\u015eehir hastaneleri diye s\u0131kl\u0131kla haberi yap\u0131lan, ancak asl\u0131 astar\u0131 hakk\u0131nda pek az ki\u015finin bilgi sahibi oldu\u011fu s\u00fcrece dair k\u0131sa bir \u00f6zet \u00e7\u0131karmak amac\u0131yla bu derleme haz\u0131rland\u0131. Sa\u011fl\u0131k hizmetlerinin adl\u0131 ad\u0131nca \u00f6zelle\u015ftirilmesi, kamu hizmetinin altyap\u0131 finansman\u0131 marifetiyle \u015firketlere devredilmesi d\u00fcnyada da T\u00fcrkiye\u2019de de yeni de\u011fil. Yap-i\u015flet-devret uygulamalar\u0131 o g\u00fcne g\u00f6re daha geni\u015f tart\u0131\u015f\u0131lma olana\u011f\u0131 bulmu\u015fken, yeni modeller hukuk\u00e7ular\u0131n bile pek az ilgisini \u00e7eker oldu.<\/p>\n
Burada 2005 y\u0131l\u0131ndan bug\u00fcne k\u0131saca mevzuat de\u011fi\u015fiklikleri \u00f6zetlenmeye \u00e7al\u0131\u015f\u0131ld\u0131. 5396 say\u0131l\u0131 Sa\u011fl\u0131k Hizmetleri Temel Kanunu\u2019na Bir Ek Madde Eklenmesi Hakk\u0131nda Kanun, TBMM\u2019de 03.07.2005 g\u00fcn\u00fc g\u00f6r\u00fc\u015f\u00fclerek kabul edildi.[1]<\/a> Tasar\u0131, Plan ve B\u00fct\u00e7e Komisyonu\u2019nda g\u00f6r\u00fc\u015f\u00fcld\u00fc, k\u00fc\u00e7\u00fck redaksiyon \u00f6nerileri d\u0131\u015f\u0131nda bir muhalefet \u015ferhi yaz\u0131lmad\u0131.[2]<\/a> 3 Temmuz 2005 Pazar g\u00fcn\u00fc TBMM Genel Kurulu, muhalefet partilerinin protestosu nedeniyle 235 AKP milletvekillinin kat\u0131l\u0131m\u0131yla topland\u0131 ve 1 Ekim\u2019e kadar tatile girdi. Sa\u011fl\u0131k alan\u0131nda kamu \u00f6zel ortakl\u0131\u011f\u0131 uygulamas\u0131n\u0131n temelini atan Yasa, siyasi parti gruplar\u0131n\u0131n, milletvekillerinin tek bir s\u00f6z\u00fc olmaks\u0131z\u0131n kabul edildi. [3]<\/a> Ana muhalefet partisi bu yasa i\u00e7in Anayasa Mahkemesi\u2019ne ba\u015fvuru yapmad\u0131. B\u00f6ylece sa\u011fl\u0131k hizmetlerinin t\u00fcm\u00fcyle \u00f6zelle\u015ftirilmesini sa\u011flayacak yasa mevzuata girdi.<\/p>\n 2006 y\u0131l\u0131nda uygulama i\u00e7in Y\u00f6netmelik yay\u0131mland\u0131. Eczac\u0131 \u0130\u015fverenleri Sendikas\u0131, Y\u00f6netmelikle eczanelerin de \u015firketlere devrine izin veren \u201ceczane\u201d kelimesinin iptali i\u00e7in dava a\u00e7t\u0131. Dava s\u00fcrerken Y\u00f6netmelik\u2019ten \u201ceczane\u201d kelimesi \u00e7\u0131kar\u0131ld\u0131.<\/p>\n 3 Haziran 2007 g\u00fcn\u00fc, TBMM\u2019nin se\u00e7imlerden \u00f6nceki son oturumunda bu kez kamu \u00f6zel ortakl\u0131\u011f\u0131 uygulamas\u0131n\u0131 yapacak Kamu \u00d6zel Ortakl\u0131\u011f\u0131 Daire Ba\u015fkanl\u0131\u011f\u0131 (K\u00d6ODB) kurulmas\u0131na ili\u015fkin 5683 say\u0131l\u0131 Yasa kabul edildi. [4]<\/a> [5]<\/a> Bu kez g\u00f6r\u00fc\u015fmeler ki\u015fisel muhalefet denemeleri nedeniyle biraz daha uzun s\u00fcrd\u00fc.