The Principles of Justice in the Application of National Health Insurance Program for the Poor People in Indonesia

Abstract

Health insurance is a form of social protection in improving the quality of health in Indonesia. The purpose of the study is to describe the principles of justice in the application of National Health Insurance Program for the poor people in Indonesia. The method used is qualitative, while the data collection techniques used are in-depth interview, observation and document study. Data analysis steps consist of data reduction, data display and conclusion drawing/verification. Poor people who receive the national health insurance program (beneficiaries) on the implementation of the national health insurance recognize and feel that the national health insurance program is beneficial. However, the quality of health services still does not meet their expectations, such as the length of treatment and there are differences in the service system between participants of the Social Security Administering Body for Health and general patients. Patients of the Social Security Administering Body for Health there are restrictions on the number of patients, while for general patients there are no restrictions on the number of outpatients in hospitals. Procedurally, there are still many poor people who have not been recorded, so they do not have access to health services. Socially, there is still a person bias, the poor do not get the right to health insurance, while the non-poor gets the right to health insurance. Politically, there is the provision of access for people who are close to the power elite at the grass root level to obtain health services. It is necessary to develop creative ideas and rapid actions to build a health service innovation system in hospitals and other health services. This should be done to improve the quality of health services.