{"id":3900,"date":"2019-11-23T13:22:21","date_gmt":"2019-11-23T10:22:21","guid":{"rendered":"https:\/\/www.yesildirenis.com\/?p=3900"},"modified":"2019-11-23T13:22:56","modified_gmt":"2019-11-23T10:22:56","slug":"sehir-hastaneleri-yerli-ve-yabanci-kapitalist-sirketlerin-sagligimizla-oyunu","status":"publish","type":"post","link":"https:\/\/www.yesildirenis.com\/en\/2019\/11\/23\/sehir-hastaneleri-yerli-ve-yabanci-kapitalist-sirketlerin-sagligimizla-oyunu\/","title":{"rendered":"\u015eehir hastaneleri: Yerli ve yabanc\u0131 kapitalist \u015firketlerin sa\u011fl\u0131\u011f\u0131m\u0131zla oyunu"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>AKP iktidar\u0131n\u0131n sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm projesinin g\u00fcncel ve kritik bir halkas\u0131 olan \u015fehir hastaneleri, her ge\u00e7en g\u00fcn halk\u0131n sa\u011fl\u0131\u011f\u0131 i\u00e7in daha b\u00fcy\u00fck bir tehlike te\u015fkil ediyor.<\/strong><\/p>\n\n\n\n<!--more-->\n\n\n\n<p class=\"wp-block-paragraph\">AKP iktidar\u0131n\u0131n kesintisiz ad\u0131m att\u0131\u011f\u0131 alanlardan bir tanesinin sa\u011fl\u0131k alan\u0131 oldu\u011funu, sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm program\u0131n\u0131n pek de emek\u00e7i halk\u0131n \u00e7\u0131karlar\u0131 do\u011frultusunda g\u00fcndeme getirilmedi\u011fi a\u00e7\u0131kt\u0131r. Burada birka\u00e7 noktan\u0131n \u00f6n plana \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade edebiliriz. Bunlardan birincisi, sa\u011fl\u0131k alan\u0131ndaki kamu maliyetlerin d\u00fc\u015f\u00fcr\u00fclmesidir. \u0130kincisi, sa\u011fl\u0131k harcamalar\u0131n\u0131n olabildi\u011fince emek\u00e7ilerin \u00fczerine y\u0131k\u0131lmas\u0131d\u0131r. \u00dc\u00e7\u00fcnc\u00fcs\u00fc ise sa\u011fl\u0131kta \u00f6zelle\u015ftirme, yani yerli ve yabanc\u0131 sermayenin sa\u011fl\u0131k hizmetlerinin sunumunda ba\u015fat hale gelmesidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><a href=\"https:\/\/gazetemanifesto.com\/2019\/pusula-sehir-hastaneleri-yerli-ve-yabanci-kapitalist-sirketlerin-sagligimizla-oyunu-314501\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Gazete Manifesto (yeni sekmede a\u00e7\u0131l\u0131r)\">Gazete Manifesto<\/a><\/em>&#8216;dan Fuat Be\u015firo\u011flu&#8217;nun haberine g\u00f6re; bu ba\u011flamda AKP\u2019nin sa\u011fl\u0131k politikalar\u0131 ve \u00f6zelle\u015ftirmeci d\u00f6n\u00fc\u015f\u00fcm \u00e7er\u00e7evesinde iki safhadan ge\u00e7ildi\u011fi s\u00f6ylenebilir. Bunlardan birincisi, sa\u011fl\u0131\u011f\u0131n finansman\u0131n\u0131n yeniden yap\u0131land\u0131r\u0131larak sa\u011fl\u0131k hizmetlerinin sa\u011flanmas\u0131nda genel b\u00fct\u00e7enin rol\u00fcn\u00fcn zay\u0131flat\u0131lmas\u0131 ve Genel Sa\u011fl\u0131k Sigortas\u0131 Sistemi\u2019ne ge\u00e7ilmesidir. Neo liberal k\u00fcreselle\u015fmeci dalga ile uyumlu olan bu ad\u0131mlar, 24 Ocak kararlar\u0131 ile birlikte g\u00fcndeme getirilse de, bunlar\u0131n nihayete erdirilmeleri AKP iktidar\u0131 ile\/sayesinde olmu\u015ftur. Sigorta tipi finansmanda devletin rol\u00fc azal\u0131rken emek\u00e7ilerin \u00fczerindeki mali y\u00fck artm\u0131\u015ft\u0131r. Birinci safha sa\u011fl\u0131k alan\u0131ndaki \u00f6nemli