{"id":684784,"date":"2024-06-30T10:07:36","date_gmt":"2024-06-30T08:07:36","guid":{"rendered":"https:\/\/www.hashtag.al\/?p=684784"},"modified":"2024-06-30T10:09:31","modified_gmt":"2024-06-30T08:09:31","slug":"mbi-nevojen-e-nderhyrjes-ne-tregun-spitalor","status":"publish","type":"post","link":"https:\/\/www.hashtag.al\/index.php\/2024\/06\/30\/mbi-nevojen-e-nderhyrjes-ne-tregun-spitalor\/","title":{"rendered":"Mbi nevoj\u00ebn e nd\u00ebrhyrjes n\u00eb tregun spitalor","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"\"<\/span><\/strong><\/p>\n

Nga Irena Beqiraj<\/span><\/strong><\/p>\n

Nd\u00ebrhyrja\u00a0 e qeveris\u00eb n\u00eb sektorin e ofrimit t\u00eb sh\u00ebrbimit sh\u00ebndet\u00ebsor falas\u00a0 shpesh argumentohet me faktin se sh\u00ebrbimi sh\u00ebndet\u00ebsor \u00ebsht\u00eb\u00a0 investim n\u00eb kapitalin njer\u00ebzor, i cili kontribuon n\u00eb rritjen ekonomike. Nj\u00eb argument tjet\u00ebr edhe m\u00eb bind\u00ebs q\u00eb p\u00ebrdoret p\u00ebr t\u00eb justifikuar\u00a0 angazhimin e qeverive n\u00eb “ofrimin e kujdesit sh\u00ebndet\u00ebsor falas” mb\u00ebshtetet n\u00eb nocionin se sh\u00ebndeti \u00ebsht\u00eb nj\u00eb e drejt\u00eb themelore e njeriut\u00a0 edhe askush nuk duhet te privohet nga aksesi\u00a0 n\u00eb sh\u00ebrbimet mjek\u00ebsore.<\/span><\/p>\n

Padyshim t\u00eb gjitha\u00a0 k\u00ebto jan\u00eb argumente t\u00ebrheq\u00ebse por nj\u00eb analogji e thjesht\u00eb me ushqimin apo banesat e godet r\u00ebnd\u00eb besueshm\u00ebrin\u00eb e tyre. Besoj se t\u00eb gjith\u00eb dakort\u00ebsojm\u00eb se ushqimi \u00ebsht\u00eb sa nj\u00eb e drejt\u00eb themelore e njeriut, po aq i r\u00ebndesish\u00ebm sa sh\u00ebndeti, p\u00ebr t\u00eb mos th\u00ebn\u00eb m\u00eb shum\u00eb.\u00a0<\/span><\/p>\n

Banesa po ashtu \u00ebsht\u00eb nj\u00eb e drejt\u00eb themelore e njeriut. Megjithat\u00eb sigurimi i ushqimit apo banesave \u00ebsht\u00eb l\u00ebn\u00eb n\u00eb dor\u00eb t\u00eb individin. Ka programe qeveritare p\u00ebr njer\u00ebzit n\u00eb nevoj\u00eb,\u00a0 por nd\u00ebrhyrjet e qeverive\u00a0 p\u00ebr sigurimin e ushqimit apo baneses jan\u00eb shum\u00eb m\u00eb t\u00eb vogla krahasuar me nd\u00ebrhyrjet n\u00eb ofrimin e kujdesit\u00a0 sh\u00ebndet\u00ebsor .\u00a0\u00a0<\/span><\/p>\n

