COVID-19 İLE MÜCADELEDE “LAİSSEZ-FAİRE” YAKLAŞIMI İLE “DEVLET MÜDAHALESİ” ANLAYIŞININ ALMANYA VE İTALYA ÖZELİNDE KARŞILAŞTIRILMASI

Yıl 2020, Cilt: 23 Sayı: 4, 665 - 680, 08.12.2020

Rıdvan Karacan Mehmet Emin Yardımcı

Öz

Ekonomik literatürde özelleştirme politikaları öteden beri tartışma konusunu olmuştur. Bu bağlamda, ekonomik sorunların çözümünde Klasik Görüş; “Laissez-Faire” (Bırakınız Yapsınlar) tezini savunurken, Keynesyen Görüş; “Devlet Müdahalesini” desteklemiştir. Bu politikalar günün koşullarına göre çözüm üretebildikleri için genel kabul görmüştür. İlk olarak Aralık 2019 yılında Çin’in Vuhan kentinde ortaya çıkan ve tüm dünyayı etkisi altına alan Covid-19 virüsü her geçen gün çok sayıda vaka ve ölümlere yol açmaktadır. Birçok ülke bu hastalıkla mücadele etmek zorunda kalmaktadır. Bazı ülkeler çok zayiat verirken, bir takım ülkeler en az zararla hastalığın üstesinden gelebilmektedir. Bu bağlamda en çok vakanın ve ölümlerin görüldüğü İtalya ile vaka sayısı çok olmakla birlikte ölüm oranlarının daha az yaşandığı Almanya sağlık sistemleri “Laissez-Faire” ve “Devlet Müdahalesi” politikaları özelinde karşılaştırılmak istenmiştir. Amacımız ekonomik faaliyetlerin sağlık sonuçları açısından özel sektör ve devletçilik anlayışı özelinde faydasını ortaya koymaktır. Böylece sağlık sorunları ile mücadelede öncelikli amacı kar olmayan kamu kuruluşlarının önemi vurgulanmak istenmiştir. Bu tür mücadelede kamu menfaati açısından kar amacı olmayan kamu kurumları ile özel sektör sağlık kuruluşlarının organize bir şekilde çalışmaları gerektiği anlatılmak istenmiştir. Bu bağlamda sağlık politika yapıcıları ve uzmanlara mesaj verilmek istenmiştir.

Anahtar Kelimeler

Covid-19, Laissez-Faire, Devlet Müdahalesi, Almanya ve İtalya

COMPARISON OF THE “LAISSEZ-FAIRE” AND “STATE INTERVENTION” APPROACH IN GERMANY AND ITALY IN COMBATING COVID-19

Öz

Privatization policies have been the subject of debate for a long time in the economic literature. In this context, Classical View in solving economic problems, while defending the “Laissez-Faire” thesis, Keynesian view; he supported "State Intervention". These policies are generally accepted as they can produce solutions according to the conditions of the day. The Covid-19 virus, which first appeared in Wuhan, China in December 2019 and affected the world, causes many cases and deaths day by day. Many countries have to fight this disease. While some countries give a lot of casualties, some countries can overcome the disease with the least damage. In this context, it was aimed to compare Italy with the highest number of cases and deaths, and Germany health systems, where the number of cases were high, but the death rates were less, under the policies of "Laissez-Faire" and "State Intervention". Also, compared in Turkey to similar phenomena in Italy and Germany. Our aim is to reveal the benefits of economic activities in terms of private sector and statism. Therefore, the importance of public institutions, which profit is not their primary objective in health issues was emphasized. It is intended to explain that non-profit public institutions and private sector healthcare should work collaboratively in this kind of struggle. In this context, a message was intended to be conveyed to health policy-makers and experts.

