scholarly journals Analysis of The Implementation of The Health Insurance System in Indonesia

2021 ◽  
Author(s):  
S.H. Budiarsih

The state constitution of the 1945 Constitution mentioned that everyone has the right to live a prosperous life born and inward, residing, and getting a healthy and healthy living environment and entitled to health services. Under the Constitution and the Act, the Government makes efforts to ensure poor people's access to health service. However, in its implementation, various problems cause pros and cons, especially related to financing mechanisms and systems. Although, the birth of the BPJS Law is certainly inseparable from the patent law, namely Law number 40 of 2004 concerning the National Social Security System. For efforts to fulfill the rights of the community in the field of health that cannot be fully accommodated by the state, the government should evaluate the BPJS Law and Law No. 40 of 2004 on the National Social security system. The two laws currently implemented should be based on the 1945 Constitution and not harm the people

2018 ◽  
Vol 54 ◽  
pp. 03019
Author(s):  
Tedi Sudrajat ◽  
Siti Kunarti ◽  
Abdul Aziz Nasihuddin

The Social Security System in Indonesia has been regulated by the government, and the program is managed by an agency called Social Insurance Administration Organization (BPJS). Associated with the existence of social security functions for workers, its practice presents a gap between what is expected and what is regulated. For this reason, it is therefore necessary to examine, firstly, what kind of legal protection of workers is covered by this national social security system managed in BPJS program and, secondly, what constraints are encountered in its implementation. This research is Juridical Normative one, with normative qualitative data analysis. The research finds that the social security is correlated not only with the welfare of employees who are assessed by the level of wages provided by the organization, rather it is also correlated with other factors in the form of health and safety assurance. In the broader context, social welfare is measured not only when the person is at work and gets social security benefits, rather the measure of his welfare is also applicable when the worker is not working and/or when they retire. On the basis of these, the social security program is an integral aspect of social security to which the government should give a legal protection.


2019 ◽  
Vol 15 (1) ◽  
pp. 26-50
Author(s):  
Nadirsah Hawari ◽  
Rachma Octariani ◽  
Eva Rosalia ◽  
Sinta Arifka ◽  
Asep Candra

Abstract According to Islamic Shari'a, holding a public office is not a right for an individual, but an obligation for the State. Therefore, the government, both the regional head and all its officials, must select the most suitable and most suitable person for every government job. It should not be made of nepotism by looking at kinship, friendship, or faction from any relationship with the eligibility of someone to hold a position .The existing rulers should appoint officials from the best people (al-ashlah), the Prophet said which means "whoever holds a Muslim's business (meaning being a ruler) then he appoints someone to be an official even though he knows there are more people good for (benefit) of the Muslims, then really he has betrayed Allah and His Messenger "(Ibn Taimiyah). If the head of state or other officials do not find the right person for a certain position, in this situation they must choose the person who is more representative. Representative here means the person who is the most appropriate from the one for each government position. And also in this selection process, the head of state and other officials must know about the standards of eligibility al-quwwah (strength) and al-amanah (trust). Al-Quwwah is the ability and feasibility of a job assignment. Whereas trusteeship is a behavior that focuses on the management process regarding the position or function of a position that is in accordance with Islamic Shari'a with the intention of only devoting to Allah and not based on fear of humans and expecting their self-interest. nominating yourself is required to convey the vision and mission and the state program that will be implemented. In this case, the community or community is very necessary to obtain information on the candidate pairs who nominate themselves, and the campaign that can be used as a means of communicating politics and public education. The leaders, servants of the State, civil servants or the military, judges and so on, are essentially representations of the voices of the people they lead. The leaders are no more than public servants who must devote and dedicate their leadership to the benefit of the people. The leaders are only representatives of the fulfillment of the rights of the people, so that they are obliged to run the government properly.    Abstrak Menurut syariat islam, memegang suatu jabatan-jabatan umum bukanlah hak  bagi individu, melainkan kewajiban atasnya bagi Negara. Oleh sebab itu, pemerintah baik kepala daerah dan seluruh pejabatnya harus menyeleksi orang yang paling cocok dan paling layak bagi setiap pekerjaan pemerintahan.Tidak boleh beerbuat nepotisme dengan memandang kekerabatan, persahabatan, atau golongan dari manapun yang tidak ada hubunngannya dengan kelayakan seseorang untuk memegang suatu jabatan.Para penguasa yang telah ada hendaknya mengangkat para pejabat dari orang orang terbaik (al-ashlah), Nabi bersabda yang artinya“barang siapa memegang suatu urusan kaum muslimin (maksudnya menjadi penguasa) kemudian ia mengangkat seseorang menjadi pejabat padahal ia mengetahui ada orang yang lebih baik bagi (kemaslahatan) kaum muslimin, maka sungguh ia telah mengkhianati Allah dan Rasul-Nya” (Ibnu Taimiyah).Apabila kepala Negara atau para pejabat lainnya tidak menemukan orang yang tepat untuk suatu jabatan tertentu, dalam keadaan ini mereka harus memilih orang yang lebih representative. Representative disini memiliki arti yakni orang yang paling tepat dari yang ada untuk setiap jabatan pemerintahan. Dan juga dalam proses penyeleksian ini, kepala Negara dan pejabat lainnya harus mengetahui tentang standar kelayakan  al-quwwah (kekuatan) dan al-amanah (kepercayaan).Al-Quwwah ialah kemampuan dan kelayakan suatu tugas jabatan. Sedangkan amanah, merupakan perilaku yang dititik beratkan pada proses  pengelolaan perihal jabatan atau fungsi dari suatu jabatan yang sesuai dengan syariat islam dengan niat hanya bertaqwa kepada Allah dan bukan berdasar pada ketakutan kepada manusia dan mengharap pamrih dari mereka.Didalam pelaksanaan kampanye, pasangan calon kandidat yang mencalonkan diri diharuskan untuk menyampaikan visi dan misi serta program kenegaraan yang akan dijalankan. Dalam hal ini, umat atau khalayak masyarakat sangat perlu untuk memperoleh informasi atas pasangan calon kandidat yang mencalonkan diri tersebut, dan kampanyelah yang dapat dijadikan sebagai sarana berkomunikasi politik dan pendidikan masyarakat. Para pemimpin, abdi Negara, pegawai sipil atau militer, hakim dan lain sebagainya, pada hakikatnya merupakan representasi suara rakyat yang mereka pimpin. Para pemimpin tidaklah lebih dari pelayan masyarakat yang harus mengabdikan dan mendedikasikan kepemimpinannya untuk kemaslahatan rakyat. Para pemimpin hanyalah wakil akan pemenuh hak hak umat, sehingga mereka wajib menjalankan roda pemerintahan dengan baik.


