{"id":563438,"date":"2026-08-19T00:07:05","date_gmt":"2026-08-18T22:07:05","guid":{"rendered":"https:\/\/pda-ag.ch\/spitali-menziken-kur-kujdesi-duhet-te-jete-fitimprures-sakrifikohet-afersia\/"},"modified":"2026-08-19T00:07:05","modified_gmt":"2026-08-18T22:07:05","slug":"spitali-menziken-kur-kujdesi-duhet-te-jete-fitimprures-sakrifikohet-afersia","status":"publish","type":"post","link":"https:\/\/pda-ag.ch\/sq\/spitali-menziken-kur-kujdesi-duhet-te-jete-fitimprures-sakrifikohet-afersia\/","title":{"rendered":"Spitali Menziken: Kur kujdesi duhet t\u00eb jet\u00eb fitimprur\u00ebs, sakrifikohet af\u00ebrsia."},"content":{"rendered":"

P\u00ebrgjigja e PdA Aargau ndaj dy artikujve t\u00eb fundit n\u00eb Aargauer Zeitung t\u00eb 27 qershorit 2026<\/em><\/p>\n

Mbyllja e njoftuar e spitalit t\u00eb kujdesit akut Menziken \u00ebsht\u00eb m\u00eb shum\u00eb sesa thjesht nj\u00eb vendim rajonal biznesi. Ajo tregon se \u00e7far\u00eb ndodh kur kujdesi sh\u00ebndet\u00ebsor organizohet sipas parimeve t\u00eb biznesit. Ajo q\u00eb do t\u00eb thot\u00eb siguri p\u00ebr nj\u00eb rajon t\u00eb t\u00ebr\u00eb, shfaqet si problem n\u00eb bilanc. Ajo q\u00eb do t\u00eb thot\u00eb af\u00ebrsi p\u00ebr pacient\u00ebt, shfaqet si munges\u00eb e hap\u00ebsir\u00ebs n\u00eb strategjin\u00eb e vendndodhjes. Ajo q\u00eb do t\u00eb thot\u00eb pun\u00eb e p\u00ebrditshme, p\u00ebrgjegj\u00ebsi dhe ekspertiz\u00eb p\u00ebr punonj\u00ebsit, n\u00eb fund t\u00eb fundit, shfaqet si nj\u00eb pozicion q\u00eb duhet eliminuar. <\/p>\n

Spitali Menziken reklamohej me sloganin “Ne jetojm\u00eb af\u00ebr”. Pik\u00ebrisht kjo af\u00ebrsi tani do t\u00eb zhduket. Nj\u00eb zyr\u00eb e mjekut t\u00eb p\u00ebrgjithsh\u00ebm, nj\u00eb klinik\u00eb ambulatore, nj\u00eb sh\u00ebrbim ambulance dhe nj\u00eb klinik\u00eb pa takim paraprak q\u00eb vepron gjat\u00eb dit\u00ebs mund t\u00eb jen\u00eb t\u00eb r\u00ebnd\u00ebsishme. Por ato nuk z\u00ebvend\u00ebsojn\u00eb nj\u00eb spital t\u00eb kujdesit akut. Ato nuk z\u00ebvend\u00ebsojn\u00eb kujdesin p\u00ebr pacient\u00ebt e shtruar 24\/7. Ato nuk z\u00ebvend\u00ebsojn\u00eb besimin q\u00eb ka nj\u00eb rajon se, n\u00eb rast urgjence, \u00ebsht\u00eb n\u00eb dispozicion m\u00eb shum\u00eb sesa thjesht nj\u00eb referim n\u00eb nj\u00eb qend\u00ebr tjet\u00ebr. <\/p>\n

Rasti Menziken nuk duhet par\u00eb thjesht si gjykim i gabuar i nj\u00eb an\u00ebtari t\u00eb vet\u00ebm t\u00eb bordit. Ai pasqyron nj\u00eb logjik\u00eb m\u00eb t\u00eb thell\u00eb. N\u00eb sistemin e kujdesit sh\u00ebndet\u00ebsor t\u00eb sot\u00ebm, kujdesi nuk planifikohet thjesht sipas nevojave shoq\u00ebrore. Ai form\u00ebsohet nga grupet e lidhura me diagnoz\u00ebn (DRG), normat e z\u00ebnies, konkurrenca midis vendndodhjeve, presionet e kostove dhe rentabiliteti operativ. Nj\u00eb spital nuk duhet domosdoshm\u00ebrisht t\u00eb gjeneroj\u00eb fitim q\u00eb nj\u00eb aksionar privat t\u00eb funksionoj\u00eb sipas logjik\u00ebs kapitaliste. Mjafton q\u00eb ai t\u00eb detyrohet t\u00eb sillet si nj\u00eb biznes. <\/p>\n