bir yap\u0131sal d\u00f6n\u00fc\u015f\u00fcm olarak g\u00fcndeme gelmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130kinci safha ise sa\u011fl\u0131k hizmetlerinin sunumunun \u00f6zelle\u015ftirilmesidir. Bunun ise iki kabaca iki aya\u011f\u0131 bulunmaktad\u0131r. \u0130lki, sa\u011fl\u0131k alan\u0131nda do\u011frudan \u00f6zel sekt\u00f6r\u00fcn alan\u0131n\u0131n geni\u015flemesi, sermaye iktidar\u0131n\u0131n ve temsilcisi AKP\u2019nin bunun \u00f6n\u00fcn\u00fc a\u00e7acak politikalar\u0131 ortaya koymas\u0131d\u0131r. T\u00fcrkiye gibi bir \u00fclkede sa\u011fl\u0131k hizmetlerinin tamamen \u00f6zel sekt\u00f6re b\u0131rak\u0131lmas\u0131n\u0131n s\u0131n\u0131rlar\u0131, burjuvazi a\u00e7\u0131s\u0131ndan s\u0131n\u0131f m\u00fccadeleleri ba\u011flam\u0131nda bir dizi negatif sonucunun olaca\u011f\u0131 a\u00e7\u0131kt\u0131r. Bu y\u00fczden 1990\u2019l\u0131 y\u0131llarda ba\u015flayan sa\u011fl\u0131kta do\u011frudan \u00f6zel sekt\u00f6r yat\u0131r\u0131mlar\u0131ndaki geli\u015fig\u00fczel art\u0131\u015f AKP iktidar\u0131 ile birlikte daha yap\u0131sal bir karakter kazanm\u0131\u015ft\u0131r. Bir ad\u0131m sonras\u0131nda ise tekelle\u015fme e\u011filimi g\u00fc\u00e7lenerek \u00f6zellikle 2000\u2019li y\u0131llar\u0131n ba\u015f\u0131nda ortaya \u00e7\u0131kan \u00f6zel mahalle poliklinikleri yerini b\u00fcy\u00fck sa\u011fl\u0131k tekellerine b\u0131rakm\u0131\u015ft\u0131r. Bug\u00fcn ad\u0131n\u0131 duydu\u011fumuz \u00f6zel ve b\u00fcy\u00fck sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n ortaya \u00e7\u0131k\u0131\u015f dinamiklerinde T\u00fcrkiye kapitalizminin 2000\u2019li y\u0131llardaki k\u00fcreselle\u015fmeci dalgada sa\u011fl\u0131k alan\u0131n\u0131n karl\u0131 bir alana d\u00f6n\u00fc\u015ft\u00fcrmesi ile birlikte sosyal devletin tasfiyesinin oldu\u011funu ortaya koymak gerekir. \u0130kinci Cumhuriyet olarak adland\u0131r\u0131lan, \u00fclkemizdeki gerici ve piyasac\u0131 rejimin sa\u011fl\u0131k bakan\u0131n\u0131n T\u00fcrkiye\u2019deki en b\u00fcy\u00fck sa\u011fl\u0131k tekellerinden birinin patronu olmas\u0131 bu a\u00e7\u0131dan \u015fa\u015f\u0131rt\u0131c\u0131 de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bununla birlikte AKP iktidar\u0131n\u0131n sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm ad\u0131 alt\u0131nda kamu sa\u011fl\u0131k hizmetlerine ya da kurumlar\u0131na a\u011f\u0131rl\u0131k veriyormu\u015f g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fcn arka plan\u0131nda da sa\u011fl\u0131k finansman\u0131n\u0131n genel b\u00fct\u00e7eden sigorta tipi birikim modeline ge\u00e7i\u015f oldu\u011funu atlamamak \u00f6nem ta\u015f\u0131r. AKP \u201csa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm\u201d ad\u0131 alt\u0131nda her il\u00e7eye hastane a\u00e7makla \u00f6v\u00fcnen bir iktidar olsa da, kamu hizmetleri \u00fczerinden sermayenin ihya edilmesi her zaman AKP i\u00e7in \u00f6ncelikli olmu\u015ftur. Birinci basamak sa\u011fl\u0131k hizmetlerinden tutun, devam\u0131nda ise kamu sa\u011fl\u0131k kurumlar\u0131n\u0131n i\u00e7indeki yan hizmetlerin (temizlik, yemek, g\u00fcvenlik, hasta kar\u015f\u0131lama, sekreterlik) ve bir dizi sa\u011fl\u0131k hizmetinin (g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri, laboratuar hizmetleri, baz\u0131 \u00f6zelle\u015fmi\u015f b\u00f6l\u00fcmler) \u00f6zelle\u015ftirilmesi g\u00fcndeme gelmi\u015ftir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0130kinci ayak: Kamu \u00f6zel ortakl\u0131\u011f\u0131nda cisimle\u015fen \u015fehir hastaneleri<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Yukar\u0131da bahsetti\u011fimiz sa\u011fl\u0131k hizmetlerinin sunumunun \u00f6zelle\u015ftirilmesi bahsinde ikinci \u00f6nemli ayak ise kamu \u00f6zel ortakl\u0131\u011f\u0131 olarak g\u00fcndeme getirilmi\u015ftir. Bunun \u00fclkemizdeki somut kar\u015f\u0131l\u0131\u011f\u0131 ise \u015fehir hastaneleri olarak ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Buradaki sistemin mant\u0131\u011f\u0131 \u00f6zelikle 1980\u2019li ve 90\u2019l\u0131 y\u0131llarda ortaya \u00e7\u0131kan D\u00fcnya Bankas\u0131 raporlar\u0131nda ifade edilerek, kamuculu\u011fun ya da sosyal devlet\u00e7ili\u011fin nas\u0131l i\u011fdi\u015f edilece\u011fine dair bir dizi re\u00e7ete ortaya konmu\u015ftur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00fcrkiye\u2019de bu anlamda \u00f6rnek al\u0131nan modelin kamu \u00f6zel ortakl\u0131\u011f\u0131na dayanan yap-kirala-devret \u015feklinde medikal alanda, in\u015faat alan\u0131nda ve finans alan\u0131nda yat\u0131r\u0131m yapan \u015firketlere kaynak aktar\u0131m\u0131 ya da pe\u015fke\u015f usul\u00fcnde ger\u00e7ekle\u015fti\u011fi g\u00f6r\u00fclmektedir. \u015eehir hastanelerinin nereye oturdu\u011funun yan\u0131t\u0131n\u0131 \u00f6ncelikle burada aramak gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nas\u0131l bir sistemin i\u015fletildi\u011fini k\u0131saca \u015fu \u015fekilde a\u00e7\u0131klamak m\u00fcmk\u00fcnd\u00fcr:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Sermaye iktidar\u0131 taraf\u0131ndan, sa\u011fl\u0131kta reform, yenilenme, modernizasyon vb\u2026 s\u00f6ylemlerle bir dizi kamu hastanesini kapatarak hepsini kapsayan b\u00fcy\u00fck hastaneler a\u00e7\u0131laca\u011f\u0131 s\u00f6yleniyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Bu hastaneler, projesi Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan belirlenmi\u015f bir ihale ile t\u0131bbi malzeme, teknoloji, in\u015faat, finansman alanlar\u0131nda faaliyet g\u00f6steren \u015firketler taraf\u0131ndan yap\u0131l\u0131yor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Yap\u0131lacak olan hastaneler 25 y\u0131ll\u0131\u011f\u0131na bu \u015firketlere kiralan\u0131yor. Her y\u0131l i\u00e7in hastanedeki yatak say\u0131s\u0131 \u00fczerinden hesaplanan ve milyonlarca liraya denk gelen bir mebla\u011f \u00f6deniyor. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 b\u00fct\u00e7esinin y\u00fczde 60\u2019\u0131 bu hastanelerin kira ve hizmet bedeli olarak bloke ediliyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Devlet ilgili \u015firketlere hastanede y\u00fczde 70 doluluk garantisi veriyor. K\u0131sacas\u0131 bo\u015f kalan yataklar\u0131n paras\u0131 da devletin kasas\u0131ndan yani emek\u00e7ilerin cebinden \u00e7\u0131k\u0131yor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 \u015eirketler ile yap\u0131lan anla\u015fmalar \u201cticari