T\u00fcrk Tabipleri Birli\u011fi \u015fehir hastanesi ihalelerine davalar a\u00e7\u0131yor. Ankara-Etlik, Ankara-Bilkent ve Elaz\u0131\u011f ihaleleri i\u00e7in y\u00fcr\u00fctmeyi durdurma karar\u0131 verildi. Buna ra\u011fmen 12 Eyl\u00fcl 2013 g\u00fcn\u00fc toplu imza t\u00f6reni yap\u0131ld\u0131.<\/p>\n
2005 y\u0131l\u0131nda Sa\u011fl\u0131k Hizmetleri Temel Kanununda tek maddelik bir de\u011fi\u015fiklik yap\u0131ld\u0131. Ba\u015fl\u0131\u011f\u0131 \u00f6yle \u201cmasumdu\u201d ki pek kimse ilgilenmedi: \u201cKiralama kar\u015f\u0131l\u0131\u011f\u0131 sa\u011fl\u0131k tesisi yapt\u0131r\u0131lmas\u0131\u201d. Bunda ne fenal\u0131k olabilirdi ki!<\/p>\n
Sonra 2006 y\u0131l\u0131nda y\u00f6netmelik haz\u0131rland\u0131. 2007 y\u0131l\u0131n\u0131n se\u00e7imlerden \u00f6nceki son TBMM oturumunda Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fcnyesinde iki yeni daire ba\u015fkanl\u0131\u011f\u0131 kuruldu; Kamu \u00d6zel Ortakl\u0131\u011f\u0131 ve \u0130n\u015faat Onar\u0131m. 2011 se\u00e7imlerinden \u00f6nceki son oturumda da bir \u201ctorba kanun\u201d yap\u0131ld\u0131. D\u00fczenleme \u00f6zetle, kamu \u00f6zel ortakl\u0131\u011f\u0131 y\u00f6ntemiyle yap\u0131lacak hastanelere ta\u015f\u0131nacak mevcut hastanelerin bina ve ta\u015f\u0131nmazlar\u0131 TOK\u0130\u2019ye devredilir diyordu.<\/p>\n
Nihayetinde 2011 y\u0131l\u0131n\u0131n Nisan ay\u0131nda Kayseri entegre sa\u011fl\u0131k tesisi ya da \u015fimdilerdeki ad\u0131yla \u015fehir hastanesi i\u00e7in ihale yap\u0131ld\u0131. \u0130\u015fin ilginci bizde ilk ihale yap\u0131l\u0131rken kamu \u00f6zel ortakl\u0131\u011f\u0131 ile yirmi senedir hastane yapmaya \u00e7abalayan \u0130ngiltere\u2019de bir rapor haz\u0131rlanm\u0131\u015ft\u0131. Rapor \u00f6zetle, y\u00f6ntemin hileli muhasebele\u015ftirme nedeniyle kamu kaynaklar\u0131n\u0131n israf\u0131na olanak sa\u011flad\u0131\u011f\u0131n\u0131, denetimin sa\u011flanamad\u0131\u011f\u0131n\u0131, ihale alan \u015firketlerin kamuyu haddinden fazla s\u0131k\u0131\u015ft\u0131rd\u0131\u011f\u0131n\u0131, elini kolunu ba\u011flad\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyordu.<\/p>\n
Bize \u0130ngiltere\u2019den ithal edilen bu y\u00f6ntem (public private partneship-PPP) kamu \u00f6zel ortakl\u0131\u011f\u0131 ya da i\u015fbirli\u011fi olarak adland\u0131r\u0131l\u0131yor. \u00d6z\u00fc itibariyle yap-i\u015flet-devrete benziyor. Daha do\u011frusu bunun t\u00fcrevi. Peki benziyorsa niye \u00f6yle denmiyor? \u00c7\u00fcnk\u00fc yap-i\u015flet-devret y\u00f6nteminde diyelim ki \u015firket 8 kazan\u0131yorsa bu y\u00f6ntemle 12 kazan\u0131yor. Bu fark\u0131 yaratansa \u015fu: Yap-i\u015flet-devret modelinde devlet, altyap\u0131 hizmetini \u015firkete i\u015fletme kar\u015f\u0131l\u0131\u011f\u0131 yapt\u0131r\u0131yor. Bu modelde ise devlet hem bu binan\u0131n (hastanenin) kirac\u0131s\u0131 hem de hizmet sat\u0131n al\u0131c\u0131s\u0131 oluyor. Yani binas\u0131nda kirac\u0131, hizmetinde ta\u015feron Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n \u201cdevlet hastanesini\u201d \u015firket y\u00f6netiyor.<\/p>\n
Bu \u00f6zette anlat\u0131lan \u201cfaydalar\u201d da \u015firketlere yetmiyor.<\/p>\n