<\/p>\n 2009 y\u0131l\u0131nda Kayseri \u015fehir hastanesi (ihale ilan\u0131ndaki ad\u0131yla Entegre Sa\u011fl\u0131k Kamp\u00fcs\u00fc) i\u00e7in ihale ilan\u0131 \u00e7\u0131kt\u0131. Bu d\u00f6nemde ihale \u015fartnamesi almak i\u00e7in ba\u015fvuran bir vatanda\u015f ihalenin, Y\u00f6netmeli\u011fin ve dayanak Yasa\u2019n\u0131n iptali talebiyle dava a\u00e7t\u0131. Dava halihaz\u0131rda s\u00fcrmekte.<\/p>\n 2011 y\u0131l\u0131 Nisan ay\u0131nda Kayseri ihalesi sessiz sedas\u0131z tamamland\u0131 ve Etlik \u015eehir Hastanesi ihalesi de 30 Haziran tarihinde yap\u0131ld\u0131, di\u011fer ihaleler birbirini izledi. Bu arada 12 Haziran 2011 se\u00e7imlerinden \u00f6nceki son TBMM oturumunda kabul edilen 6225 say\u0131l\u0131 Yasa ile Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n elindeki hastanelerin TOK\u0130\u2019ye devrine olanak sa\u011flayan d\u00fczenleme kabul edildi. [6]<\/a><\/p>\n 2 Kas\u0131m 2011\u2019de Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n yap\u0131s\u0131n\u0131 t\u00fcm\u00fcyle de\u011fi\u015ftiren 663 say\u0131l\u0131 KHK y\u00fcr\u00fcrl\u00fc\u011fe girdi. K\u00d6ODB, yeni kurulan Sa\u011fl\u0131k Yat\u0131r\u0131mlar\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019ne ba\u011fl\u0131 bir birime d\u00f6n\u00fc\u015ft\u00fcr\u00fcld\u00fc. Ayn\u0131 zamanda 20 milyon TL\u2019ye kadar olan yat\u0131r\u0131mlara Sa\u011fl\u0131k Bakan\u0131\u2019n\u0131n bizzat karar verebilece\u011fine ili\u015fkin d\u00fczenleme de eklendi.<\/p>\n 31 Mart 2012 g\u00fcn\u00fc kabul edilen 6288 say\u0131l\u0131 Katma De\u011fer Vergisi Kanunu \u0130le Baz\u0131 Yat\u0131r\u0131m ve Hizmetlerin Yap-\u0130\u015flet-Devret Modeli \u00c7er\u00e7evesinde Yapt\u0131r\u0131lmas\u0131 Hakk\u0131nda Kanun\u2019da ve Kamu \u0130hale Kanunu\u2019nda De\u011fi\u015fiklik Yap\u0131lmas\u0131na Dair Kanun ile K\u00d6O ihalelerini alan \u015firketlere tam KDV muafiyeti getirildi. [7]<\/a> 19 Nisan 2012 tarihinde kabul edilen 6292 say\u0131l\u0131 Yasa ile bu hastaneler ile 2B arazileri aras\u0131ndaki ba\u011f kuruldu.<\/p>\n T\u00fcrk Tabipleri Birli\u011fi\u2019nin Etlik, Bilkent ve Elaz\u0131\u011f ihalelerine kar\u015f\u0131 a\u00e7t\u0131\u011f\u0131 davada 2012 y\u0131l\u0131 Haziran ay\u0131nda Dan\u0131\u015ftay 13. Dairesi ihalelerin y\u00fcr\u00fctmesini durdurdu ve dayanak Yasa\u2019n\u0131n iptali i\u00e7in Anayasa Mahkemesi\u2019ne ba\u015fvurdu. K\u00d6ODB hi\u00e7bir yasal dayana\u011f\u0131 olmad\u0131\u011f\u0131 halde ihaleyi alan \u015firketlere, kapat\u0131lacak hastanelerin arazilerini otel, AVM, rezidans yapmak \u00fczere vermeyi vaat etmi\u015fti. Dan\u0131\u015ftay bu nedenle ihaleleri a\u00e7\u0131k\u00e7a hukuka ayk\u0131r\u0131 bulmu\u015ftu.<\/p>\n Anayasa Mahkemesi g\u00fcndemine yakla\u015f\u0131k 1 y\u0131l al\u0131nmayan ba\u015fvuru, yeni yasa yap\u0131lmas\u0131 nedeniyle \u201ckarar verilmesine yer olmad\u0131\u011f\u0131na\u201d dair kararla tamamland\u0131.