s\u0131r\u201d kapsam\u0131nda de\u011ferlendiriliyor ve gizleniyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2013 Baz\u0131 rakamlar durumun vehametini g\u00f6stermek a\u00e7\u0131s\u0131ndan kritiktir: Kalk\u0131nma Bakanl\u0131\u011f\u0131\u2019n\u0131n raporlar\u0131nda \u015fehir hastanelerinin devlete maliyetinin 10,6 milyar dolar oldu\u011fu ve bunlara \u00f6denecek sadece kira bedelinin ise 30,3 milyar dolar olaca\u011f\u0131, bu rakama hizmet bedellerinin dahil edilmedi\u011fi a\u00e7\u0131k bir \u015fekilde yer almaktad\u0131r. Bununla beraber yap\u0131lan baz\u0131 hesaplamalar ise \u00f6n\u00fcm\u00fczdeki 25 y\u0131l boyunca \u015fehir hastaneleri \u00fczerinden kapitalist \u015firketlere aktar\u0131lacak paran\u0131n 140 milyar dolar seviyelerine ula\u015fabilece\u011fini ortaya koymaktad\u0131r. (1)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kamu eliyle \u00f6zel sekt\u00f6r\u00fcn ihya edilmesi olarak ifade edilmesinde herhangi bir sak\u0131nca olmayan \u015fehir hastaneleri sistemi emek\u00e7i halk\u0131n soyulmas\u0131n\u0131n bir di\u011fer ad\u0131 olarak g\u00fcndemdedir. Bu noktada sermaye devleti ve AKP iktidar\u0131 ile i\u015fbirli\u011fi i\u00e7erisinde olan, sa\u011fl\u0131\u011f\u0131m\u0131z \u00fczerinden k\u00e2r eden \u015firketlere yak\u0131ndan bakal\u0131m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sa\u011fl\u0131\u011f\u0131m\u0131za el koyan yerli, yabanc\u0131 sermaye gruplar\u0131<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130n\u015fa edildikten sonra 25 y\u0131l boyunca \u00fclkemiz emek\u00e7ilerini bor\u00e7land\u0131raca\u011f\u0131 a\u00e7\u0131k olan \u015fehir hastanelerini yapan firmalar\u0131n AKP\u2019nin \u201cy\u00fcr\u00fc ya kulum\u201d dedi\u011fi \u015firketler olmas\u0131 \u00e7ok \u015fa\u015f\u0131rt\u0131c\u0131 de\u011fil. Neredeyse t\u00fcm \u015firketler bir dizi uluslararas\u0131 finans ya da taahh\u00fct \u015firketi ile i\u015fbirli\u011fi i\u00e7erisinde bu i\u015fe girmi\u015f durumda. General Electric, Siemens gibi b\u00fcy\u00fck Amerikan ve Alman tekelleri ile bir dizi Frans\u0131z ve \u0130talyan \u015firketi de \u015fehir hastaneleri i\u00e7in s\u0131raya giriyor, yerli \u015firketler ile i\u015fbirli\u011fi yap\u0131yorlar. Amac\u0131n yukar\u0131da bahsetti\u011fimiz milyarlarca dolarl\u0131k pastadan pay almak oldu\u011fu ise a\u00e7\u0131k olsa gerek. \u015eehir hastanelerinin kayma\u011f\u0131n\u0131 yiyecek \u015firketlere g\u00f6z at\u0131ld\u0131\u011f\u0131nda ise ilgin\u00e7 sonu\u00e7lar ile kar\u015f\u0131la\u015f\u0131l\u0131yor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>R\u00f6nesans Holding: <\/strong>Adana, Elaz\u0131\u011f, \u0130stanbul \u0130kitelli, Yozgat, Bursa \u015eehir Hastaneleri ve Fizik Tedavi ve Rehabilitasyon, Psikiyatri ve Y\u00fcksek G\u00fcvenlikli Adli Psikiyatri Hastaneleri\u2019ni yapacak. 