\u00a0D\u0130SK, KESK, TMMOB ve TTB, Genel Sa\u011fl\u0131k Sigortas\u0131 (GSS) uygulamas\u0131n\u0131n ikinci y\u0131l\u0131 dolay\u0131s\u0131yla 1 Ekim 2010 tarihinde bir bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131.
\u00a0
\u00a0
Genel Sa\u011fl\u0131k(s\u0131zl\u0131k) Sigortas\u0131 \u0130ki Y\u0131l\u0131n\u0131 Doldurdu<\/p>\n
END\u0130\u015eE VE \u0130T\u0130RAZLARIMIZ HAKLI \u00c7IKTI:<\/p>\n
M\u0130LYONLARCA YURTTA\u015e \u0130\u00c7\u0130N SA\u011eLIK S\u0130STEM\u0130NDEN DI\u015eLANMA TEHL\u0130KES\u0130 G\u00dcNDEMDE!<\/p>\n
<\/p>\n
5510 Say\u0131l\u0131 Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 (SSGSS) Kanunu\u2018yla y\u00fcr\u00fcrl\u00fc\u011fe giren Genel Sa\u011fl\u0131k Sigortas\u0131 (GSS) iki y\u0131l\u0131n\u0131 doldurdu.<\/p>\n
GSS\u2018nin 1 Ekim 2008\u2018de y\u00fcr\u00fcrl\u00fc\u011fe girmesiyle birlikte sigortal\u0131lar i\u00e7in hak kay\u0131plar\u0131 d\u00f6nemi ba\u015flam\u0131\u015ft\u0131.<\/p>\n
SSGSS Kanunu 31 May\u0131s 2006\u2018da TBMM\u2018de kabul edildi\u011finde hekim ve di\u015f hekimi muayenelerinde al\u0131nacak kat\u0131l\u0131m pay\u0131 2 TL olarak belirlenmi\u015fti. Ancak 17 Nisan 2008 tarihli ve 5754 say\u0131l\u0131 Kanun\u2018la bu d\u00fczenlemede de\u011fi\u015fiklik yap\u0131lm\u0131\u015f ve Sosyal G\u00fcvenlik Kurumu\u2018na (SGK) muayene \u00fccretlerini be\u015f kat\u0131na kadar artt\u0131rma yetkisi verilmi\u015fti.<\/p>\n
SGK, daha uygulaman\u0131n ilk g\u00fcn\u00fcnde bu yetkisini kullanarak muayene \u00fccretlerini devlet hastaneleri i\u00e7in 3 TL, e\u011fitim hastaneleri i\u00e7in 4 TL, \u00fcniversite hastaneleri i\u00e7in 6 TL, \u00f6zel hastaneler i\u00e7in 10 TL\u2018ye \u00e7\u0131karm\u0131\u015ft\u0131.<\/p>\n
Bu d\u00fczenlemenin yarg\u0131dan d\u00f6nmesine ra\u011fmen SGK \u0131srar\u0131ndan vazge\u00e7medi.<\/p>\n
Bu arada, 10 Temmuz 2009 tarihinde yap\u0131lan yasal d\u00fczenlemeyle SGK\u2018n\u0131n muayene \u00fccretlerini artt\u0131rma yetkisi on kat\u0131na \u00e7\u0131kar\u0131ld\u0131.<\/p>\n
18 Eyl\u00fcl 2009\u2018da yap\u0131lan yeni d\u00fczenlemeyle muayene \u00fccretleri birinci basamak sa\u011fl\u0131k kurumlar\u0131nda 2 TL, devlet hastanelerinde 8 TL, \u00f6zel hastanelerde 15 TL olarak belirlendi. Birinci basamaktaki muayene \u00fccretleri yarg\u0131 karar\u0131yla iptal edilmekle birlikte di\u011ferlerinin uygulanmas\u0131na devam ediliyor.<\/p>\n
\u00dcstelik; daha \u00f6nce muayene i\u00e7in hi\u00e7bir \u00fccret \u00f6demeyen SSK\u2018l\u0131 aktif \u00e7al\u0131\u015fanlar, ye\u015fil kartl\u0131lar, kamu \u00e7al\u0131\u015fanlar\u0131 ve emeklileri ile aile bireyleri de \u015fimdi art\u0131k bu \u00fccretleri \u00f6demek zorunda kal\u0131yorlar.\u00a0\u00a0 <\/p>\n
