaklı çıkan fiyat farklarını da hastadan tahsil etmek yine eczacıya düşüyor.
Sosyal Güvenlik Kurumu tarafından bedeli hiç ödenmeyen ilaçlar ise cabası..
Neticede ilaç harcaması için vatandaşın cebinden çıkan para azalmadı bilâkis
arttı. Eczanelerin durumu ise gün geçtikçe daha da kötüleşiyor. Ciroların ciddi
oranda azalmasıyla düşen kârlılığın üstüne her dönem doğan yeni stok zararları
eklenince, üstüne üstük bir de gider kalemleri artınca eczaneler hızla kan
kaybediyor. Madem ki Avrupa'daki 5 ülkedeki ilaç fiyatları referans alınarak
fiyatlar düşecek, düşsün lâkin oralardaki eczanelerin durumu da referans
alınsın.



Avrupa ülkelerinde ve Dünyanın diğer ülkelerinin çoğunda; halk sağlığına
dönük kamu hizmeti ve danışmanlık yaptıkları için eczacılara "meslek
hakkı" ödenmektedir. Örneğin; Hollanda'da reçete başına 6.10 euro,
Fransa'da ilaç kutusu başına 0,53 euro sisteme girme bedeli olarak 0.10 euro,
Almanya'da reçete başına 8.3 euro, Avusturya reçete başına 4.8 euro, İngiltere
reçetelenen ürün başına 90 peni ambalaj ödeneği olarak 3,24 peni, ABD'de reçete
başına 9 dolar meslek hakkı ödenmektedir. Referans göstererek fiyat düşürülen
ülkelerde eczanelerin yaşatılması ve itibarını koruyabilmesi için referans
uygulama genellikle budur
. Ne var ki Türkiye'mizde eczacıların meslek hakkı
talebine henüz olumlu yanıt verilmemiştir. Bahane olarak SGK, ilaç bedeli
ödemelerinin %40'ının sadece 1000 küsür eczaneye yapılmakta olduğunu, eğer
meslek hakkı ödenirse bu tutarları ödemenin bütçeyi zorlayacağı gibi bu uygulamanın
eczacıların çoğunluğuna değil zengin küçük bir azınlığına (%4'üne) yarayacağını
öne sürmektedirler. Halbuki bu durumu eczacıların çoğunluğunun leyhine çevirmek
öyle zor bir iş değildir. Meslek hakkı uygulamasında ortalama bir üst sınır
koymak veya reçete sayısına göre meslek hakkı belirlemek suretiyle ortaya
çıkacak dengesizlik giderilebilir. Öte yandan devletin özel sektöre çok
görmediği harcamaları; halk yararına kamu sağlığı hizmeti ile birlikte,
devletin tahsildarlığını bile yapmakta olan eczacıya çok görmek açık bir çifte
standarttır. Geçmişte uygulanan yanlış bütçe politikalarının sorumlusu
eczacılar ve diğer vatandaşlar değildir, o yüzden o sorumluluğun bedeli de,
sağlık giderlerinin faturası da eczacılara veya vatandaşlara ödetilmemelidir.



Eczacılar bu ülkenin tahsil görmüş, sağlık hizmeti veren öz evlatlarıdır.
Mevzubahis "referans" ise hakkaniyet ilkelerine uyulması gerekir.
Kamu leyhine olan "referansları" görüp, eczacı ve vatandaş leyhine
olanları görmezden gelmek adil bir yaklaşım olarak değerlendirilemez.



Ecz. ÖMÜR ÇAKMAK

Yorumlar

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In some nations, regional bazaars have premium imitations. Although it requires additional time in order to find trustworthy sellers, it might be a valuable effort. Check to find bazaars in stylish towns such as Bangkok's, Istanbul's, along with Hong’s Kong's.