[8]<\/a><\/p>\n Bu arada 6428 say\u0131l\u0131 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019nca Kamu \u00d6zel \u0130\u015f Birli\u011fi Modeli \u0130le Tesis Yapt\u0131r\u0131lmas\u0131, Yenilenmesi ve Hizmet Al\u0131nmas\u0131 \u0130le Baz\u0131 Kanun ve Kanun H\u00fckm\u00fcnde Kararnamelerde De\u011fi\u015fiklik Yap\u0131lmas\u0131 Hakk\u0131nda Kanun 21 \u015eubat 2013 g\u00fcn\u00fc TBMM\u2019de kabul edildi. Yasaya Dan\u0131\u015ftay\u2019\u0131n y\u00fcr\u00fctmeyi durdurma karar\u0131n\u0131n etraf\u0131ndan dolanmay\u0131 sa\u011flamak i\u00e7in \u201cMevcut hastane arazilerinin \u015firketlere devrini \u00f6ng\u00f6ren ihale \u015fartname ve s\u00f6zle\u015fmeleri uygulanmaz\u201d denildi. Ayn\u0131 Yasa\u2019yla \u015firketlerin her t\u00fcrl\u00fc bor\u00e7lar\u0131na tam Hazine garantisi de verildi. Ancak bu kez hem Plan ve B\u00fct\u00e7e Komisyonu\u2019nda, hem de Genel Kurul\u2019da t\u00fcm muhalefet partilerinin sert ele\u015ftirilerine kar\u015f\u0131n yasa ge\u00e7ti. [9]<\/a> Ancak Dan\u0131\u015ftay 13. Dairesi yap\u0131lan de\u011fi\u015fiklikle hukuka ayk\u0131r\u0131l\u0131\u011f\u0131n geriye d\u00f6n\u00fck olarak ortadan kald\u0131r\u0131ld\u0131\u011f\u0131 kabul\u00fcyle davan\u0131n reddine karar verdi. Karar temyiz edildi ve hen\u00fcz bir karar verilmedi.<\/p>\n Yasan\u0131n kimi maddeleri i\u00e7in ana muhalefet partisi taraf\u0131ndan yap\u0131lan ba\u015fvuru Anayasa Mahkemesi taraf\u0131ndan de\u011ferlendirildi. Baz\u0131 maddeler i\u00e7in davan\u0131n a\u00e7\u0131lmam\u0131\u015f say\u0131lmas\u0131na karar verildi ve ihale edilen i\u015flerin denetiminin de ihale edilmesini sa\u011flayan \u201cveya denetletir\u201d ibaresi iptal edildi.[10]<\/a> Anayasa Mahkemesi\u2019nin karar\u0131n\u0131n gerek\u00e7esinde ba\u015fvuru dilek\u00e7esinde iptali talep edilen maddelere ili\u015fkin yeterli a\u00e7\u0131klama yap\u0131lmad\u0131\u011f\u0131, s\u00fcre verilmesine kar\u015f\u0131n eksikli\u011fin giderilmedi\u011fi belirtildi. Dahas\u0131 mahkeme kararlar\u0131n\u0131n uygulanmayaca\u011f\u0131na dair bir kanun maddesi Anayasa Mahkemesi taraf\u0131ndan Anayasa\u2019ya uygun bulundu. Anayasa Mahkemesi taraf\u0131ndan iptal edilen \u201cveya denetletir\u201d ibaresi de 7 Eyl\u00fcl 2016 g\u00fcnl\u00fc Resm\u00ee Gazete\u2019de yay\u0131mlanan 6745 say\u0131l\u0131 Yasa ile yeniden getirildi.<\/p>\n 26 \u015eubat 2014 g\u00fcn\u00fc kabul edilen 6527 say\u0131l\u0131 Yasa ile hem \u015firketlerce istenen teknik d\u00fczeltmeler yap\u0131ld\u0131, hem de s\u00fcrmekte olan davalar\u0131n olas\u0131 sonu\u00e7lar\u0131n\u0131 \u00f6nlemek i\u00e7in \u201cdavalarda \u00e7\u0131kacak iptal kararlar\u0131 uygulanmaz\u201d denilerek hukuk devletini \u015firketler i\u00e7in ayaklar alt\u0131na alan bir d\u00fczenleme yap\u0131ld\u0131. De\u011fi\u015fiklikte, s\u00f6zle\u015fmelerde bakan onay\u0131 ile de\u011fi\u015fiklik yap\u0131lmas\u0131 da kabul edilerek asl\u0131nda t\u00fcm ihale s\u00fcrecinin i\u015flevsiz k\u0131l\u0131nmas\u0131n\u0131n \u00f6n\u00fc a\u00e7\u0131ld\u0131. Anayasa Mahkemesi, karar\u0131nda yarg\u0131 kararlar\u0131na uyulmayabilece\u011fine dair d\u00fczenlemeyi Anayasa\u2019ya ayk\u0131r\u0131 bulmad\u0131.