10 Temmuz 2009 yay\u0131nlanan 5917 Say\u0131l\u0131 Kanun\u2018la GSS uygulamas\u0131nda \u00e7ok \u00f6nemli bir de\u011fi\u015fiklik daha yap\u0131larak kat\u0131l\u0131m paylar\u0131n\u0131n kapsam\u0131 geni\u015fletildi.<\/p>\n
5510 Say\u0131l\u0131 Kanun\u2018un 68. Maddesine eklenen d\u00f6rd\u00fcnc\u00fc bentle, daha \u00f6nce hi\u00e7bir kamu sosyal g\u00fcvenlik uygulamas\u0131nda olmayan bir \u015fekilde, “Kurumca belirlenecek hastal\u0131k gruplar\u0131na g\u00f6re yatarak tedavide finansman\u0131 sa\u011flanan sa\u011fl\u0131k hizmetleri” i\u00e7in de kat\u0131l\u0131m pay\u0131 \u00f6deme zorunlulu\u011fu getirildi.<\/p>\n
GSS\u2018nin uygulamaya ba\u015flanmas\u0131yla birlikte vatanda\u015flar\u0131n u\u011frad\u0131\u011f\u0131 \u00f6nemli bir hak kayb\u0131 ilave \u00fccret zorunlulu\u011fuyla ger\u00e7ekle\u015fmi\u015fti.<\/p>\n
SSGSS Kanunu 2006 y\u0131l\u0131nda kabul edildi\u011finde sadece \u00f6\u011fretim \u00fcyesi taraf\u0131ndan sa\u011flanan sa\u011fl\u0131k hizmetleri ve otelcilik hizmetleri i\u00e7in “fark \u00f6demesi” \u00f6ng\u00f6r\u00fclm\u00fc\u015f, Kanun\u2018da 17 Nisan 2008\u2018de yap\u0131lan de\u011fi\u015fiklikle ise vak\u0131f \u00fcniversiteleri ve \u00f6zel hastanelere sa\u011fl\u0131k hizmetleri bedelinin y\u00fczde y\u00fcz\u00fcne kadar “ilave \u00fccret”\u00a0 alma imk\u00e2n\u0131 tan\u0131nm\u0131\u015f; bu \u00fccretin tavan\u0131n\u0131 belirlemeye Bakanlar Kurulu, bu tavan dahilinde al\u0131nabilecek ilave \u00fccret oranlar\u0131n\u0131 belirlemeye de SGK yetkili k\u0131l\u0131nm\u0131\u015ft\u0131.<\/p>\n
Sigortal\u0131 vatanda\u015flar i\u00e7in GSS\u2018nin ikinci y\u0131l\u0131ndaki en \u00f6nemli hak kayb\u0131 da bu de\u011fi\u015fiklik \u00e7er\u00e7evesinde ger\u00e7ekle\u015fti.<\/p>\n
\u00d6zel hastanelere m\u00fcracaat eden genel sa\u011fl\u0131k sigortal\u0131s\u0131 ve bakmakla y\u00fck\u00fcml\u00fc olduklar\u0131 b\u00fct\u00fcn vatanda\u015flar i\u00e7in 2009 y\u0131l\u0131nda y\u00fczde otuz olarak uygulanan “ilave \u00fccret”in tavan\u0131 2010 y\u0131lba\u015f\u0131ndan itibaren kademeli olarak y\u00fczde yetmi\u015fe y\u00fckseltildi.<\/p>\n
Bu uygulama i\u00e7in \u00f6zel hastaneler be\u015f s\u0131n\u0131fa ayr\u0131ld\u0131 ve hastalardan bulunduklar\u0131 s\u0131n\u0131fa g\u00f6re y\u00fczde otuzdan ba\u015flay\u0131p y\u00fczde yetmi\u015fe kadar ilave \u00fccret alma hakk\u0131 tan\u0131nd\u0131. <\/p>\n
B\u00f6ylece asl\u0131nda SGK\u2018l\u0131 vatanda\u015flar devlet taraf\u0131ndan \u00f6deme g\u00fc\u00e7lerine g\u00f6re s\u0131n\u0131fland\u0131r\u0131lm\u0131\u015f oldu.<\/p>\n
