IO – The Great Indonesia Movement (Gerakan Indonesia Raya – “Gerindra”) Faction submitted a recommendation for national health security to the RI Minister of Health, DR. dr. Terawan Agus Putranto; the Head of National Population and Family Planning Board (Badan Kependudukan dan Keluarga Berencana Nasional – “BKKBN”) Hasto Wardoyo, and Director of the Health Social Insurance Administration Organization (Badan Penyelenggara Jaminan Sosial Kesehatan – “BPJS”) Bayu Wahyudi. It was submitted directly by the Deputy Speaker of the House of Representatives (Dewan Perwakilan Rakyat – “DPR”), Sufmi Dasco Ahmad.
Dasco stated that the recommendation was inspired by a Focus Group Discussion (FGD) held by Gerindra Party Faction of DPR with Echelon I Officials of the Ministry of Health, members of the National Social Security Board (Dewan Jaminan Sosial Nasional – “DJSN”), Health BPJS’s Board of Directors, and leaders of health profession organizations on 26 November 2019. The report, titled Conceptualizing Solutions for Health BPJS Problems, contains 12 recommendations for the Government to consider when resolving shortcomings in health services. “This is meant to respond to the demands of our citizens who stage protests before the DPR office day after day. We listen to their aspirations, we hear out what they want for us, and consider their input and solutions for BPJS issues,” he said, in Committee IX DPR RI’s Meeting Room, Jakarta, on Friday (17/01/2020).
Dasco reiterates that DPR will be proactive in monitoring Health BPJS policies, in order to ensure satisfactory health services for the people. Therefore, Gerindra pays special attention to the polemic relating to increased Health BPJS fees, which in turn was caused by the emergency of continued deficits.
Member of Committee IX Andi Ruskati Ali Baal read out the 12-point recommendation. He stated that Health BPJS has failed to control its deficits. According to Health BPJS’ Financial Report, 2014 deficits amounted to IDR 1.9 trillion; in 2015, they increased to IDR 9.4 trillion. In 2016, IDR 6.7 trillion. In 2017, deficits continued to rise, to IDR 13.8 trillion. 2018 saw IDR 19.4 trillion, while in 2019 it is predicted to hit IDR 32.8 trillion. “This continued deficit also has the effect of impairing the quality of health services,” he warned.
Andi further highlighted the large number of objections concerning the doubling of BPJS fees, as regulated in Presidential Regulation Number 75 of 2019 concerning Health Security. “Increasing Health BPJS premiums by 100% is met with objections from many, including from Committee IX DPR, who categorically refuse the increase of BPJS fees for independent users in its Joint Work Meeting with staff of the Ministry of Health on 2 September 2019,” he said. (Dan)
The following are the 12 points for resolving Health BPJS problems submitted by Gerindra Party Faction of DPR RI:
1. Gerindra Party Faction of DPR RI urges a Reform of the Health System, in order to ensure that the citizens of Indonesia have adequate access to health services throughout the country. A primary item in the agenda is the Reform of Health Funding, renovating it into a more decentralized system. Regional Heads must be granted authority to administer Health Social Security for their residents.
2. Gerindra Party Faction of DPR RI urges The Government to review the increase of Health BPJS premiums regulated in Presidential Regulation Number 75 of 2019, particularly for Class III Health BPJS users, as this would entail a great burden on poor people. The Government should make other efforts to cover Health BPJS deficit by involving Regional Governments and the private sector, including the potential for philanthropic charitable funding.
3. Gerindra Party Faction of DPR RI urges the Government to strengthen inter-sector coordination, especially that between the 3 main health services actors in Indonesia: the Government as REGULATOR, Health BPJS as OPERATOR, and Health Workers (Health Professional Organizations} as a RUNNING MOTOR.
4. Gerindra Party Faction of DPR RI urges The Government to review Health BPJS Regulation Number 6 of 2018 concerning the Administration of Participation in the National Health Security (Jaminan Kesehatan Nasional – “JKN”) Program, in order to end the obligation to register all members of a family listed on a single Family Card (Kartu Keluarga “KK”}.
5. Gerindra Party Faction of DPR RI urges both the Central and Regional Governments to implement health promotion and disease prevention efforts more seriously, whether in First Level Health Facilities (Community/Private Clinics) or in Advanced-Level Health Facilities (Hospitals).
6. Gerindra Party Faction of DPR RI urges Government authorities to revert the function of the Community Clinic (Pusat Kesehatan Masyarakat – “Puskesmas”), i.e. to build up regional health in addition to treating basic illnesses. The Puskesmas must be fortified in its role as a center of empowerment for healthy living.
7. Gerindra Party Faction of DPR RI urges the Government to consider the aspect of justice in health development. Currently, most health facilities are located on Java, while in fact many citizens in the outer islands encounter difficulty in accessing basic health services. The National Social Security System (Sistem Jaminan Sosial National – “SJSN”) Law (2004) stipulates that BPJS must compensate Remote Areas, Border Areas, and Islands (Daerah Terpencil, Perbatasan, dan Kepulauan – “DTPK”) to ensure social justice for all Indonesian citizens.
8. Gerindra Party Faction of DPR RI urges the Ministry of Health to increase the number of Class Ill Beds in hospitals. The current number is insufficient, leaving citizens unable to obtain Class Ill hospital treatment, because of persistent maximum bed occupancy.
9. Gerindra Party Faction of DPR RI urges the Government to organize Health BPJS beneficiary data involving Regional Governments, in order to forestall further erroneous policymaking.
10. Gerindra Party Faction of DPR RI urges Health BPJS to quickly settle the claims of hospitals all over Indonesia, as well as those of the pharmaceutical industry.
11. Gerindra DPR RI Faction urges Leaders of DPR RI and Leaders of Committee IX DPR RI to create a Health BPJS Task Force to resolve the many issues of Health BPJS leading to polemics.
12. Gerindra Party Faction of DPR RI supports efforts to upgrade Health BPJS by revising Health BPJS Law Number 24 of 2011.