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P\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb gjith\u00eb periudh\u00ebn e tranzicionit, n\u00eb vitin 2025, skem\u00ebs s\u00eb sigurimeve sh\u00ebndet\u00ebsore i jepet nj\u00eb mb\u00ebshtetje m\u00eb e madhe financiare nga buxheti i shtetit sesa skem\u00ebs s\u00eb sigurimeve shoq\u00ebrore.<\/span><\/p>\n Sipas ndryshimeve t\u00eb fundit n\u00eb buxhetin 2025, transfertat p\u00ebr skem\u00ebn sh\u00ebndet\u00ebsore arrijn\u00eb n\u00eb 39.8 miliard\u00eb lek\u00eb, nd\u00ebrsa p\u00ebr sigurimet shoq\u00ebrore (q\u00eb p\u00ebrfshijn\u00eb kryesisht pensionet) parashikohen 35.8 miliard\u00eb lek\u00eb, duke p\u00ebrmbysur raportin historik, ku gjithnj\u00eb transfertat m\u00eb t\u00eb m\u00ebdha ishin p\u00ebr skem\u00ebn e pensioneve.<\/span><\/p>\n Barra q\u00eb buxheti paguan nga taksat e p\u00ebrgjithshme p\u00ebr k\u00ebto skema po zhvendoset drejt sistemit t\u00eb sh\u00ebndet\u00ebsis\u00eb. Arsyeja kryesore lidhet me rritjen e kostove t\u00eb kujdesit mjek\u00ebsor, p\u00ebrfshir\u00eb sh\u00ebrbimet spitalore, rritjen e pagave n\u00eb sistemin sh\u00ebndet\u00ebsor dhe zgjerimin e programeve t\u00eb rimbursimit t\u00eb barnave.<\/span><\/p>\n N\u00eb vitin 2025, t\u00eb ardhurat nga kontributet e sigurimeve sh\u00ebndet\u00ebsore jan\u00eb vet\u00ebm 23.4 miliard\u00eb lek\u00eb, nd\u00ebrsa shpenzimet pritet t\u00eb arrijn\u00eb n\u00eb rreth 63.7 miliard\u00eb lek\u00eb. Diferenca prej 39.8 miliard\u00eb lek\u00ebsh financohet nga buxheti i shtetit.<\/span><\/p>\n N\u00eb t\u00eb nj\u00ebjtin vit, t\u00eb ardhurat nga kontributet e sigurimeve shoq\u00ebrore pritet t\u00eb arrijn\u00eb n\u00eb 149.8 miliard\u00eb lek\u00eb, nd\u00ebrsa shpenzimet gjithsej n\u00eb 185.6 miliard\u00eb lek\u00eb, me nj\u00eb diferenc\u00eb prej 35.8 miliard\u00eb lek\u00ebsh, q\u00eb mbulohet nga taksat e tjera t\u00eb buxhetit t\u00eb shtetit.<\/span><\/p>\n Ulja e transfertave p\u00ebr skem\u00ebn e sigurimeve shoq\u00ebrore lidhet me rritjen e t\u00eb ardhurave nga kontributet dhe me kufizimet n\u00eb rritjen e shpenzimeve p\u00ebr pensione, pasi pensionist\u00ebt e rinj n\u00eb skem\u00eb p\u00ebrfitojn\u00eb pagesa m\u00eb t\u00eb ul\u00ebta, p\u00ebr shkak se nuk plot\u00ebsojn\u00eb kriteret p\u00ebr pensione t\u00eb plota.<\/span><\/p>\n Fakti q\u00eb skema e sigurimeve sh\u00ebndet\u00ebsore po k\u00ebrkon gjithnj\u00eb e m\u00eb shum\u00eb mb\u00ebshtetje nga buxheti tregon se presionet fiskale po zhvendosen drejt sektorit t\u00eb kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n Deri vitin e kaluar, pjesa m\u00eb e madhe e fondeve shtet\u00ebrore shkonte p\u00ebr pensionet, pasi skema e sigurimeve shoq\u00ebrore kishte gjithmon\u00eb deficit m\u00eb t\u00eb madh \u2013 t\u00eb ardhurat nga kontributet nuk mjaftonin p\u00ebr t\u00eb paguar pensionet dhe shteti duhej t\u00eb mbulonte diferenc\u00ebn.<\/span><\/p>\n N\u00eb vitin 2025, megjithat\u00eb, sistemi sh\u00ebndet\u00ebsor ka nevoj\u00eb p\u00ebr m\u00eb shum\u00eb fonde nga buxheti, p\u00ebr shkak t\u00eb rritjes s\u00eb kostove t\u00eb kujdesit mjek\u00ebsor, barnave t\u00eb rimbursueshme dhe pagave n\u00eb sektorin sh\u00ebndet\u00ebsor.<\/span><\/p>\n Sfidat fiskale t\u00eb vendit po zhvendosen nga pensionet drejt sh\u00ebrbimeve sh\u00ebndet\u00ebsore. Kjo tregon se popullsia po k\u00ebrkon m\u00eb shum\u00eb sh\u00ebrbime mjek\u00ebsore, nd\u00ebrsa sistemi i sigurimeve sh\u00ebndet\u00ebsore nuk po mbledh mjaftuesh\u00ebm t\u00eb ardhura nga kontributet p\u00ebr t\u00eb p\u00ebrballuar vet\u00eb shpenzimet.<\/span><\/p>\n Megjithat\u00eb, nevojat e popullsis\u00eb p\u00ebr sh\u00ebrbime sh\u00ebndet\u00ebsore mbeten t\u00eb m\u00ebdha dhe raportet e konvergjenc\u00ebs me BE-n\u00eb tregojn\u00eb se Shqip\u00ebria po b\u00ebn hapa pas n\u00eb arritjen e standardeve n\u00eb shumic\u00ebn e fushave t\u00eb sh\u00ebndet\u00ebsis\u00eb.\/ B.Hoxha<\/span><\/p>\n