Pik\u00ebrisht ky \u00ebsht\u00eb thelbi marksist i \u00e7\u00ebshtjes. Vlera e p\u00ebrdorimit t\u00eb nj\u00eb spitali q\u00ebndron n\u00eb disponueshm\u00ebrin\u00eb e tij kur njer\u00ebzit kan\u00eb nevoj\u00eb p\u00ebr t\u00eb: nat\u00ebn, n\u00eb fundjav\u00eb, n\u00eb rast nd\u00ebrlikimesh, urgjencash dhe pasigurish. Megjithat\u00eb, vlera e tij ekonomike matet nga fakti n\u00ebse gjeneron mjaftuesh\u00ebm raste t\u00eb faturueshme, mjaftuesh\u00ebm mbulim dhe t\u00eb ardhura t\u00eb mjaftueshme. Ajo q\u00eb \u00ebsht\u00eb shoq\u00ebrisht e nevojshme mund t\u00eb shfaqet si humbje n\u00eb kontabilitetin e nj\u00eb institucioni individual. <\/p>\n

Prandaj, bashk\u00ebvendosja e thjesht\u00eb e “privatit” dhe “publikut” nuk \u00ebsht\u00eb e mjaftueshme. Do t\u00eb ishte iluzion t\u00eb besohej se gjith\u00e7ka do t\u00eb ishte m\u00eb mir\u00eb sapo nj\u00eb organizat\u00eb t\u00eb b\u00ebhej zyrtarisht n\u00eb pron\u00ebsi publike. Spitalet publike ose gjysm\u00eb-publike mund t\u00eb drejtohen sipas t\u00eb nj\u00ebjt\u00ebs logjik\u00eb: me objektiva, programe shtr\u00ebnguese, presion konkurrues, outsourcing, ulje pagash dhe mbyllje vendesh. Shteti nuk \u00ebsht\u00eb jasht\u00eb k\u00ebtyre kushteve; ai i form\u00ebson ato n\u00eb m\u00ebnyr\u00eb aktive. <\/p>\n

Edhe aty ku forcat socialdemokrate ose t\u00eb gjelbra jan\u00eb pjes\u00eb e organeve qeveris\u00ebse ose administrative, kjo logjik\u00eb nuk zhduket automatikisht. N\u00ebse ata p\u00ebrvet\u00ebsojn\u00eb gjuh\u00ebn e “kufizimeve objektive”, n\u00ebse e trajtojn\u00eb ofrimin e kujdesit sh\u00ebndet\u00ebsor si nj\u00eb \u00e7\u00ebshtje kostoje dhe n\u00ebse i japin p\u00ebrpar\u00ebsi metrikave t\u00eb biznesit mbi nevojat e popullsis\u00eb dhe stafit, ata n\u00eb fund t\u00eb fundit menaxhojn\u00eb t\u00eb nj\u00ebjtin sistem. At\u00ebher\u00eb kujdesi sh\u00ebndet\u00ebsor nuk planifikohet n\u00eb m\u00ebnyr\u00eb demokratike, por racionalizohet sipas linjave kapitaliste. <\/p>\n

Prandaj, Menziken nuk demonstron thjesht d\u00ebshtimin e nj\u00eb spitali t\u00eb vet\u00ebm. Menziken demonstron d\u00ebshtimin e nj\u00eb politike sh\u00ebndet\u00ebsore q\u00eb i detyron p\u00ebrgjegj\u00ebsit\u00eb publike t\u00eb marrin form\u00ebn e korporat\u00ebs. P\u00ebrgjegj\u00ebsia i takon shoq\u00ebris\u00eb, financimi \u00ebsht\u00eb politik dhe pasojat ndikojn\u00eb te punonj\u00ebsit dhe popullsia. Por vendimet merren sipas nj\u00eb logjike q\u00eb n\u00eb fund t\u00eb fundit pyet: A \u00ebsht\u00eb ende fitimprur\u00ebs ky vend? <\/p>\n