2018 y\u0131l\u0131nda Forbes dergisinin a\u00e7\u0131klad\u0131\u011f\u0131 T\u00fcrkiye\u2019nin en zenginleri listesinde ikinci s\u0131raya oturan Erman Il\u0131cak\u2019\u0131n sahibi oldu\u011fu \u015firket, Ankara Be\u015ftepe\u2019deki Cumhurba\u015fkanl\u0131\u011f\u0131 Saray\u0131\u2019n\u0131n in\u015faat\u0131n\u0131 yapmas\u0131yla biliniyor. AKP d\u00f6neminde ald\u0131\u011f\u0131 ihaleler ile b\u00fcy\u00fcyen \u015firketin bir dizi \u015fantiyesindeki k\u00f6t\u00fc \u00e7al\u0131\u015fma ko\u015fullar\u0131, kurtlu yemekler vb\u2026 nedenlerle g\u00fcndeme geldi\u011fi de hat\u0131rlanacakt\u0131r. R\u00f6nesans Holding\u2019in Adana \u015eehir Hastanesi\u2019nde D\u00fcnya Bankas\u0131\u2019na ba\u011fl\u0131 \u00e7al\u0131\u015fan IFC \u015firketi ile ortakl\u0131\u011f\u0131 bulunuyor. Dolay\u0131s\u0131yla, di\u011fer \u00f6rneklerde de benzeri oldu\u011fu \u00fczere yerli ve yabanc\u0131 sermaye ortakl\u0131klar\u0131 kamu kaynaklar\u0131n\u0131n ya\u011fmalanmas\u0131n\u0131n ad\u0131 oluyor. Bir de sa\u011fl\u0131k alan\u0131nda \u00f6zellikle D\u00fcnya Bankas\u0131\u2019n\u0131n belirleyici rol\u00fcne dikkat \u00e7ekmek gerekiyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CCN Holding: <\/strong>Ankara Bilkent ve Mersin \u015eehir Hastaneleri, T\u00fcrkiye Halk Sa\u011fl\u0131\u011f\u0131 Kurumu ile T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu\u2019nun in\u015faatlar\u0131n\u0131 \u00fcstlenmi\u015f durumda. AKP d\u00f6neminin y\u00fckselen y\u0131ld\u0131zlar\u0131ndan olan IC \u0130\u00e7ta\u015f \u015firketinin i\u00e7inden \u00e7\u0131kt\u0131\u011f\u0131 bilinen CCN holding, \u0130\u00e7ta\u015f\u2019\u0131n sahibi \u0130brahim \u00c7e\u00e7en\u2019in o\u011flu olan Murat \u00c7e\u00e7en\u2019e ait. IC \u0130\u00e7ta\u015f \u015firketin ge\u00e7mi\u015ften beri kamu ihalelerindeki rol\u00fc bilinirken, Astaldi \u015firketi ile ortakl\u0131 i\u00e7erisinde girdikleri 3. K\u00f6pr\u00fc in\u015faat\u0131 ve sonras\u0131nda devletin sundu\u011fu ge\u00e7i\u015f garantisi \u00fczerinden \u00f6demeler bu \u015firketi ihya eden b\u00fcy\u00fck i\u015flerden biri olarak \u00f6n plana \u00e7\u0131km\u0131\u015ft\u0131. Buradan \u00e7\u0131kan CCN Holding de ayn\u0131 mant\u0131kla \u015fehir hastaneleri \u00fczerinde hasta garantili \u00f6demeleri al\u0131yor. \u015eirketin patronu bunu 24 Temmuz 2018 tarihinde D\u00fcnya gazetesine verdi\u011fi r\u00f6portajda (2) a\u00e7\u0131k bir \u015fekilde ifade ediyor:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">-Nas\u0131l i\u015fliyor yat\u0131r\u0131mc\u0131 \u015firketin hastaneyi i\u015fletme s\u00fcreci?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Murat \u00c7e\u00e7en:<\/strong> Biz in\u015faat\u0131 yap\u0131yoruz ve 5 y\u0131l boyunca i\u015fletmesini \u00fcstleniyoruz. Sa\u011fl\u0131k sekt\u00f6r\u00fcn\u00fcn altyap\u0131s\u0131n\u0131 ve yan sekt\u00f6rlerini olu\u015fturdu\u011fumuz bir noktaday\u0131z. Biz devletin ad\u0131na bir bina yap\u0131yoruz, yat\u0131r\u0131m\u0131 biz ger\u00e7ekle\u015ftiriyoruz. Sadece binay\u0131 da yapm\u0131yoruz, piyasadaki en iyi en yeni cihazlarla donat\u0131yoruz. Devlet bize 25 y\u0131l boyunca kira veriyor. Hastane bo\u015f da olsa, dolu da olsa\u2026 Hasta say\u0131s\u0131 kriteri yok. 25 y\u0131l boyunca sabit bir kira veriyor bize. \u0130kincisi 19 tane hizmeti bizim sorumlulu\u011fumuza veriyor. Zaten devlet hastanelerinde de bu hizmetler ta\u015fere ediliyor. Temizlik, g\u00fcvenlik, bah\u00e7e, at\u0131k toplama, yemekhane gibi\u2026 Bu 19 