[11]<\/a> Ayn\u0131 Yasa\u2019da \u015firketlerin orman alanlar\u0131na da hastane yapmalar\u0131na olanak sa\u011fland\u0131.[12]<\/a> 9 ve 10 May\u0131s 2014 g\u00fcnl\u00fc Resm\u00ee Gazetelerde yeni K\u00d6O Y\u00f6netmeli\u011fi yay\u0131mlanarak y\u00fcr\u00fcrl\u00fc\u011fe girdi. Son olarak 27 Mart 2015 g\u00fcn\u00fc kredi kurulu\u015flar\u0131n\u0131n talebiyle oldu\u011fu a\u00e7\u0131k\u00e7a kanun gerek\u00e7esine yaz\u0131larak \u201cdavan\u0131n T\u00fcrkiye\u2019de g\u00f6r\u00fclmesi kayd\u0131yla\u201d<\/em> ibaresi madde metninden \u00e7\u0131kar\u0131ld\u0131, do\u011facak uyu\u015fmazl\u0131klar\u0131n yabanc\u0131 tahkime tabi olaca\u011f\u0131na dair kanun yap\u0131ld\u0131 ve 6639 say\u0131l\u0131 Yasa 15 Nisan 2015 g\u00fcnl\u00fc Resm\u00ee Gazete\u2019de yay\u0131mlanarak y\u00fcr\u00fcrl\u00fc\u011fe girdi.[13]<\/a> \u00a0Ancak bu d\u00fczenlemeye kar\u015f\u0131 Anayasa Mahkemesi\u2019ne bir ba\u015fvuru yap\u0131lmad\u0131. [14]<\/a><\/p>\n Bu arada \u00c7evre Kanunu\u2019nun 10. maddesindeki \u00c7evresel Etki De\u011ferlendirme (\u00c7ED)\u2019ye t\u00e2bi i\u015flerin s\u00fcre\u00e7 tamamlanmadan ihale edilmesini yasaklayan d\u00fczenleme unutulmu\u015ftu. Bu da 25 Kas\u0131m 2014 g\u00fcnl\u00fc Resm\u00ee Gazete\u2019de yay\u0131mlanan \u00c7evresel Etki\u00a0De\u011ferlendirmesi\u00a0Y\u00f6netmeli\u011fi\u2019nde 500 ve \u00fczeri yata\u011f\u0131 olan hastanelerin kapsamdan \u00e7\u0131kar\u0131lmas\u0131yla \u201c\u00e7\u00f6z\u00fcld\u00fc\u201d. T\u00fcrk Tabipleri Birli\u011fi, T\u00fcrkiye Barolar Birli\u011fi ve T\u00fcrk M\u00fchendis ve Mimar Odalar\u0131 Birli\u011fi taraf\u0131ndan a\u00e7\u0131lan davada 3 Mart 2016 tarihinde verilen kararla bu istisna h\u00fckm\u00fcn\u00fcn y\u00fcr\u00fctmesinin durdurulmas\u0131na karar verildi.<\/p>\n T\u00fcrk Tabipleri Birli\u011fi\u2019nin ihalelerin iptali ve K\u00d6O Y\u00f6netmeli\u011fi ile Hazine Garantileri Y\u00f6netmeli\u011fi\u2019ne kar\u015f\u0131 a\u00e7t\u0131\u011f\u0131 davalar hen\u00fcz derdest ve \u015fehir hastaneleri birer birer a\u00e7\u0131l\u0131yor. Kalk\u0131nma Bakanl\u0131\u011f\u0131\u2019n\u0131n raporuna g\u00f6re \u015fehir hastanelerini yapan \u015firketlere kamudan aktar\u0131lacak bedel 25 y\u0131l i\u00e7in 30 milyar ABD Dolar\u0131\u2019n\u0131 ge\u00e7ti. Bug\u00fcne kadar s\u00f6zle\u015fmesi ba\u011flanan hastanelerin y\u0131ll\u0131k kira ve hizmet sat\u0131n alma bedelleri y\u0131ll\u0131k 3 milyar TL\u2019yi ge\u00e7ti ve kur fark\u0131 garantisi nedeniyle bu bedel belirlenebilir olmaktan \u00e7\u0131kt\u0131.