2019 ◽  
Vol 2 (2) ◽  
pp. 165-174
Author(s):  
Randy Amsyari ◽  
Fajrin Satria Dwi Kesumah

Insurance for the workers means a guarantee of safety for their works on the workplaces. It is necessarily crucial as workers need such a policy that can protect them from the loss. Indonesian government declare a policy that enact the act about National Social Security System (SJSN). The companies are the subject of this regulation, despite the fact at the initial implementation of this law enforcement brought to the pros and cons. Hence, the regulation also regulates for those who betray the policy will have to pay some certain amount of fine which in turn can harden them. The companies on the other side have a choice either to register or not their workers to SJSN as they still consider the premium they have to pay. This study aims to analyze the payoffs for both government and companies to be better off from the law enforcement. Game theory perspective is applied for the methodology of the study, particularly Subgame Perfection Nash Equilibrium (SPNE) and Bayesian Nash Equilibrium (BNE). The results present that in condition of an effective law enforcement at p, the firms will be beneficial from the SJSN policy by registering their workers and pay the premium, because if they do not pay the premium they have to pay additional amount of fine. On the other hand, if the policy is not effective with 1-p, the firms will have an advantage by not registering their employees to the SJSN as the law enforcement is not effective. Also, the government does not necessarily conduct an investigation as the cost is higher than the return that they will get.


2018 ◽  
Author(s):  
Irfan Setia Permana

The government in this case is the legislative and executive institutions are managers in the order of a State. The condusiveness of a State depends on the government's role in treating every citizen fairly. One of the concerns of the State is of course Religion. There are six Religions recognized as official Religion in Indonesia. Therefore, the adherents of a religion in Indonesia should be treated proportionally and fairly by the Government so that it can perform its religious duties.In this discussion the method used is descriptive analysis approach. The steps taken in the discussion of this theme are: determine the focus of research, determine the type and source of data then process and analyze it.The result of the discussion of this topic shows that the Law of the State of Indonesia has guaranteed the right and freedom of every citizen to religion according to his own belief. Therefore, it is appropriate that the people who sit in the legislature and the executive to always maintain the religious freedom of every citizen without looking at the ideology he embraces.There is still in this country discriminatory practices and injustices against the adherents of certain religions, it is necessary steps to provide justice together, including; political struggle for equality and capacity building and understanding of multiculturalism over democratic values. The first attempt was an advocacy of a number of state policies that were still considered unfair. Some legislation products that are less in harmony with the spirit of the 1945 Constitution and the development of the modern world are now being reviewed. While the second attempt is intended to strengthen the consciousness of the majority to further develop the values of equality, freedom, humanistic, homeland love and tolerance to diversity. If these noble things are successfully developed and implemented by all people it will be useful not only for the consolidation of democracy in this country, but also to strengthen nation and State.