Ka nj\u00eb arsye t\u00eb qart\u00eb p\u00ebr k\u00ebt\u00eb asimetri edhe ajo\u00a0 \u00ebsht\u00eb thjesht politike. Pjesa m\u00eb e madhe e\u00a0 votuesve, mundet q\u00eb ta p\u00ebrballojn\u00eb ushqimin, por nj\u00ebjta gj\u00eb nuk \u00ebsht\u00eb e v\u00ebrtet\u00eb p\u00ebr kujdesin sh\u00ebndet\u00ebsor. Nd\u00ebrkoh\u00eb q\u00eb\u00a0 sh\u00ebndeti \u00ebsht\u00eb gacmues emocional m\u00eb fort\u00eb p\u00ebr njer\u00ebzit sesa\u00a0 posedimi i nj\u00eb banese. Ndaj premtimi p\u00ebr “sh\u00ebrbim sh\u00ebndet\u00ebsor falas” ka rezultuar “nj\u00eb kart\u00eb” e fort\u00eb politike .<\/span><\/p>\n

Ne shqiptar\u00ebt jemi d\u00ebshmitar\u00eb se si socializmi\u00a0 nj\u00eb sistem ekonomik joefikas, \u00e7njer\u00ebzor,\u00a0 dhe moralisht i falimentuar mundi t\u00eb zgjaste me dekada jo sepse ofronte ushqim falas por iluzionin e siguris\u00eb ekonomike universale me an\u00eb t\u00eb\u00a0 sigurimin t\u00eb strehimit, kujdesit sh\u00ebndet\u00ebsor, apo sh\u00ebrbimeve e tjera baz\u00eb sociale falas .\u00a0<\/span><\/p>\n

Po t’u hedhim nje sy sistemeve q\u00eb tentojn\u00eb mbulim universal t\u00eb sh\u00ebrbimit sh\u00ebndet\u00ebsor, ato\u00a0 kan\u00eb vecorit\u00eb e tyre t\u00eb ndryshme. Shpenzimet p\u00ebr kujdesin shendetesor variojn\u00eb qofte si p\u00ebrqindje e PBB-s\u00eb, qoft\u00eb si p\u00ebrqindje mbi shpenzimet e p\u00ebrgjithshme buxhetore. Niveli I mbulimit t\u00eb shpenzimeve po ashtu varion por askund nuk \u00ebsht\u00eb 100%.\u00a0<\/span><\/p>\n

N\u00eb secilin prej tyre burokracia funksionon ndryshe, koh\u00ebt e pritjes jan\u00eb t\u00eb ndryshme dhe rregullat e aksesit jan\u00eb t\u00eb ndryshme. Megjithat\u00eb, n\u00eb aspektin ekonomik, sistemet ndajn\u00eb\u00a0 sakt\u00ebsisht t\u00eb nj\u00ebjt\u00ebn karakteristik\u00eb: p\u00ebrgjith\u00ebsisht dikush tjet\u00ebr e paguan\u00a0 fatur\u00ebn!\u00a0<\/span><\/p>\n

Mendoni p\u00ebr nj\u00eb moment n\u00ebse njer\u00ebzit do ta paguanin\u00a0 nga xhepi trajtimin mjek\u00ebsor n\u00eb t\u00eb nj\u00ebjt\u00ebn m\u00ebnyr\u00eb sic paguajn\u00eb p\u00ebr makin\u00ebn, ushqimin ose p\u00ebr \u00e7atin\u00eb mbi kok\u00eb. Ky fakt do t’i\u00a0 inkurajonte t\u00eb b\u00ebnim nj\u00eb s\u00ebr\u00eb pyetjesh si: “a ka nj\u00eb m\u00ebnyr\u00eb m\u00eb t\u00eb lir\u00eb e cila\u00a0 mund t\u00eb funksiononte?”, “A mund t\u00eb marr nj\u00eb trajtim me vler\u00eb m\u00eb t\u00eb ul\u00ebt diku tjet\u00ebr?”\u00a0\u00a0<\/span><\/p>\n

Madje duke pasur parasysh q\u00eb sh\u00ebndeti\u00a0 ( p\u00ebrtej faketor\u00ebve genetik ) \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi\u00a0 individuale , mbulimi i kostove t\u00eb sh\u00ebrbimit sh\u00ebndet\u00ebsor mund t\u00eb na shtynte t\u00eb kursenim m\u00eb shum\u00eb , t\u00eb\u00a0 pinim m\u00eb pak duhan\u00a0 apo alkol, t\u00eb ushqeheshim\u00a0 m\u00eb mir\u00eb e t\u00eb ushtroheshim m\u00eb shum\u00eb.\u00a0<\/span><\/p>\n