Anahtar Kelimeler

Covid-19, Laissez-Faire, government intervention, Germany and Italy

Kaynakça

• AETNA (2020, October 11).International health insurance. https://www.aetnainternational.com/ en/about-us/explore/living-abroad/culture-lifestyle/health-care-quality-in-europe-and-scandinavia.html
• Albers, W., & Anton, Z. (1981). (Hrsg.): Handwörterbuch der Wirtschaftswissenschaft, Band 3, Göttingen: Vandenhoeck ve Ruprecht.
• Armocida, B., Formenti, B., Ussai, S., Palestra, F. & Missoni, E. (2020). The Italian health system and the COVID-19 challenge. The Lancet Public Health, 5(5), doi:10.1016/S2468-2667(20)30074-8
• Barone, C. (2009). A new look at schooling inequalities in Italy and their trends over time. Research in Social Stratification and Mobility, 27(2), 92-109.
• Basol, E. 2015. Strategy in developing countries: The chain of referral in health system. Balkan Journal of Social Sciences, 4(8), 128-140.
• Bekar, T., Usturalı, M. A. N., & Çöl, M. (2020). Interpretation of COVID-19 outbreak and case fatality rate. Ankara University Faculty of Medicine Covid-19 Book. http://www.medicine.ankara.edu.tr/wp-content/uploads/sites/121/2020/05/COVID-19-Kitap.pdf
• Boldrini, R., Miriam, D. C., Fulvio, B., Antonella, G., & Irene, M. (2017). Annuario Statistico del Servizio Sanitario Nazionale Assetto organizzativo, attività e fattori produttivi del SSN, Irene. http://www.salute.gov.it/imgs/C_17_pubblicazioni_2879_allegato.pdf.
• Bölt, U. (2018). Statistical hospital data: Basic and cost data of hospitals 2015. Hospital Report, 341-376.
• Bramucci, A., Prante, F., & Truger, A. (2020). Decades of tight fiscal policy have left the health care system in Italy ill-prepared to fight the COVID-19 outbreak. Intereconomics, 3, 147-152.
• Buba M. A. (2019). Hospital report 2019: The digital hospital, IWW Institut. https://www.iww.de/cb/management/aktuelle-studie-krankenhaus-report-2019-das-digitale-krankenhaus-f1202
• Bundesministterium für Gesundhait , Pressemitteilungen, (2020). https://www.bundesgesund heitsministerium.de/presse/
• Bundeszentrale für politische Bildung, (2020). https://www.bpb.de/kontakt/
• Çavmak, D., & Çavmak, Ş. (2017). Historical development of health services and the Health Transformation Program in Turkey. Journal of Health Management, 1(1), 48-57.
• Çevik, N. K., & Yüksel, O. (2019). Turkey, Germany and India health systems: A comparative analysis. Balkan Journal of Social Sciences, 8(16), 209-218.
• D’Apolito, R., Martina, F., Immacolata, O., & Luigi, Z. (2020). Disruption of arthroplasty practice in an orthopaedic center in Northern Italy during COVID-19 pandemic. The Journal of Arthroplasty, 10.1016/j.arth.2020.04.057.
• Davidson, P. (1994). Post Keynesian macroeconomic theory: A foundation for successful economic policies for the twenty-first century. Cheltenham: Edward Elgar Publishing.
• Değer, A. (2020, May 18). Coronavirus: How does Germany make a difference in the fight against the epidemic? BBC-NEWS, Edition: 21, UTB, Stuttgart. https://www.bbc.com/turkce/haberler-dunya-52053276
• Doetter, F. L., & Götze, R. (2011). The changing role of the state in the Italian healthcare system. Bremen: TranState Working Papers 150.
• Ertaş, H., İleri, H., & Seçer, B. (2016). Concept of health policy and investigation of health policies in Turkey. Selcuk University Social and Technological Research Journal, (12), 186-186.
• EUROSTAT. Hospital beds. https://ec.europa.eu/eurostat/databrowser/view/tps00046/default/table? lang=en
• Federal Minister of Health. (2020). Who we are? www.bundesgesundheitsministerium.de
• Foley, W., & Gërxhani, K. (2020). Hands-off? Laissez-faire policies on Covid-19 may exacerbate health inequalities. International Journal of Sociology and Social Policy, 10.1108/IJSSP-06-2020-0220.
• France, G., Taroni, F., & Donatini, A. (2005). Italian healthcare system. Health Economics, 14(S1), 187-202.
• Gaspard, T. (2004). A political economy of Lebanon 1948–2002: The limits of laissez-faire. Boston: Brill.
• Granozio, F.M. (2020). On the problem of comparing Covid-19 fatality rates. https://arxiv.org/abs/2004.03377
• Gul, S., Kagan T., Binici, B., & Beyazit, B.A. (2020). Transmission dynamics of Covid-19 in Italy, Germany and Turkey considering social distancing, testing and quarantine. The Journal of Infection Developing Countries, 14(7), 713-720.
