{"id":3654,"date":"2017-08-19T11:29:39","date_gmt":"2017-08-19T09:29:39","guid":{"rendered":"https:\/\/sbunker.org\/?p=3654"},"modified":"2024-10-18T14:44:18","modified_gmt":"2024-10-18T12:44:18","slug":"perpjekja-e-deshtuar-per-sistemin-e-sigurimeve-shendetesore","status":"publish","type":"post","link":"https:\/\/sbunker.org\/sr\/opinion\/perpjekja-e-deshtuar-per-sistemin-e-sigurimeve-shendetesore\/","title":{"rendered":"P\u00ebrpjekja e d\u00ebshtuar p\u00ebr sistemin e sigurimeve sh\u00ebndet\u00ebsore"},"content":{"rendered":"
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P\u00ebrpjekja e d\u00ebshtuar p\u00ebr sistemin e sigurimeve sh\u00ebndet\u00ebsore<\/h3>\n<\/div>\n
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\u00cbsht\u00eb normale q\u00eb t\u00eb ket\u00eb mospajtime. \u00cbsht\u00eb mir\u00eb q\u00eb t\u00eb ket\u00eb diskutim p\u00ebr t\u2019 i ballafaquar k\u00ebto mospajtime. Por, rreziku q\u00eb i kanoset shoq\u00ebris\u00eb ku vendimet merren pa u diskutuar, \u00ebsht\u00eb po aq i madh sa ai kur vendimet nuk merren edhe pasi jan\u00eb diskutuar. Kjo e sjell shtetin n\u00eb stagnim, dhe e mban aty p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb. \u00a0Qytetar\u00ebt\/et jan\u00eb lodhur nga temat e m\u00ebdha q\u00eb duket q\u00eb nuk i prekin direkt jet\u00ebt e tyre; \u00a0nga termat si mungesa e vullnetit politik; jan\u00eb lodhur edhe nga diskutimet e parreshtura. Ironia e gjith\u00eb k\u00ebsaj \u00ebsht\u00eb q\u00eb edhe vet ky shkrim ka p\u00ebr q\u00ebllim hapjen apo vazhdimin e diskutimit p\u00ebr tem\u00ebn e sigurimit sh\u00ebndet\u00ebsor, q\u00eb i \u00a0prek direkt jet\u00ebt e qytetar\u00ebve . Dallimi \u00ebsht\u00eb q\u00eb ky shkrim synon q\u00eb ta p\u00ebrshpetoj\u00eb mbylljen e diskutimit\u00a0 dhe t\u00eb b\u00ebj\u00eb thirrje q\u00eb t\u00eb shtyhen p\u00ebrpara proceset, ashtu q\u00eb t\u00eb pajisemi, m\u00eb n\u00eb fund, \u00a0me sigurime sh\u00ebndet\u00ebsore.<\/p>\n

Ja nj\u00eb historik i politikave t\u00eb sigurimeve sh\u00ebndet\u00ebsore n\u00eb Kosov\u00eb. N\u00eb vitin 2014 hyn n\u00eb fuqi ligji p\u00ebr sigurime sh\u00ebndet\u00ebsore. Tre her\u00eb tentohet t\u00eb niset procesi, dhe tre her\u00eb d\u00ebshtohet. Tani, n\u00eb vitin 2017, ne ende nuk kemi pothuajse asnj\u00eb hap t\u00eb nd\u00ebrmarr\u00eb n\u00eb implementimin e k\u00ebtij ligji. Ministria e Sh\u00ebndet\u00ebsis\u00eb kishte planifikuar t\u00eb filloj\u00eb\u00a0 me mbledhjen e premiumeve, dhe pastaj t\u00eb plot\u00ebsohen kushtet tjera. N\u00eb fakt, n\u00ebse do t\u00eb fillohej me mbledhje t\u00eb premiumeve, pa u plot\u00ebsuar kushtet tjera, at\u00ebher\u00eb ky sistem do t\u00eb haste n\u00eb d\u00ebshtim.<\/p>\n