Kjo \u00ebsht\u00eb ve\u00e7an\u00ebrisht brutale n\u00eb rastin e stafit. 149 nga 303 punonj\u00ebs do t\u00eb humbasin vendet e tyre t\u00eb pun\u00ebs, p\u00ebrfshir\u00eb praktikant\u00ebt dhe student\u00ebt. K\u00ebta njer\u00ebz nuk e \u00e7uan spitalin n\u00eb t\u00eb kuqe. Ata e mbajt\u00ebn at\u00eb n\u00eb funksion. Ata punuan me turne, u kujdes\u00ebn p\u00ebr pacient\u00ebt, mb\u00ebshtet\u00ebn familjet e tyre, trajtuan urgjencat, gatuanin, pastronin, organizuan, ofruan kujdes, dokumentuan dhe trajnuan t\u00eb tjer\u00ebt. Ata q\u00eb tani po i \u00e7montojn\u00eb vendet e tyre t\u00eb pun\u00ebs nuk mund t\u00eb flasin p\u00ebr “ristrukturim” sikur t\u00eb ishte nj\u00eb \u00e7\u00ebshtje thjesht teknike strukturore. Kjo ka t\u00eb b\u00ebj\u00eb me rrug\u00ebt e karrier\u00ebs, ekspertiz\u00ebn, trajnimin dhe planet e jet\u00ebs. <\/p>\n

Dega e Partis\u00eb s\u00eb Pun\u00ebs (PdA) n\u00eb Aargau mb\u00ebshtet punonj\u00ebsit, praktikant\u00ebt, student\u00ebt dhe banor\u00ebt e rajonit Wynental. Ne mb\u00ebshtesim k\u00ebrkes\u00ebn p\u00ebr nj\u00eb proces t\u00eb v\u00ebrtet\u00eb konsultimi, transparenc\u00eb n\u00eb lidhje me alternativat e shqyrtuara dhe nj\u00eb plan social t\u00eb denj\u00eb p\u00ebr emrin. Nj\u00eb proces konsultimi nuk duhet t\u00eb jet\u00eb nj\u00eb shoq\u00ebrim i sjellsh\u00ebm i nj\u00eb shkurtimi q\u00eb \u00ebsht\u00eb vendosur tashm\u00eb. Propozimet e punonj\u00ebsve dhe p\u00ebrfaq\u00ebsuesve t\u00eb tyre duhet t\u00eb merren seriozisht n\u00eb konsiderat\u00eb p\u00ebrpara se t\u00eb l\u00ebshohen ndonj\u00eb shkarkim. <\/p>\n

Por nj\u00eb plan social vet\u00ebm nuk \u00ebsht\u00eb i mjaftuesh\u00ebm. Ai mund t\u00eb zbus\u00eb pasojat, por nuk e eliminon shkakun. Shkaku q\u00ebndron n\u00eb nj\u00eb politik\u00eb t\u00eb kujdesit sh\u00ebndet\u00ebsor q\u00eb e n\u00ebnshtron kujdesin ndaj presionit t\u00eb numrit t\u00eb rasteve, pagesave me norm\u00eb fikse, konkurrenc\u00ebs midis vendndodhjeve dhe kontabilitetit t\u00eb kostos. Kujdesi sh\u00ebndet\u00ebsor nuk duhet t\u00eb trajtohet si nj\u00eb mall. Nj\u00eb spital nuk \u00ebsht\u00eb nj\u00eb deg\u00eb. Pacient\u00ebt nuk jan\u00eb klient\u00eb. Infermieria, sh\u00ebrbimet mjek\u00ebsore emergjente dhe ila\u00e7et nuk jan\u00eb produkte q\u00eb mund t\u00eb reduktohen n\u00ebse nuk jan\u00eb mjaftuesh\u00ebm fitimprur\u00ebse n\u00eb nj\u00eb vendndodhje t\u00eb caktuar. <\/p>\n

Ajo q\u00eb nevojitet nuk \u00ebsht\u00eb shpresa naive tek shteti si nj\u00eb zgjidh\u00ebs neutral i problemeve. Ajo q\u00eb nevojitet \u00ebsht\u00eb kontrolli demokratik i kujdesit sh\u00ebndet\u00ebsor nga posht\u00eb lart: nga punonj\u00ebsit, sindikatat, pacient\u00ebt, komunitetet dhe publiku i gjer\u00eb. Pyetja nuk duhet t\u00eb jet\u00eb: Cili vend \u00ebsht\u00eb fitimprur\u00ebs? Pyetja duhet t\u00eb jet\u00eb: \u00c7far\u00eb lloj kujdesi i duhet popullsis\u00eb, \u00e7far\u00eb kushtesh pune i duhen stafit dhe si do t’i siguroj\u00eb shoq\u00ebria burimet e nevojshme? <\/p>\n