\u00d6zel hastaneye y\u00fczde yetmi\u015f ilave \u00f6deme g\u00fcc\u00fc olanlar A s\u0131n\u0131f\u0131, y\u00fczde altm\u0131\u015f \u00f6deme g\u00fcc\u00fc olanlar B s\u0131n\u0131f\u0131, y\u00fczde elli \u00f6deme g\u00fcc\u00fc olanlar C s\u0131n\u0131f\u0131, y\u00fczde k\u0131rk \u00f6deme g\u00fcc\u00fc olanlar D s\u0131n\u0131f\u0131, y\u00fczde otuz \u00f6deme g\u00fcc\u00fc olanlar E s\u0131n\u0131f\u0131 hasta-yurtta\u015f olarak tasnif edildi.<\/p>\n
\u00dcstelik ilave \u00fccret oranlar\u0131yla ilgili olarak belirlenen bu tavanlar bir\u00e7ok \u00f6zel hastane taraf\u0131ndan dikkate al\u0131nmayarak ihlal edilmekte ve vatanda\u015flar\u0131n yo\u011fun \u015fikayetlerine ra\u011fmen etkin bir denetim uygulanmamakta, dahas\u0131 g\u00f6z yumulmaktad\u0131r.<\/p>\n
\u00c7\u00fcnk\u00fc; 5510 Say\u0131l\u0131 Kanun\u2018da var olan “belirlenen tavan\u0131n \u00fczerinde fark al\u0131nmas\u0131 halinde, s\u00f6zle\u015fmeli sa\u011fl\u0131k hizmeti sunucular\u0131n\u0131n s\u00f6zle\u015fmeleri bir y\u0131l s\u00fcreyle feshedilir.” h\u00fckm\u00fc 5754 say\u0131l\u0131 Kanun\u2018la \u00f6zel hastane patronlar\u0131 lehine kald\u0131r\u0131lm\u0131\u015f ve yakaland\u0131\u011f\u0131 hastal\u0131\u011f\u0131n \u00e7aresizli\u011fi i\u00e7inde olan hastalar\u0131n s\u0131n\u0131rs\u0131zca istismar\u0131n\u0131n yolu a\u00e7\u0131lm\u0131\u015ft\u0131.<\/p>\n
GSS\u2018nin toplumun geni\u015f bir kesimini ilgilendiren bir ba\u015fka y\u0131k\u0131c\u0131 etkisi bug\u00fcnlerde g\u00fcndeme geldi.<\/p>\n
SSGSS Kanunu\u2018nda, tan\u0131m\u0131 itibariyle b\u00fct\u00fcn vatanda\u015flar i\u00e7in “zorunlu” olan GSS uygulamas\u0131 i\u00e7in ye\u015fil kart kapsam\u0131ndaki yurtta\u015flar a\u00e7\u0131s\u0131ndan \u00f6ng\u00f6r\u00fclen iki y\u0131ll\u0131k ge\u00e7i\u015f s\u00fcreci d\u00fcn itibariyle dolmu\u015f bulunmaktad\u0131r.<\/p>\n
Bu durumda GSS primi \u00f6deyemeyen vatanda\u015flar\u0131m\u0131z gelir testi yapt\u0131r\u0131p prim \u00f6demeye ba\u015flamad\u0131klar\u0131 takdirde bug\u00fcnden itibaren sa\u011fl\u0131k hizmeti alamamak tehlikesiyle kar\u015f\u0131 kar\u015f\u0131yad\u0131rlar.<\/p>\n
SGK Ba\u015fkan\u0131 Emin Zarars\u0131z\u2018\u0131n TBMM a\u00e7\u0131ld\u0131ktan sonra yap\u0131lacak yasal bir de\u011fi\u015fiklikle uygulaman\u0131n 2012 y\u0131l\u0131na ertelenme niyetini a\u00e7\u0131klamas\u0131 tehlikeyi ortadan kald\u0131rmamaktad\u0131r.<\/p>\n
\u00d6ncelikle belirtmek gerekir ki; SGK Ba\u015fkan\u0131\u2018n\u0131n bug\u00fcn kar\u015f\u0131la\u015f\u0131lan durum ve erteleme i\u00e7in g\u00f6sterdi\u011fi “unutkanl\u0131k” gerek\u00e7esi ger\u00e7e\u011fi yans\u0131tmamaktad\u0131r ve inand\u0131r\u0131c\u0131l\u0131ktan tamamen uzakt\u0131r.<\/p>\n