Plot\u00ebsimi i t\u00eb gjitha kushteve duhet t\u00eb jet\u00eb\u00a0 hap i par\u00eb p\u00ebr fillimin e implementimit t\u00eb sigurimeve sh\u00ebndet\u00ebsore. Deri m\u00eb tani \u00ebsht\u00eb plot\u00ebsuar vet\u00ebm nj\u00eb nga gjasht\u00eb kushtet q\u00eb duhet plot\u00ebsuar. Ende nuk \u00ebsht\u00eb definuar lista e sh\u00ebrbimeve pa pages\u00eb, nuk jan\u00eb pajisur pun\u00ebtor\u00ebt\/et si n\u00eb sektorin publik edhe privat me kartela t\u00eb sigurimit, dhe nuk jan\u00eb dakorduar \u00e7mimet t\u00eb kujdesit sh\u00ebndet\u00ebsor. \u00cbsht\u00eb p\u00ebrmbushur kushti p\u00ebr dakordim p\u00ebr bashk\u00ebpagesa dhe vet\u00ebm me k\u00ebt\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb ka propozuar t\u00eb fillohet me mbledhje t\u00eb premiumeve. Sistemi sh\u00ebndet\u00ebsor \u00ebsht\u00eb shum\u00eb i ndjesh\u00ebm. Nj\u00eb d\u00ebshtim i nj\u00eb fushe do t\u00eb krijonte rrezikun p\u00ebr d\u00ebshtime madhore n\u00eb gjith\u00eb sistemin. Si rezultat, qasja q\u00eb \u00ebsht\u00eb p\u00ebrdorur p\u00ebr sigurime sh\u00ebndet\u00ebsore paraqet rrezik. Hajde t\u00eb mendojm\u00eb pak cilat jan\u00eb disa nga skenar\u00ebt e mundsh\u00ebm, po t\u00eb ishte filluar mbledhja e premiumeve q\u00eb nga tani.<\/p>\n

Skenari 1: N\u00eb munges\u00eb t\u00eb transparenc\u00ebs, qytetar\u00ebt\/et ndihen t\u00eb pasigurt\u00eb t\u00eb kontribuojn\u00eb n\u00eb sistem. Mbledhja e premiumeve nuk i arrin shifrat e projektuara, dhe k\u00ebshtu pas 6 muajve mbledhje t\u00eb premiumeve, nuk i kemi shifrat e projektuara dhe sistemi d\u00ebshton. Kjo i bie q\u00eb duhet prap\u00eb t\u00eb fillohet nga e para, dhe qytetar\u00ebt\/et prap\u00eb nuk marrin sh\u00ebrbime edhe pse disa prej tyre kan\u00eb kontribuar p\u00ebr 6 muaj. Realisht, n\u00ebse paguan 6 muaj p\u00ebr sigurim sh\u00ebndet\u00ebsor, dhe n\u00eb fund t\u00eb thuhet q\u00eb nuk mund t\u00eb kesh sigurim, kush do t\u00eb kontribuonte prap\u00eb nga e para? Prandaj, n\u00eb rast se ky skenar ndodh, duhet pritur edhe nj\u00eb koh\u00eb t\u00eb gjat\u00eb, ashtu q\u00eb qytetar\u00ebt\/et t\u2019a harrojn\u00eb k\u00ebt\u00eb tentativ\u00eb dhe t\u00eb mund t\u00eb fillohet prap\u00eb. Pas 10 vjet\u00ebsh mund t\u00eb kemi sigurime sh\u00ebndet\u00ebsore… ndoshta.<\/p>\n

