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Group 1 :

1. Elis Siti Nurcahyanti

2. Farah Nabilah
3. Nur Afifah Tasria
4. Hesliana Agusti
5. Nasya Shafira

Buying time on BPJS health

Employers are demanding an extension to a requirement to implement the new universal health
care system by the start of next year, as health care infrastructure remains poor in the country,
especially when compared with existing benefits being enjoyed by employees.

Existing regulations require most employers (state-owned, big, medium, small enterprises) to
enroll their employees on Jan. 1, 2015, at the latest, at a time when the national health insurance
(JKN) program is still receiving plenty of criticism, from long queues to the availability of health
centers and doctors across the archipelago.

Indonesian Employers Association (Apindo) deputy chairman Hariyadi Sukamdani said the
business lobby group had demanded that implementation of the JKN program be delayed by two
years to Jan. 1, 2017, to allow time for the nation’s health-care system to be perfected.
 Employers required to enroll staff for BPJS health by Jan. 1, 2015
 Apindo asks for one- or two-year delay
 Without double premiums, employees might see downgrade in health care services
“Our hospitals, doctors are still not ready. Employees are getting angry […] We will discuss with
the BPJS [Kesehatan, Healthcare and Social Security Agency] whether or not it is necessary to
delay [the implementation], but not for too long, maybe one year, until the issues have been
resolved,” Apindo chairman Sofjan Wanandi said.

High payment rates — 5 percent of salaries — but a lack of hospital services and quality
medicine are among the main issues to be addressed by BPJS Kesehatan, according to the Social
Security Action Committee (KAJS) and Confederation of Indonesian Workers Unions (KSPI).
Over 131 million people are entitled to BPJS Kesehatan benefits, with 9,778 Puskesmas
(community health centers), 3,000 clinics and 3,786 individual doctors, according to data from
BPJS Kesehatan’s website updated on Nov. 21.
“People could be waiting for three day s to be served, while previously it was easy for [workers
with private or company benefits] to get medical services,” Sofjan said.

Indonesian Footwear Industry Association (Aprisindo) secretary-general Binsar Marpaung said

companies still needed time to find a solution to avoid paying double premiums — for BPJS
Kesehatan and a complimentary, better quality health care insurance or benefits system — and
see rising costs.
“This remains a problem because a lot of companies currently have a reimbursement system or a
[special budget] for a health care benefits system, for instance two to three times employees’
salaries per year. A lot of employees are comfortable with the existing system,” said Binsar,
whose association has more than 300 companies with over 700,000 employees.

Indonesian Chamber of Commerce and Industry (Kadin) deputy chairman for employment
Benny Sutrisno said that some companies would be forced to impose double premiums to
maintain their employees’ welfare and the quality of their health care benefits. “Questions also
remain unanswered for companies that own clinics — whether the clinics could be turned into a
[BPJS Kesehatan] Puskesmas. This needs more [time] for dissemination,” he added.

Unilever Indonesia corporate secretary Sancoyo Antarikso said he still hoped that BPJS
Kesehatan could better its services and that health care infrastructure in the country could be
improved. This would reduce the extra costs companies would bear if they were willing to pay
more to maintain the quality of their employees’ benefits

Comment :

BPJS health is the change of Askes, that means the function of BPJS health is to cover all the
citizen health problem. In this case, BPJS has been improved and make a better version of Askes.
But, there are so many problem in the implementation of BPJS health. The Goverment should
concern about this problem in order to cover all citezen health problem.

This problem can be solved by compare the result of BPJS health and Askes. Due to the
implementation of Askes, BPJS health should have known the problem in the society health.
Other solution for the lack of BPJS health is make all hospitals use BPJS in order to cover all the
citizens health problem.