hizmet 5 y\u0131l boyunca belirli bir rakam \u00fczerinden bize veriliyor. Yat\u0131r\u0131m\u0131n\u0131 da bizim yapt\u0131\u011f\u0131m\u0131z hizmetler bunlar. \u00d6rne\u011fin Urfa\u2019daki bir devlet hastanesinde \u00e7ama\u015f\u0131r hizmetleri \u00f6zel sekt\u00f6re verilirken \u015firket haz\u0131r bir altyap\u0131ya geliyor. \u015eehir hastanesinde ise biz \u00e7ama\u015f\u0131rhaneyi kendimiz yap\u0131yoruz. Makineleri de biz koyuyoruz. O nedenle bir t\u0131k daha y\u00fcksek bizim ald\u0131\u011f\u0131m\u0131z bedel.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buradaki \u201cbir t\u0131k\u201d y\u00fcksek bedelin ise ayn\u0131 ildeki devlet hastanesinde \u00f6zel sekt\u00f6re verilmi\u015f bir i\u015fin bile on d\u00f6rt kat\u0131 oldu\u011fu yap\u0131lan ara\u015ft\u0131rmalar ve Say\u0131\u015ftay raporlar\u0131 (3) ile kan\u0131tlanm\u0131\u015f. Dolay\u0131s\u0131yla devletin sabit \u00f6demeleri d\u0131\u015f\u0131nda katmerli bir rant mevcut.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Akfen Holding: <\/strong>Isparta, Eski\u015fehir, Tekirda\u011f \u015eehir Hastaneleri\u2019nin yap\u0131m\u0131n\u0131 \u00fcstlenmi\u015f durumda. AKP d\u00f6neminin ihale (havaliman\u0131, turizm, enerji, liman) \u015fampiyonlar\u0131ndan biri olarak g\u00f6r\u00fclen Akfen Holding de \u015fehir hastaneleri \u00fczerinden yap\u0131lacak vurgunda yerini alm\u0131\u015f. Uluslararas\u0131 off-shore \u015firketlerinin \u201calt\u0131n m\u00fc\u015fterisi\u201d olarak tan\u0131mlanan Akfen patronu Hamdi Ak\u0131n ayn\u0131 zamanda vergi cenneti olarak bilinen yerlerde kurdu\u011fu \u015firketler ile g\u00fcndeme gelmi\u015fti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>YDA:<\/strong> Kayseri, \u015eanl\u0131urfa, Manisa, Konya \u015eehir Hastaneleri\u2019nin yap\u0131m\u0131n\u0131 ve i\u015fletmesini alm\u0131\u015f bir \u015firket. Tayyip Erdo\u011fan ile ki\u015fisel ili\u015fkilerinin de olduk\u00e7a s\u0131k\u0131 oldu\u011fu s\u00f6ylenen bu \u015firket \u015fehir hastaneleri i\u015fine \u0130talyan orta\u011f\u0131 ile birlikte giriyor. Varl\u0131k Fonu ile kurtar\u0131lan AKP yanda\u015f\u0131 \u015firketler aras\u0131nda ad\u0131 ge\u00e7en YDA\u2019n\u0131n \u015fehir hastaneleri sayesinde 3 milyar dolardan fazla gelire sahip olaca\u011f\u0131 s\u00f6yleniyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>KAYI \u0130n\u015faat Sanayi ve Ticaret A.\u015e.: <\/strong>Gaziantep \u015eehir Hastanesi\u2019nin yap\u0131m\u0131n\u0131 alan bu \u015firket 2012 y\u0131l\u0131ndaki i\u015f cinayetiyle tan\u0131nd\u0131. Kay\u0131 \u0130n\u015faat\u2019\u0131n ta\u015feron firma oldu\u011fu \u0130stanbul Esenyurt\u2019taki Marmara Park al\u0131\u015fveri\u015f merkezinin in\u015faat \u015fantiyesinde, i\u015f\u00e7ilerin yatakhane olarak kulland\u0131\u011f\u0131 \u00e7ad\u0131rlarda yang\u0131n \u00e7\u0131km\u0131\u015f ve 11 i\u015f\u00e7i hayat\u0131n\u0131 kaybetmi\u015fti. 11 i\u015f\u00e7inin i\u015f cinayetiyle hayat\u0131n\u0131 kaybetmesinin ard\u0131ndan tepkiler \u00fczerine Kay\u0131 \u0130n\u015faat yurt d\u0131\u015f\u0131 projelerine a\u011f\u0131rl\u0131k verdi. Cezayir\u2019de onlarca \u015fantiye a\u00e7an firma i\u015f\u00e7i