S\u00eb dyti edhe pse idea se sh\u00ebrbimet\u00a0 shendet\u00ebsore jan\u00eb\u00a0 falas na p\u00eblqen t\u00eb gjith\u00ebve, fatkeq\u00ebsisht ato nuk jan\u00eb falas. Qytetari mesatar\u00a0 paguan p\u00ebr to dhe paguan shum\u00eb .<\/span><\/p>\n

Qytetari paguan p\u00ebr obezitetin e nj\u00eb gryk\u00ebsi t\u00eb padisiplinuar, p\u00ebr tumorin e mushk\u00ebrive\u00a0<\/span>t\u00eb nj\u00eb duhanpir\u00ebsi, per\u00a0 m\u00ebl\u00e7in\u00eb e d\u00ebmtuar t\u00eb nj\u00eb alkolizuari , edhe n\u00eb vende si Shqip\u00ebria , ku sh\u00ebrbimi\u00a0 falas nuk \u00ebsht\u00eb I mjaftuesh\u00ebm p\u00ebr ai paguan edhe p\u00ebr t\u00eb k\u00ebnaqur “lakmin\u00eb p\u00ebr tu pasuruar brenda nat\u00ebs”\u00a0 t\u00eb zyrtar\u00ebve, mjek\u00ebve farmacist\u00ebve edhe infermier\u00ebve .\u00a0\u00a0\u00a0<\/span><\/span><\/p>\n

S\u00eb treti \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb\u00a0 t\u00eb\u00a0 kuptoj\u00eb\u00a0 q\u00eb n\u00eb “sistemet e ofrimit t\u00eb sh\u00ebrbimeve sh\u00ebnd\u00ebtsore falas kostot jan\u00eb gjithmon\u00eb n\u00eb rritje. Shikoni teknologjin\u00eb mjek\u00ebsore, nd\u00ebrsa \u00e7mimi i teknologjive t\u00eb tjera tenton\u00a0 t\u00eb bjer\u00eb \u00e7mimi i teknologjive mjeksore vazhdon t\u00eb rritet.\u00a0 E pra p\u00ebr sa koh\u00eb q\u00eb pacient\u00ebt nuk kan\u00eb asnj\u00eb shtys\u00eb\u00a0 p\u00ebr t\u00eb k\u00ebrkuar cmim m\u00eb t\u00eb mir\u00eb p\u00ebrtej cil\u00ebsis\u00eb , rritja\u00a0 e kostos \u00ebsht\u00eb e pashmangshme.<\/span><\/p>\n

P\u00ebr m\u00eb tep\u00ebr\u00a0 fakti q\u00eb operator\u00ebt privat\u00eb t\u00eb ofrimit t\u00eb sh\u00ebrbimeve mjeksore\u00a0 mund t\u00eb p\u00ebrdorin t\u00eb nj\u00ebjtat burime njerezore me ofruesin publik, eleminon cdo mund\u00ebsi p\u00ebr konkurenc\u00eb. Mjek\u00ebt e spitaleve shtet\u00ebrore jane\u00a0 kthyer n\u00eb agjent\u00eb shitjeje p\u00ebr sh\u00ebrbimet e ofruara tek operator\u00ebt privat\u00eb duke eleminuar keshtu cdo mund\u00ebsi p\u00ebr t\u00eb ulur kostot.\u00a0<\/span><\/p>\n

N\u00eb k\u00ebto kushte nuk ka asnj\u00eb m\u00ebnyr\u00eb p\u00ebr t’ju dh\u00ebn\u00eb sh\u00ebrbim cil\u00ebsor falas\u00a0 t\u00eb gjith\u00ebve. Ai do t\u00eb\u00a0 jet\u00eb gjithmon\u00eb I pamjaftuesh\u00ebm edhe s\u00ebrisht\u00a0 do t\u00eb sh\u00ebrbehet m\u00eb shpejt e m\u00eb mir\u00eb ai q\u00eb ka mundesi\u00a0 t\u00eb paguaj\u00eb m\u00eb shum\u00eb, ku i pamunduri do t\u00eb mbetet s\u00ebrisht\u00a0 i pash\u00ebrbyer.\u00a0<\/span><\/p>\n