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High-end handbags has always remained an symbol of prestige along with elegance. From a iconic Coco 2.55 until a classic Hermès Birkin, these bags has captured the hearts among style enthusiasts worldwide. However not each can afford the high price labels which come along these coveted accessories. Introducing luxury imitation purses, offering an slice in high-end fashion for the fraction from that price.
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High-end imitation handbags are much simply mere imitations; they mimic the prestige and appeal of high-end labels. For numerous, having an imitation allows them to experience the appeal from luxury without emptying the account. These replicas provide an style, quality, and refinement which numerous desire however cannot justify.
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Moral along with Economic Consequences regarding Imitation High-end Goods
The world of luxury imitations remains not lacking in their controversies. Opponents claim which purchasing replicas diminishes an worth in authentic brands along with contributes to a counterfeit industry. Nonetheless, it remains important to consider the economic background. Premium imitations can often be produced under ethical labor circumstances, contrasting greatly from the frequent shady practices in low-quality knock-offs.
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Introduction to Copy Bags
Fashionable aficionados understand such adornments could make and destroy one attire. Among those, handbags hold an unique place. Those symbolize style, standing, and elegance. Yet, no all may afford this price tag that comes beside high-end tags. That appears where imitation purses come inside play. These offer an way so savor this allure of designer style without rupturing this account. However which makes copy purses highly enticing?
Within a complete guide, we will dive into the intricacies of this copy handbag industry. Starting from understanding their charm regarding identifying quality replicas and exploring next fashions, this post is going to serve being your ultimate resource for imitation handbags. Whether you are beginner in this realm regarding imitations but the veteran expert, there is something listed for everybody.

Grasping this Charm in Copy Bags
Replica bags exist greater beyond just imitations. These give the sample of elegance with a portion of that expense. It forms these extremely appealing to style enthusiasts that want to maintain up with that latest patterns without investing the wealth. But there is larger to it past just price.
For most, holding one premium replica is a means regarding express the passion for elegance. It allows these regarding try beside various fashions plus designers without making an extended economic commitment. Plus, with the increasing high-quality of replicas, it is becoming difficult to differentiate them among that authentic product.
An additional key factor appears accessibility. Luxury purses regularly have limited availability,
Popular Luxury Copy Purses
Particular luxury labels remain very favored inside a replica industry compared to other brands. Below are a few out of most most in-demand luxury copy handbags:
Louis Vuitton's
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Renowned for its legendary logo as well as timeless creations, Louis Vuitton's purses are a preferred with imitation lovers. High-quality copies of favored designs including Speedy, Alma, plus Neverfull are commonly available.
The Chanel
Chanel’s classic stitched purses featuring a interwoven C C symbol tend to be equivalent with high-end fashion. Copy types for the 2 55 flap bag and a Boy bag remain highly desired.
Gucci's
The Gucci's unique designs and vivid motifs make its handbags to stand out. Copies of the G-G Marmont and Dionysus purses remain particularly favored by fashion lovers.
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Finding premium copy bags needs some research. Listed is a number of choices to explore:
Internet Platforms
Portals including D-H gate along with AliExpress have a wide selection of copy bags. Look to find dealers with great reviews as well as favorable comments. Also, join online forums plus groups participants share the stories and tips.
Niche Retailers
Some stores specialize on providing high-quality copies. Portals including AAAHandbag along with Designer Secret are recognized because of their focus to quality plus quality quality. These retailers usually carry a selected collection for favored models.
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In certain countries, regional stores have premium copies. Although it requires extra effort for you to discover trustworthy dealers, this might be an worthwhile effort. Search for stores within trendy cities like Bangkok, Istanbul’s, along with Hong’s Kong’s.

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High-end handbags have consistently remained an symbol for prestige and grace. Starting with a iconic Coco 2.55 until a classic Hermès Birkin, these bags have captured a hearts among style enthusiasts globally. However nobody each can afford a hefty price labels which come with these desired accessories. Introducing high-end imitation purses, providing a slice of luxury style at the fraction from the price.
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Luxury replica purses are more than mere copies; they mimic an prestige and appeal of luxury labels. Among numerous, owning an replica enables individuals towards savor the charm from high-end without breaking the bank. These imitations offer an design, quality, along with sophistication which numerous seek however cannot afford.
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Besides a financial factor, luxury replicas moreover offer a chance for style lovers to diversify one's wardrobe. Rather than investing in a costly authentic, consumers can enjoy multiple imitations, each tailored to various events along with looks. This flexibility is particularly attractive for ones who love to experiment with their style.
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A realm of luxury replicas is never lacking in its controversies. Critics claim that purchasing imitations diminishes the worth in authentic labels and adds toward the fake market. However, it's essential to understand a economic background. Premium replicas can frequently are created with ethical working circumstances, contrasting sharply from those often questionable practices of cheap knock-offs.
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