A\u00e7\u0131k olarak g\u00f6r\u00fclmektedir ki; siyasi iktidar \u00fclkenin bir se\u00e7im s\u00fcrecine girdi\u011fi bug\u00fcnlerde GSS\u2018nin hak kayb\u0131na ve tepkilere yol a\u00e7acak bu uygulanmas\u0131n\u0131 hayata ge\u00e7irmeyi g\u00f6ze alamamakta ve se\u00e7im sonras\u0131na ertelemeyi planlamaktad\u0131r. <\/p>\n
Ancak bu durum GSS\u2018nin toplum sa\u011fl\u0131\u011f\u0131 i\u00e7in y\u0131k\u0131c\u0131 etkisini ortadan kald\u0131rmamakta, tam tersine g\u00f6zler \u00f6n\u00fcne sermektedir.<\/p>\n
SGK Ba\u015fkan\u0131\u2018n\u0131n bahsetti\u011fi erteleme ger\u00e7ekle\u015fse bile GSS\u2018nin ilgili d\u00fczenlemesi y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011finde milyonlarca yoksul yurtta\u015f\u0131m\u0131z GSS primini \u00f6deyemedi\u011fi i\u00e7in sa\u011fl\u0131k hizmetinden mahrum kalacak, bir sa\u011fl\u0131k sorunuyla kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda m\u00fcracaat etti\u011fi hastane kap\u0131lar\u0131ndan geri \u00e7evrilecek ve \u00fcstelik b\u00fcy\u00fck miktarlarda idari para cezalar\u0131yla kar\u015f\u0131la\u015facaklard\u0131r.<\/p>\n
Herkesi sa\u011fl\u0131k g\u00fcvencesi kapsam\u0131na alaca\u011f\u0131 iddias\u0131yla TBMM\u2018den ge\u00e7irilen GSS\u2018nin daha ikinci y\u0131l\u0131 tamamland\u0131\u011f\u0131nda ger\u00e7ekler ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Sa\u011fl\u0131k hakk\u0131n\u0131 prim \u00f6deme zorunlulu\u011funa ba\u011flayan GSS sisteminin b\u00fct\u00fcn h\u00fck\u00fcmleriyle uygulanmaya ba\u015fland\u0131\u011f\u0131nda milyonlarca yurtta\u015f sistemden d\u0131\u015flanmas\u0131 ve sa\u011fl\u0131k hakk\u0131ndan mahrum kalmas\u0131 g\u00fcndemdedir.<\/p>\n
Tam da bu nedenle GSS\u2018nin “devrim” oldu\u011fu \u015feklindeki ger\u00e7ek d\u0131\u015f\u0131 propagandalarla oy toplayanlar \u015fimdilerde vatanda\u015flardan gelecek tepkilerden korkarak uygulamay\u0131 se\u00e7im sonras\u0131na ertelemek zorunda kalm\u0131\u015flard\u0131r. <\/p>\n
\u00d6te yandan GSS\u2018nin ilk iki y\u0131ll\u0131k uygulanmas\u0131nda do\u011fan hak kay\u0131plar\u0131 ve bug\u00fcn geldi\u011fi a\u015fama, emek ve meslek \u00f6rg\u00fctlerinin ve emek dostu \u00f6rg\u00fctlerin GSS\u2018ye kar\u015f\u0131 \u00e7\u0131kmalar\u0131n\u0131n ne kadar hakl\u0131 oldu\u011funu bir kez daha ortaya koymu\u015ftur.\u00a0 <\/p>\n
KESK, D\u0130SK, TMMMOB ve TTB olarak, bir kez daha, b\u00fct\u00fcn vatanda\u015flar\u0131m\u0131z\u0131;<\/p>\n