Devlet hazine arazisini \u00f6rne\u011fin 30 sene \u015firketlere \u00fccretsiz tahsis ediyor. \u015eirketler yapt\u0131klar\u0131 hastaneyi donat\u0131yor, ama cerrahi bran\u015flardan morg ve gasilhaneye kadar her alan\u0131 i\u015fletiyor. \u015eirketlere 30 sene boyunca hem bina kiras\u0131 hem de bu \u201ckamu hizmetleri\u201d kar\u015f\u0131l\u0131\u011f\u0131nda hizmet bedeli \u00f6deniyor. \u015eirketler hastanenin etraf\u0131nda yapacaklar\u0131 taksi dura\u011f\u0131ndan kre\u015fe kadar t\u00fcm ticari alanlar\u0131 da i\u015fleterek gelir elde ediyor.<\/p>\n
Yetmiyor. Bu \u015firketler hizmet ve mal al\u0131mlar\u0131 dahil olmak \u00fczere KDV\u2019den, Damga Vergisinden ve har\u00e7lardan muaf tutuluyor. Yetmiyor, binalar\u0131 yapmak i\u00e7in ald\u0131klar\u0131 uluslararas\u0131 kredilere tam Hazine garantisi sa\u011flan\u0131yor. Yetmiyor. \u015eirketler orman alan\u0131na da bu hastaneleri yapabiliyor. Yetmiyor. Devlet, hastanelerin y\u00fczde 70 doluluk oran\u0131yla \u00e7al\u0131\u015faca\u011f\u0131n\u0131 yani \u201cm\u00fc\u015fteriyi\u201d garanti ediyor.<\/p>\n
Bug\u00fcn TBMM Genel Kurul g\u00fcndemine gelen yasa de\u011fi\u015fikli\u011fi ile ihalelerde yarg\u0131 taraf\u0131ndan verilecek iptal kararlar\u0131na uyulmayaca\u011f\u0131 ilan ediliyor.<\/p>\n
Peki t\u00fcm bunlar niye yap\u0131l\u0131yor? \u00c7\u00fcnk\u00fc Ba\u015fbakan Recep Tayyip Erdo\u011fan\u2019\u0131n 11 y\u0131ll\u0131k hayali oldu\u011fu s\u00f6yleniyor.<\/p>\n
T\u00fcrk Tabipleri Birli\u011fi \u015fehir hastanesi ihalelerine davalar a\u00e7\u0131yor. Ankara-Etlik, Ankara-Bilkent ve Elaz\u0131\u011f ihaleleri i\u00e7in y\u00fcr\u00fctmeyi durdurma karar\u0131 verildi. Buna ra\u011fmen 12 Eyl\u00fcl 2013 g\u00fcn\u00fc toplu imza t\u00f6reni yap\u0131ld\u0131, pe\u015fi s\u0131ra temel atma t\u00f6renleri geldi. Ba\u015fbakan davalar\u0131 a\u00e7an T\u00fcrk Tabipleri Birli\u011fi\u2019ne isim vermeden \u201cb\u00fcrokratik oligar\u015fi\u201d, karar\u0131 veren mahkemeler i\u00e7in de \u201ckuvvetler ayr\u0131l\u0131\u011f\u0131 aya\u011f\u0131m\u0131za dolan\u0131yor\u201d dedi.<\/p>\n
Sadece \u015funu an\u0131msatmak yeterli olacakt\u0131r: Kamu \u00f6zel ortakl\u0131\u011f\u0131 (PPP) y\u00f6ntemini bulup geli\u015ftiren ki\u015fi Milton Friedman\u2019d\u0131r. Kendisi y\u00f6ntemin i\u015fleyi\u015fini, \u015eili\u2019de Agusto Pinochet\u2019e ekonomik dan\u0131\u015fmanl\u0131k yapt\u0131\u011f\u0131 d\u00f6nemde \u201claboratuar ortam\u0131nda\u201d test etmi\u015ftir.<\/p>\n
Kamu \u00f6zel ortakl\u0131\u011f\u0131 kimin r\u00fcyas\u0131 olursa olsun kamu i\u00e7in, sa\u011fl\u0131k hakk\u0131 i\u00e7in, sa\u011fl\u0131k hizmetine ula\u015fmak isteyenler ve bu hastanelerde \u00e7al\u0131\u015facaklar i\u00e7in kabustur.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"T\u00fcrk Tabipleri Birli\u011fi \u015fehir hastanesi ihalelerine davalar a\u00e7\u0131yor. Ankara-Etlik, Ankara-Bilkent ve Elaz\u0131\u011f…\n","protected":false},"author":2,"featured_media":40571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[4689],"tags":[],"class_list":{"0":"post-8970","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-secki"},"acf":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/8970","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/comments?post=8970"}],"version-history":[{"count":0,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/8970\/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=8970"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/categories?post=8970"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/tags?post=8970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}