• Herr, D., Hohmann, A., Varabyova, Y. & Schreyögg J. (2018). Bedarf und Bedarfsgerechtigkeit in der stationären Versorgung, Krankenhaus-Report, 23-38.
• Hospital Report. (2020). Needs and needs justice. https://www.wido.de/fileadmin/Dateien/Dokumente/ Publikationen_Produkte/Buchreihen/Krankenhausreport/2018/Kapitel%20mit%20Deckblatt/wido_khr2018_kap19.pdf
• HOPE. (2020, Octaber 16). Hospıtals In Europe Healthcare Data. https://www.hope.be/wp-content/uploads/2018/07/2018_Hospitals-in-EU-28-Synthesis-final-for-publication-002.pdf
• Hugrée, C., Penissat, É., & Spire, A., (2015). Les différences entre salariés du public et du privé après le tournant managérial des États en Europe. Revue française de sociologie, 56 (1), 47-73.
• Il Manifesto. (2020). Private health becomes "public". But that's not enough. https://ilmanifesto.it/la-sanita-privata-diventa-pubblica-ma-non-basta/
• Istat. (2020). Istituto Nazionale di Statistica. https://www.istat.it/
• Keynes et al. (1932). Private Spending, Money for Productive Investment, A Comment by Economists. The Times, Oct 17, 13.
• Keynes, J. M. (1980). General theory of employment interest and money (Trans. Asım B.). İstanbul: Minnetoğlu Publications.
• Kluth, W. (2018). Bedarf und Bedarfsgerechtigkeit aus rechtlicher Sicht. Krankenhaus-Report, 39-52.
• Krol, G. J., & Schmid, A. (2002). Volkswirtschaftslehre: Eine problemorientierte Einführung. Tübingen: Mohr Siebeck.
• Mitra, A.K., Payton, M., Kabir, N., Whitehead, A., Ragland, K.N., & Brown, A. (2020). Potential Years of Life Lost Due to COVID-19 in the United States, Italy, and Germany: An Old Formula with Newer Ideas. International Journal of Environmental Research and Public Health, 17(12). doi: 10.3390/ijerph17124392
• OECD (2017). European Observatory on Health Systems and Policies. Italy: Country Health Profile, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels. http://dx.doi.org/10.1787/9789264283428-en
• Özdemir, Ö. (2020). How prepared are the health systems of Western countries, which have become the center of the coronavirus epidemic? BBC, News. https://www.bbc.com/turkce/haberler-dunya-52049989
• Persky, J. (1995). Retrospectives: The ethology of homo economicus. The Journal of Economic Perspectives, 9(2), 221–231.
• Post. (2020). Has Italian healthcare expenditure been cut? https://www.ilpost.it/2020/03/15/tagli-sanita/
• Robert Koch Institut. (2020). Changes compared to the version. Section risk assessment. https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/
• Sancak, M., & Çöl M. (2020). Covidien-19 chronological investigation of the pandemic in Turkey. Ankara University Medical School Covidien-19 Book. http://www.medicine.ankara.edu.tr/wp-content/uploads/sites/121/2020/05/COVID-19-Kitap.pdf
• SETA. (2020,). How Germany struggles with coronavirus? https://www.setav.org/5-soru-almanya-koronavirus-ile-nasil-mucadele-ediyor/
• Shehzad, K., Xiaoxing, L., & Kazouz, H. (2020). COVID-19's disasters are perilous than Global Financial Crisis: A rumor or fact? Finance Research Letters, 36, 101669.
• Skidelsky, R. (2009). Keynes: The return of the master. United Kingdom: Allen Lane.
• Smith, A. (1909). An inquiry into the nature and causes of the wealth of nations. In C. J. Bullock (Ed.). The Harvard Classics. New York: P.F. Collier & Son.
• Starbatty, J. (1985). The English classics of the national economy. Teaching and impact. Wiss. Book company.
• Statista. (2020). Of hospitals in Italy from 2000 to 2017. https://www.statista.com/statistics/557April2/hospitals-in-italy/
• Sullivan, A., & Steven M. S. (2003). Economics: Principles in action. Upper Saddle River: Pearson Prentice Hall.
• Süddeutsche Zeitung. (2020). Coronavirus: Der Ausbruch in Bayern. https://www.sueddeutsche.de/ bayern/coronavirus-bayern-rueckblick-januar-februar-1.4794769
• T. R. Ministry of Health (2020). Directorate general of health for borders and coasts Turkey. Italy. https://www.seyahatsagligi.gov.tr/Site/SaglikBilgisi/ITA
• WHO, World Health Organization (2020). Global health expenditure database? https://www.who.int/
• WORLDOMETER, (2020). Covid-19 Coronavirus Pandemic, https://www.worldometers.info/ coronavirus/#countries
• Yılmaztürk, A. (2013). Historical Development and Evaluation of Global Quality of Health Care Reform Health Transformation Program in Turkey. Journal of Social Sciences Research, (1), 176-188.