[FULL] DPR Semprot Menkes Budi soal Iuran BPJS: Kalau Naik, Kas BPJS Bisa Jebol

Summary

The speaker raises significant concerns regarding the future of Indonesia's BPJS Health system, focusing on the potential negative effects of rising premiums, inefficiencies, and fraud within healthcare providers. They highlight the risk of BPJS funding deficits and question the government's ability to address these issues, especially with the proposed Kris health plan and the involvement of private insurance companies. Emphasizing the importance of transparency, accountability, and effective regulation, the speaker calls for better management of resources and improved service delivery, urging the Ministry of Health to prioritize the public's well-being over private sector influence.

Takeaways

• 😀 Concerns about the potential negative impact of raising BPJS (Indonesia's National Health Insurance) premiums, predicting it could lead to a deficit in BPJS funds.
• 😀 Emphasizes the need for the Ministry of Health to take responsibility for the financial health of BPJS and ensure adequate funding is provided.
• 😀 Acknowledgment of improvements in BPJS Kesehatan, but a call for better accountability and oversight in cases of fraud by hospitals.
• 😀 Stresses the importance of working with local governments (Pemda) to improve participation in BPJS by providing iuran (contributions).
• 😀 Warns of the negative effects of the planned KRIS (Kesehatan Rujukan Integrasi Sehat) system, particularly on BPJS finances, if not properly implemented.
• 😀 Highlights the challenge of increasing healthcare costs in 2025, with concern that BPJS Kesehatan may not be able to handle the financial burden without proper management.
• 😀 Criticizes the government's plan to involve private insurance as it contradicts the constitutional principles of mutual cooperation (gotong-royong) that BPJS is built upon.
• 😀 Raises concerns about the impact of private insurance on healthcare services, such as additional costs for medications and medical equipment for BPJS patients.
• 😀 Calls for stricter regulation and action against hospitals manipulating tariffs or using unnecessary medical procedures to inflate costs.
• 😀 Suggests utilizing tobacco excise taxes to help fund BPJS Kesehatan, ensuring that funds are used for healthcare rather than relying on new taxes or premiums.

Q & A

What is the speaker's primary concern regarding the future of BPJS Kesehatan?

The speaker's main concern is that if premiums for BPJS Kesehatan are raised, the system could face a financial crisis, leading to an increased deficit, which would negatively impact the availability of healthcare for the public.

How does the speaker view the potential consequences of fraud within hospitals under BPJS Kesehatan?

The speaker emphasizes that fraud in hospitals needs to be addressed promptly by BPJS Kesehatan and its supervisory bodies, stressing that if not dealt with, it could cause serious financial mismanagement and prevent proper healthcare delivery.

What specific issues does the speaker highlight with the implementation of the Kris healthcare system?

The speaker points out that the Kris system is not fully ready for implementation, as many regions have not prepared adequately, and crucial processes like claims management have not been resolved, leading to potential problems in its rollout.

Why does the speaker suggest that raising BPJS premiums could be detrimental?

The speaker argues that many citizens are already struggling to pay existing premiums, and an increase could lead to more people being unable to afford healthcare, worsening the financial strain on BPJS and potentially causing it to collapse.

How does the speaker propose addressing the issue of rising healthcare costs?

The speaker suggests that the government should focus on improving the management and efficiency of the healthcare system, particularly by addressing issues like hospital practices that contribute to inflated costs, rather than simply raising premiums.

What is the speaker's position on the involvement of private insurance in the healthcare system?

The speaker opposes the involvement of private insurance, arguing that it goes against the constitutional mandate of 'gotong-royong' (mutual cooperation), which ensures that wealthier individuals help support the less fortunate through the public healthcare system.

What does the speaker recommend to improve the governance of BPJS Kesehatan?

The speaker recommends more rigorous oversight and accountability from both BPJS and its supervisory bodies. This includes addressing fraud within hospitals and ensuring that the system's financial management is transparent and sustainable.

How does the speaker view the current state of BPJS healthcare claims and hospital regulations?

The speaker believes that BPJS has not yet fully resolved the issues related to healthcare claims and hospital regulations, which continue to cause inefficiencies and could exacerbate financial difficulties for the healthcare system.

What concerns does the speaker have regarding the current state of preventive care in the healthcare system?

The speaker expresses concern that preventive and promotive healthcare initiatives are not being carried out effectively, which results in a high focus on curative treatments and ultimately contributes to rising healthcare costs.

What is the speaker's stance on the allocation of cigarette taxes for healthcare funding?

The speaker proposes that cigarette taxes, which are not considered general taxes but rather health-related funds, should be used to help support BPJS Kesehatan's budget. This could ease the financial burden on the system and prevent further premium hikes.