Skenari 2: Fillon mbledhja e premiumeve, dhe pas 6 muajve pajisen qytetar\u00ebt\/et me kartela. Qytetari\/ja shkon n\u00eb spital p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim, dhe pasi q\u00eb nuk \u00ebsht\u00eb treguar se cilat sh\u00ebrbime jan\u00eb t\u00eb mbuluara nga sigurimi, ai\/ajo mund t\u00eb p\u00ebrfundoj\u00eb duke paguar prap\u00eb. Kjo e b\u00ebn q\u00eb qytetari\/ja t\u00eb humb besimin n\u00eb t\u00eb gjith\u00eb sistemin, dhe t\u00eb mos kontribuoj\u00eb m\u00eb. Duke qen\u00eb se shtylla kryesore e sistemit jan\u00eb kontribuesit\/et, \u00e7do humbje e besimit nga ata paraqet rrezik t\u00eb madh. P\u00ebr k\u00ebt\u00eb arsye, lista e sh\u00ebrbimeve, \u00ebsht\u00eb vendosur si kriter ligjor.<\/p>\n

Skenar\u00eb tjer\u00eb t\u00eb mundsh\u00ebm do t\u00eb na\u00a0 na shpienin tek i nj\u00ebjti konkluzion \u2013 \u00a0d\u00ebshtimi i sistemit sh\u00ebndet\u00ebsor. Tash t\u00eb flasim se si mundemi t\u2019i evitojm\u00eb k\u00ebta skenar\u00eb, dhe cilat hapa t\u00eb mirren p\u00ebr t\u00eb siguruar q\u00eb ta kemi nj\u00eb q\u00eb e rregullon sistemin sh\u00ebndet\u00ebsor.<\/p>\n

Prandaj, duhet t\u00eb fillohet me k\u00ebto hapa: (1) p\u00ebrmbushja e t\u00eb gjitha kriterereve t\u00eb parapara me ligj, (2) transparenc\u00eb aktive p\u00ebr t\u2019 u siguruar q\u00eb qytetar\u00ebt\/et e kuptojn\u00eb sakt\u00ebsisht \u00e7far\u00eb do t\u00eb jen\u00eb benefitet dhe kostot e sigurimeve sh\u00ebndet\u00ebsore, (3) t\u00eb organizohen kampanja vet\u00ebdijesuese, sidomos p\u00ebr bizneset, p\u00ebr t\u00eb treguar benefitet q\u00eb sigurimet i ofrojn\u00eb, (4) t\u00eb promovohen sigurimet si m\u00ebnyr\u00eb p\u00ebr t\u2019i inkurajuar pun\u00ebtoret\/et q\u00eb nuk kan\u00eb kontrata t\u00eb k\u00ebrkojn\u00eb t\u00eb formalizohen, dhe (5) t\u00eb rriten resurset e nevojshme p\u00ebr t\u00eb luftuar informalitetin n\u00eb biznese. Kjo e fundit nuk \u00ebsht\u00eb domosdo e lidhur direkt me sigurimet sh\u00ebndet\u00ebsore. N\u00ebse p\u00ebrcillen k\u00ebta hapa, shancat q\u00eb t\u00eb d\u00ebshtoj\u00eb ky sistem do t\u00eb jen\u00eb shum\u00eb m\u00eb t\u00eb vogla, se sa me ato q\u00eb \u00ebsht\u00eb menduar deri tani.<\/p>\n

\u00cbsht\u00eb e turpshme q\u00eb nuk kemi ende sigurime sh\u00ebndet\u00ebsore. \u00cbsht\u00eb p\u00ebr keqardhje q\u00eb 3 vite q\u00eb nga hyrja n\u00eb fuqi e nj\u00eb ligji ende nuk kemi ndonj\u00eb hap rreth implementimit t\u00eb tij. Por, kjo nuk \u00ebsht\u00eb e papritshme, sepse jemi m\u00ebsuar t\u00eb bisedojm\u00eb nj\u00ebher\u00eb gjat\u00eb, t\u2019 i shtyjm\u00eb sa mundemi vendimmarrjen deri n\u00eb pik\u00ebn e fundit, dhe m\u00eb pas t\u00eb marrim vendime q\u00eb nuk i zbatojm\u00eb. Kjo besoj q\u00eb duhet t\u00eb p\u00ebrfundoj\u00eb, dhe sigurimet sh\u00ebndet\u00ebsore do t\u00eb ishin hap i mir\u00eb p\u00ebr t\u00eb filluar k\u00ebt\u00eb ndryshim, p\u00ebr k\u00ebdo q\u00eb e b\u00ebn qeverin\u00eb.<\/p>\n