sa\u011fl\u0131k hizmeti alma hakk\u0131n\u0131 prim \u00f6deme zorunlulu\u011funa ba\u011flayan,<\/p>\n
“kat\u0131l\u0131m paylar\u0131”yla, “ilave \u00fccret”lerle sa\u011fl\u0131\u011f\u0131 \u00fccretli hale getiren,<\/p>\n
ila\u00e7 geri \u00f6deme listelerini daraltarak vatanda\u015flar\u0131 daha fazla para harcamaya zorlayan,<\/p>\n
yoksullar\u0131 sa\u011fl\u0131k sisteminden d\u0131\u015flayan,<\/p>\n
sa\u011fl\u0131\u011fa zararl\u0131 etkileri her ge\u00e7en g\u00fcn daha fazla a\u00e7\u0131\u011fa \u00e7\u0131kan GSS\u2018ye kar\u015f\u0131; <\/p>\n
sa\u011fl\u0131klar\u0131na ve sa\u011fl\u0131k haklar\u0131na sahip \u00e7\u0131kmaya,<\/p>\n
herkese e\u015fit, \u00fccretsiz, nitelikli sa\u011fl\u0131k hakk\u0131 m\u00fccadelesine kat\u0131lmaya, destek vermeye davet ediyoruz.<\/p>\n
Kamuoyuna sayg\u0131lar\u0131m\u0131zla.<\/p>\n
<\/p>\n
KAMU EMEK\u00c7\u0130LER\u0130 SEND\u0130KASI KONFEDERASYONU
T\u00dcRK\u0130YE DEVR\u0130MC\u0130 \u0130\u015e\u00c7\u0130 SEND\u0130KALARI KONFEDERASYONU
T\u00dcRK M\u00dcHEND\u0130S VE M\u0130MAR ODALARI B\u0130RL\u0130\u011e\u0130
T\u00dcRK TAB\u0130PLER\u0130 B\u0130RL\u0130\u011e\u0130<\/p>\n
<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"\u00a0D\u0130SK, KESK, TMMOB ve TTB, Genel Sa\u011fl\u0131k Sigortas\u0131 (GSS) uygulamas\u0131n\u0131n ikinci y\u0131l\u0131 dolay\u0131s\u0131yla 1 Ekim 2010 tarihinde bir bas\u0131n a\u00e7\u0131klamas\u0131 yapt\u0131.\u00a0\u00a0Genel Sa\u011fl\u0131k(s\u0131zl\u0131k) Sigortas\u0131 \u0130ki Y\u0131l\u0131n\u0131 Doldurdu\nEND\u0130\u015eE VE \u0130T\u0130RAZLARIMIZ HAKLI \u00c7IKTI:\nM\u0130LYONLARCA YURTTA\u015e \u0130\u00c7\u0130N SA\u011eLIK S\u0130STEM\u0130NDEN DI\u015eLANMA TEHL\u0130KES\u0130 G\u00dcNDEMDE!\n","protected":false},"author":5,"featured_media":40571,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[2010],"tags":[861,860,862],"class_list":{"0":"post-2433","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-basin-aciklamalari","8":"tag-disk-kesk-ttb-tmmob-den-ortak-basin-aciklamasi","9":"tag-gss","10":"tag-gss-iki-yilini-doldurdu"},"acf":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/2433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/comments?post=2433"}],"version-history":[{"count":0,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/2433\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/media\/40571"}],"wp:attachment":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/media?parent=2433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/categories?post=2433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/tags?post=2433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}