Government and Parliament must finalize the plan of management of Social
Security Organizing Agency (BPJS) which will be implemented from January 2014.
It was intended to prevent occurrence of similar cases in Jakarta where
hospitals refused the health card program. BPJS is considered good, but the
preparations must be fast and precise. If not, the hospitals will be
overwhelmed and it is possible that the same thing will happen again where
hospitals refused the program. In fact, it violated Law NO. 44/2009 on
Hospital. It was stated by Deputy Chairman of the House of Representatives,
Irgan Chairul Mahfiz, in a discussion entitled “Hospitals Reject Health Card
and the Fate of BPJS” at the Parliament House on Thursday (5/23).
Irgan explained that the government and the parliament must finalize the
BPJS system, including the amount of the premium payments to hospitals by each
patient, human resources, medicines, and so on. All of these must be fast,
because it is calculated on an annual basis, and not on a five-yearly basis.
BPJS is a must as it is the will of the state. So, there are a lot of things
that must be considered by the state.
Moreover, the budget allocated is only 2.07% of the State Budget (APBN)
or approximately Rp31.2 trillion, much compared to educational budget which is
20% of APBN. Health budget should be 5% of APBN or approximately Rp75 trillion.
Basically, hospitals and physicians must adhere to ideology and
nationalism in order to work earnestly for the people. The government must
change consumptive policy like BLT (direct cash assistance), Balsem (temporary
assistance for needy families), Bansos (social assistance funds), and so on.
Meanwhile, Member of Parliament, Rieke Pitaloka, confirmed that efforts
to handle the sick in Indonesia require uniformity of ideology and nationalism.
To help and serve the people, especially in addressing health matter as
mandated by the nation’s founder, BPJS is one solution that needs government
commitment. Therefore, Parliament’s task is not just to establish BPJS, but
also to encourage how the program is carried out by the government.
She also questioned the attitude of President Susilo Bambang Yudhoyono
(SBY) who once declared that the hospital issue should be submitted to the
market system. If it is left to the market system, how is the commitment and
obligation of the government in handling health issue? The state must resolve
this problem by conducting efficiency and other budget allocations.
Unfortunately, the Minister of Health is not transparent about the data
needed by the Parliament, what kind of disease suffered by a majority of the
people, what kind of drugs are much needed, how much money is needed, and so
on. Commission IX of the House of Representatives is optimistic that BPJS will
be realized; just have a different perception with the government.
Jakarta Health Card Program and
BPJS are applicable for everyone, including people who are not working. The
Jakarta Health Card (KJS) program is used by many people. So far people are
afraid to come to the hospital because they are overshadowed by the expensive
costs. Health problem is an interrelated issue and it needs the cooperation of
many parties. (E)
Business News - May 29, 2013
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