______________<\/p>\n

Ky shkrim \u00ebsht\u00eb p\u00ebrgatitur n\u00eb kuad\u00ebr t\u00eb korniz\u00ebs t\u00eb platform\u00ebs \u201cFOL Hapur\u201d q\u00eb mb\u00ebshtetet nga Zyra Zvicerane p\u00ebr Bashk\u00ebpunim, dhe implementohet nga \u201cHelvetas Swiss Cooperation\u201d dhe MDA. P\u00ebrmbajtja e k\u00ebtij shkrimi \u00ebsht\u00eb krejt\u00ebsisht p\u00ebrgjegj\u00ebsi vet\u00ebm e L\u00ebvizjes FOL, dhe n\u00eb asnj\u00eb m\u00ebnyr\u00eb nuk mund t\u00eb konsiderohet si di\u00e7ka q\u00eb reflekton pozicionin e Zyres Zvicerane p\u00ebr Bashk\u00ebpunim ose t\u00eb Departamentit Zviceran p\u00ebr mar\u00ebdh\u00ebnie t\u00eb jashtme.<\/em><\/p>\n<\/div>\n

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P\u00ebrpjekja e d\u00ebshtuar p\u00ebr sistemin e sigurimeve sh\u00ebndet\u00ebsore \u00cbsht\u00eb normale q\u00eb t\u00eb ket\u00eb mospajtime. \u00cbsht\u00eb mir\u00eb q\u00eb t\u00eb ket\u00eb diskutim p\u00ebr t\u2019 i ballafaquar k\u00ebto mospajtime. Por, rreziku q\u00eb i kanoset shoq\u00ebris\u00eb ku vendimet merren pa u diskutuar, \u00ebsht\u00eb po aq i madh sa ai kur vendimet nuk merren edhe pasi jan\u00eb diskutuar. Kjo e […]<\/p>","protected":false},"author":194,"featured_media":8407,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[852,692],"ppma_author":[223],"class_list":["post-3654","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinion","tag-health","tag-law"],"authors":[{"term_id":223,"user_id":194,"is_guest":0,"slug":"gersi-gashi","display_name":"Gersi Gashi","avatar_url":{"url":"https:\/\/sbunker.org\/wp-content\/uploads\/2023\/10\/download-8-6.jpg","url2x":"https:\/\/sbunker.org\/wp-content\/uploads\/2023\/10\/download-8-6.jpg"},"user_url":"","last_name":"Gashi","first_name":"Gersi","description":"Gersi Gashi ka p\u00ebrfunduar studimet p\u00ebr politika publike n\u00eb Universitetin Amerikan n\u00eb Kosov\u00eb,\r\ndhe tani punon si hulumtues i politikave n\u00eb Institutin Demokraci p\u00ebr Zhvillim. Punon n\u00eb fushat e mir\u00ebqenies sociale, edukimit, dhe migrimit."}],"_links":{"self":[{"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/posts\/3654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/users\/194"}],"replies":[{"embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/comments?post=3654"}],"version-history":[{"count":2,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/posts\/3654\/revisions"}],"predecessor-version":[{"id":8764,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/posts\/3654\/revisions\/8764"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/media\/8407"}],"wp:attachment":[{"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/media?parent=3654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/categories?post=3654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/tags?post=3654"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/sbunker.org\/sr\/wp-json\/wp\/v2\/ppma_author?post=3654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}