<\/p>\n Mevzuat de\u011fi\u015fiklikleriyle s\u0131n\u0131rl\u0131 bu derlemede yer verilemeyen uygulaman\u0131n \u00f6zellikleri ve finansman yap\u0131s\u0131n\u0131n ayr\u0131nt\u0131lar\u0131 ise bir ba\u015fka \u00e7al\u0131\u015fman\u0131n k<\/p>\n [1]<\/a> https:\/\/www.tbmm.gov.tr\/develop\/owa\/kanunlar_sd.durumu?kanun_no=5396<\/a><\/p>\n [2]<\/a> https:\/\/www.tbmm.gov.tr\/sirasayi\/donem22\/yil01\/ss961m.htm<\/a><\/p>\n [3]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/Tutanak_B_SD.birlesim_baslangic?P4=14965&P5=B&PAGE1=1&PAGE2=99<\/a><\/p>\n [4]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/kanunlar_sd.durumu?kanun_no=5683<\/a><\/p>\n [5]<\/a> https:\/\/www.tbmm.gov.tr\/sirasayi\/donem22\/yil01\/ss1418m.htm<\/a><\/p>\n [6]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/tasari_teklif_gd.onerge_bilgileri?kanunlar_sira_no=89801<\/a><\/p>\n [7]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/kanunlar_sd.durumu?kanun_no=6288<\/a><\/p>\n [8]<\/a> Anayasa Mahkemesi\u2019nin 06.06.2013 tarihli, 2012\/105E. ve 2013\/71K. say\u0131l\u0131 karar\u0131<\/p>\n [9]<\/a> https:\/\/www.tbmm.gov.tr\/sirasayi\/donem24\/yil01\/ss417.pdf<\/a><\/p>\n [10]<\/a>Anayasa Mahkemesi\u2019nin 01.04.2015 tarihli, 2013\/50E. ve 2015\/38K. say\u0131l\u0131 karar\u0131<\/p>\n [11]<\/a>http:\/\/kararlaryeni.anayasa.gov.tr\/Karar\/Content\/8a348f96-4130-441d-958e-e64550f706f1?excludeGerekce=False&wordsOnly=False<\/a><\/p>\n [12]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/tasari_teklif_gd.onerge_bilgileri?kanunlar_sira_no=149409<\/a><\/p>\n [13]<\/a>https:\/\/www.tbmm.gov.tr\/develop\/owa\/tasari_teklif_gd.onerge_bilgileri?kanunlar_sira_no=175174<\/a><\/p>\n [14]<\/a>http:\/\/kararlaryeni.anayasa.gov.tr\/Karar\/Content\/27e2049f-aac1-4ef8-a119-6861dee5ea33?excludeGerekce=False&wordsOnly=False<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" \u015eehir hastaneleri diye s\u0131kl\u0131kla haberi yap\u0131lan, ancak asl\u0131 astar\u0131 hakk\u0131nda pek az ki\u015finin bilgi sahibi oldu\u011fu s\u00fcrece dair k\u0131sa bir \u00f6zet \u00e7\u0131karmak amac\u0131yla bu derleme haz\u0131rland\u0131. Sa\u011fl\u0131k hizmetlerinin adl\u0131 ad\u0131nca \u00f6zelle\u015ftirilmesi, kamu hizmetinin altyap\u0131 finansman\u0131 marifetiyle \u015firketlere devredilmesi d\u00fcnyada da T\u00fcrkiye\u2019de de yeni de\u011fil. Yap-i\u015flet-devret uygulamalar\u0131 o g\u00fcne g\u00f6re daha geni\u015f tart\u0131\u015f\u0131lma olana\u011f\u0131 bulmu\u015fken, yeni […]<\/p>\n","protected":false},"author":87,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[87],"tags":[],"class_list":["post-2341","post","type-post","status-publish","format-standard","hentry","category-sayilar-7"],"_links":{"self":[{"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=\/wp\/v2\/posts\/2341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=\/wp\/v2\/users\/87"}],"replies":[{"embeddable":true,"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2341"}],"version-history":[{"count":0,"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=\/wp\/v2\/posts\/2341\/revisions"}],"wp:attachment":[{"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hukukdefterleri.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}