Nj\u00eb sistem v\u00ebrtet publik i kujdesit sh\u00ebndet\u00ebsor do t\u00eb thot\u00eb m\u00eb shum\u00eb sesa thjesht pron\u00ebsi shtet\u00ebrore. Do t\u00eb thot\u00eb heqja e tij nga logjika e tregut dhe konkurrenc\u00ebs. Do t\u00eb thot\u00eb planifikim bazuar n\u00eb nevoj\u00eb dhe jo n\u00eb numrin e rasteve. Do t\u00eb thot\u00eb kontroll nga ata q\u00eb punojn\u00eb n\u00eb kujdesin sh\u00ebndet\u00ebsor dhe varen nga sh\u00ebrbimet e tij. Do t\u00eb thot\u00eb q\u00eb trajnimi, nivelet e personelit, sh\u00ebrbimet e urgjenc\u00ebs, kujdesi akut dhe aksesueshm\u00ebria rajonale nuk trajtohen si \u00e7\u00ebshtje kostoje, por si domosdoshm\u00ebri shoq\u00ebrore. <\/p>\n

Menziken ilustron se \u00e7far\u00eb \u00ebsht\u00eb n\u00eb loj\u00eb: N\u00ebse af\u00ebrsia nuk \u00ebsht\u00eb fitimprur\u00ebse, ajo eliminohet. N\u00ebse disponueshm\u00ebria n\u00eb gatishm\u00ebri sjell kosto, ato zvog\u00eblohen. N\u00ebse punonj\u00ebsit nuk p\u00ebrfshihen m\u00eb n\u00eb ekuacion, ata pushohen nga puna. Rezistenca jon\u00eb drejtohet pik\u00ebrisht kund\u00ebr k\u00ebsaj logjike. <\/p>\n

Sh\u00ebndeti nuk \u00ebsht\u00eb mall. Kujdesi sh\u00ebndet\u00ebsor nuk \u00ebsht\u00eb biznes. Por n\u00eb kapitaliz\u00ebm, ai trajtohet vazhdimisht si i till\u00eb – edhe kur shteti \u00ebsht\u00eb i p\u00ebrfshir\u00eb. Prandaj, ne kemi nevoj\u00eb jo vet\u00ebm p\u00ebr forma t\u00eb ndryshme pron\u00ebsie, por edhe p\u00ebr nj\u00eb \u00e7\u00ebshtje tjet\u00ebr pushteti: Kush vendos p\u00ebr ofrimin e kujdesit sh\u00ebndet\u00ebsor? Bilanci, bordi i drejtor\u00ebve dhe konkurrenca midis vendndodhjeve – apo njer\u00ebzit q\u00eb kan\u00eb nevoj\u00eb dhe ofrojn\u00eb kujdes sh\u00ebndet\u00ebsor \u00e7do dit\u00eb? <\/p>\n

 <\/p>\n

Dominik Schrott
\nPartei der Arbeit Aargau<\/p>\n","protected":false},"excerpt":{"rendered":"

P\u00ebrgjigja e PdA Aargau ndaj dy artikujve t\u00eb fundit n\u00eb Aargauer Zeitung t\u00eb 27 qershorit 2026 Mbyllja e njoftuar e spitalit t\u00eb kujdesit akut Menziken \u00ebsht\u00eb m\u00eb shum\u00eb sesa thjesht nj\u00eb vendim rajonal biznesi. Ajo tregon se \u00e7far\u00eb ndodh kur kujdesi sh\u00ebndet\u00ebsor organizohet sipas parimeve t\u00eb biznesit. Ajo q\u00eb do t\u00eb thot\u00eb siguri p\u00ebr nj\u00eb […]<\/p>\n","protected":false},"author":1,"featured_media":10388,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-563438","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lajme"],"yoast_head":"\nSpitali Menziken: Kur kujdesi duhet t\u00eb jet\u00eb fitimprur\u00ebs, sakrifikohet af\u00ebrsia. - PDA Aargau<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pda-ag.ch\/sq\/spitali-menziken-kur-kujdesi-duhet-te-jete-fitimprures-sakrifikohet-afersia\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spitali Menziken: Kur kujdesi duhet t\u00eb jet\u00eb fitimprur\u00ebs, sakrifikohet af\u00ebrsia. - PDA Aargau\" \/>\n<meta property=\"og:description\" content=\"P\u00ebrgjigja e PdA Aargau ndaj dy artikujve t\u00eb fundit n\u00eb Aargauer Zeitung t\u00eb 27 qershorit 2026 Mbyllja e njoftuar e spitalit t\u00eb kujdesit akut Menziken \u00ebsht\u00eb m\u00eb shum\u00eb sesa thjesht nj\u00eb vendim rajonal biznesi. 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