d\u00fc\u015fman\u0131 y\u00fcz\u00fcn\u00fc g\u00f6stermi\u015f, 2016 y\u0131l\u0131nda alt\u0131 ay boyunca in\u015faat i\u015f\u00e7ilerinin paras\u0131n\u0131 \u00f6dememi\u015f ve bunun \u00fczerine yedi binden fazla i\u015f\u00e7i Cezayir\u2019de direni\u015fe ge\u00e7mi\u015fti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00fcrkerler \u0130n\u015faat \u2013 GAMA Holding:<\/strong> Kocaeli ve \u0130zmir Bayrakl\u0131 \u015eehir Hastaneleri\u2019nin yap\u0131m\u0131 bu \u015firketlere ait. T\u00fcrkerler \u0130n\u015faat Bilal Erdo\u011fan\u2019a yak\u0131nl\u0131\u011f\u0131 ile bilinen bir firma, zaman\u0131nda T\u00dcRGEV\u2019e yapt\u0131\u011f\u0131 binalar kar\u015f\u0131l\u0131\u011f\u0131nda m\u00fch\u00fcrlenmi\u015f olan ka\u00e7ak g\u00f6kdelenlerine verilen izinler ve ald\u0131\u011f\u0131 TOK\u0130 ihaleleri ile hat\u0131rlan\u0131yor. Bu iki firman\u0131n ortakl\u0131\u011f\u0131nda yap\u0131lan Kocaeli \u015eehir Hastanesi in\u015faat\u0131nda yemeklerden b\u00f6cek \u00e7\u0131kt\u0131\u011f\u0131 i\u00e7in ge\u00e7ti\u011fimiz ay in\u015faat i\u015f\u00e7ileri eylemler yapm\u0131\u015ft\u0131.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u015eehir hastaneleri emperyalizme mahkum<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Gerek yap\u0131m gerekse i\u015fletme k\u0131sm\u0131nda yerli sermaye gruplar\u0131 ile birlikte yer alan uluslararas\u0131 \u015firketlerin kendi \u00e7\u0131karlar\u0131n\u0131 nas\u0131l garanti alt\u0131na ald\u0131klar\u0131 son Say\u0131\u015ftay raporlar\u0131 ile birlikte ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Say\u0131\u015ftay\u2019\u0131n \u015eehir Hastaneleri Denetim raporunda g\u00f6r\u00fcnen bir ger\u00e7ek, \u015fehir hastanelerinin muhasebe servisinin yurtd\u0131\u015f\u0131 finans\u00f6rlerin ofisine, hukuk servisinin ise Londra\u2019ya ta\u015f\u0131nd\u0131\u011f\u0131n\u0131 ortaya koydu. Bu durum kamu \u00f6zel ortakl\u0131\u011f\u0131 olarak lanse edilen \u015fehir hastanelerinin asl\u0131nda emperyalist sermaye a\u00e7\u0131s\u0131ndan da ne kadar dikkate al\u0131nd\u0131\u011f\u0131n\u0131n bir g\u00f6stergesi olarak ortaya \u00e7\u0131kt\u0131. Bu denetim raporlar\u0131n\u0131n haz\u0131rlanmas\u0131 esnas\u0131nda Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n baz\u0131 ihale belgeleri ile s\u00f6zle\u015fmeleri gizlemeye \u00e7al\u0131\u015fmas\u0131 ise b\u00fcy\u00fck bir skandal olarak g\u00fcndeme gelmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yerli ve yabanc\u0131 sermayeye kar\u015f\u0131 m\u00fccadele olmadan halk\u0131n sa\u011fl\u0131\u011f\u0131 sa\u011flanamaz<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sonu\u00e7 olarak, sa\u011fl\u0131kta \u00f6zelle\u015ftirmenin en \u00f6nemli ayaklar\u0131ndan biri olan \u015fehir hastanelerinin \u00fclkenin gelece\u011fine vurulmu\u015f b\u00fcy\u00fck bir darbe oldu\u011fu a\u00e7\u0131kt\u0131r. Bu yaz\u0131da da \u00f6rneklendirmeye ve a\u00e7\u0131klamaya \u00e7al\u0131\u015ft\u0131\u011f\u0131m\u0131z \u00fczere halk\u0131n sa\u011fl\u0131\u011f\u0131 i\u00e7in verilecek m\u00fccadelenin kapitalizme ve emperyalizme kar\u015f\u0131 verilecek m\u00fccadeleden ayr\u0131 