Dikush, duhet t\u00eb jet\u00eb n\u00eb gjendje t\u00eb thot\u00eb me z\u00eb t\u00eb lart\u00eb se sistemi i kujdesit sh\u00ebndet\u00ebsor falas, nuk \u00ebsht\u00eb I sh\u00ebndetsh\u00ebm, nuk \u00ebsht\u00eb i kujdesh\u00ebm, por c’\u00ebsht\u00eb m\u00eb e keqja nuk \u00ebsht\u00eb as\u00a0 sistem .\u00a0\u00a0<\/span><\/p>\n

Pas 80 vitesh q\u00eb provojm\u00eb n\u00eb kuriz\u00a0 mizerabilitetin e kujdesit sh\u00ebndet\u00ebsor falas,\u00a0 duhet t\u00eb refuzojm\u00eb cdo politik\u00ebb\u00ebr\u00ebs q\u00eb na e premton at\u00eb. Ne vend t\u00eb tij duhet t\u00eb k\u00ebrkojm\u00eb t\u00eb nd\u00ebrtojm\u00eb nj\u00eb sistem sh\u00ebndet\u00ebsor t\u00eb p\u00ebrballuesh\u00ebm p\u00ebr t\u00eb gjithe i cili promovon p\u00ebrgjegj\u00ebsin\u00eb individuale p\u00ebr sh\u00ebndetin\u00a0 dhe shmang mb\u00ebshtetjen e tep\u00ebrt tek shteti ; angazhon konkurrenc\u00ebn dhe forcat e tregut p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar sh\u00ebrbimin dhe p\u00ebr t\u00eb ulur koston; ku shteti nd\u00ebrhyn drejtp\u00ebrdrejt n\u00eb sektorin e kujdesit sh\u00ebndet\u00ebsor vetem kur \u00ebsht\u00eb e nevojshme, pra\u00a0 tregu nuk arrin t\u00eb mbaj\u00eb kostot e kujdesit sh\u00ebndet\u00ebsor t\u00eb ul\u00ebta; e mbi te\u00a0 gjitha\u00a0 shteti\u00a0 \u00ebsht\u00eb\u00a0 i vet\u00ebdish\u00ebm mbi kapacitetet e tij t\u00eb subvencionimit duke p\u00ebrcaktuar qart\u00eb se cilat sh\u00ebrbime do t\u00eb subvencionoj\u00eb edhe cilat\u00a0 jan\u00eb shtresat q\u00eb mund t\u00eb mbeshteten gjer\u00ebsisht n\u00eb subvencionimet e tij .<\/span><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Nga Irena Beqiraj Nd\u00ebrhyrja\u00a0 e qeveris\u00eb n\u00eb sektorin e ofrimit t\u00eb sh\u00ebrbimit sh\u00ebndet\u00ebsor falas\u00a0 shpesh argumentohet me faktin se sh\u00ebrbimi sh\u00ebndet\u00ebsor \u00ebsht\u00eb\u00a0 investim n\u00eb kapitalin njer\u00ebzor, i cili kontribuon n\u00eb rritjen ekonomike. Nj\u00eb argument tjet\u00ebr edhe m\u00eb bind\u00ebs q\u00eb p\u00ebrdoret p\u00ebr t\u00eb justifikuar\u00a0 angazhimin e qeverive n\u00eb “ofrimin e kujdesit sh\u00ebndet\u00ebsor falas” mb\u00ebshtetet n\u00eb nocionin […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":4,"featured_media":684785,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-684784","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-editorial"],"gt_translate_keys":[{"key":"link","format":"url"}],"_links":{"self":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/684784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/comments?post=684784"}],"version-history":[{"count":0,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/684784\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media\/684785"}],"wp:attachment":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media?parent=684784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/categories?post=684784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/tags?post=684784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}