d\u00fc\u015f\u00fcn\u00fclmesi en b\u00fcy\u00fck yanl\u0131\u015f olacakt\u0131r. Hedef t\u00fcm sa\u011fl\u0131k hizmetlerinin kamula\u015ft\u0131r\u0131lmas\u0131, sa\u011fl\u0131kta sosyalizasyonun ilkelerinin mutlak hale getirilmesidir. Bunlar\u0131n ise kapitalist T\u00fcrkiye\u2019de ger\u00e7ek anlamda ayaklar\u0131 \u00fczerinden do\u011frulabilmesinin s\u0131n\u0131rlar\u0131 vard\u0131r. Halk\u0131n sa\u011fl\u0131\u011f\u0131n\u0131n ger\u00e7ek anlamda sa\u011flanmas\u0131 da, e\u015fit paras\u0131z ula\u015f\u0131labilir sa\u011fl\u0131k hizmeti de emek\u00e7ilerin kurtulu\u015fundan, Sosyalist T\u00fcrkiye\u2019den ge\u00e7mektedir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>(1)<\/strong> <a href=\"https:\/\/www.istabip.org.tr\/videoizle?ID=112\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"istabip.org.tr\/videoizle?ID=112 (yeni sekmede a\u00e7\u0131l\u0131r)\">istabip.org.tr\/videoizle?ID=112<\/a> (Videonun 27. dakikas\u0131ndan sonra konu ile ilgili a\u00e7\u0131klamalar mevcut)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>(2)<\/strong> <a href=\"https:\/\/www.dunya.com\/sirketler\/sehir-hastanelerine-5-yilda-3-milyar-euro-daha-yatiracak-haberi-423281\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"dunya.com\/sirketler\/sehir-hastanelerine-5-yilda-3-milyar-euro-daha-yatiracak-haberi-423281 (yeni sekmede a\u00e7\u0131l\u0131r)\">dunya.com\/sirketler\/sehir-hastanelerine-5-yilda-3-milyar-euro-daha-yatiracak-haberi-423281<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>(3) <\/strong><a href=\"https:\/\/www.istabip.org.tr\/videoizle?ID=113\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"istabip.org.tr\/videoizle?ID=113 (yeni sekmede a\u00e7\u0131l\u0131r)\">istabip.org.tr\/videoizle?ID=113<\/a> (Videonun 28. dakikas\u0131ndan sonra konu ile ilgili a\u00e7\u0131klamalar mevcut)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><div><br><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AKP iktidar\u0131n\u0131n sa\u011fl\u0131kta d\u00f6n\u00fc\u015f\u00fcm projesinin g\u00fcncel ve kritik bir halkas\u0131 olan \u015fehir hastaneleri, her ge\u00e7en g\u00fcn halk\u0131n sa\u011fl\u0131\u011f\u0131 i\u00e7in daha<\/p>\n","protected":false},"author":1,"featured_media":3901,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","footnotes":""},"categories":[10],"tags":[],"class_list":["post-3900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eco-news"],"_links":{"self":[{"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/posts\/3900","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/comments?post=3900"}],"version-history":[{"count":2,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/posts\/3900\/revisions"}],"predecessor-version":[{"id":3903,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/posts\/3900\/revisions\/3903"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/media\/3901"}],"wp:attachment":[{"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/media?parent=3900"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/categories?post=3900"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.yesildirenis.com\/en\/wp-json\/wp\/v2\/tags?post=3900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}