Author(s):  
Daniel Ahumada Benítez ◽  
Alejandro Salas Miranda

ResumenEl objetivo de este trabajo es analizar el rol que tuvo la Oficina del Trabajo en la formulación de las normativas legales que crearon las primeras instituciones de previsión social en Chile entre 1909 y 1925. Se plantea que la Oficina del Trabajo tuvo un rol activo y fundamental en la creación del sistema de previsión social que se configuró para 1925, al ser partícipe de las discusiones y diseño de las leyes y reglamentos que rigieron estas instituciones de seguridad social, que fueron la Caja de Ahorro de los Ferrocarriles del Estado (1911), con su reformulación (1918), Caja del Seguro Obrero (1924), Caja de Empleados Particulares (1924) y Caja de Empleados Públicos y Periodistas (1925). Las fuentes provienen principalmente del Fondo de la Dirección del Trabajo del Archivo Nacional de la Administración y del Boletín de la Oficina del Trabajo, además de otras publicaciones periódicas.AbstractThe objective of this paper is to analyze the Labor Office role in formulating the legal regulations that created the first social security institutions in Chile between 1909 and 1925. It is argued that the Labor Office played an active and fundamental role in creating the social security system, set up for 1925, since it participated in discussions and designing of laws and regulations governing the first social security institutions, which were the State Railways’ Savings Fund (1911) and its reformulation (1918), the Worker Security Fund (1924), the Private Employee Pension Fund (1924) and the Civil Servants and Press Staff Pension Fund (1925). Sources are mainly from the Labor Directorate Fund of the National Administration Archive and the Labor Office Bulletin, as well as other material.Keywords: Labor Office, welfare funds, social security, State social intervention.ResumoO objetivo deste trabalho é analisar a função que teve o Escritório do Trabalho na formulação das normativas legais que criaram as primeiras instituições de previdência social no Chile entre 1909 e 1925. Propõe-se que o Escritório do Trabalho teve um papel ativo e fundamental na criação do sistema de previdência social que se configurou para 1925, ao participar das discussões e do desenho das leis e regulamentos que regeram às primeiras instituições de segurança social, as quais foram a Caixa Econômica dos Transportes Ferroviários do Estado (1911) e sua reformulação (1918), Caixa de Seguro Operário (1924), Caixa de Empregados Particulares (1924) e Caixa de Empregados Públicos e Jornalistas (1925). As fontes provieram principalmente do Fundo da Direção do Trabalho do Arquivo Nacional da Administração e do Boletim do Escritório do Trabalho, além de outras publicações periódicas.Palavras-chave: Escritório do Trabalho, caixas de previdência, segurança social, intervenção social do Estado. 


1987 ◽  
Vol 114 (3) ◽  
pp. 467-550 ◽  
Author(s):  
S. Haberman

It is proposed to discuss the actuarial problems associated with the management of long-term sickness and invalidity benefits. The emphasis is on benefits provided by social security schemes (with particular reference to National Insurance benefit in the UK), but the main points are relevant to private sector benefits including permanent health insurance (PHI).The plan of the paper is as follows. We describe in Section 2 the nature of long-term invalidity benefit provided by the British social security system and then consider in Section 3 the problems associated with defining disability. A discussion of the differences between the incidence of morbidity and the making of an insurance claim leads to consideration of selection and moral hazard (Section 4). We then examine in Section 5 the methodology for analysing costs and estimating future costs with particular reference to the development within the Government Actuary's Department (GAD) of a model based on an incidence and survivorship approach to invalidity benefit and the debate aroused by CMI Report No. 7 on the same topic5. The paper then presents an analysis of recent trends in disability claim rates (Section 6) and incidence and termination rates (Sections 7 and 8) based on invalidity benefit within the British social security system, as well as PHI and the experience of other countries. Attempts are then made in Section 9 to explain these trends and the upward trend in financial costs for disability benefits experienced by many social security systems. The paper concludes with an examination of two areas of current interest, viz. sex differences in morbidity rates and claim rates (Section 10) and the relationship between claim rates and the prevailing level of unemployment (Section 11).


Author(s):  
Razel P. Tayo

Effective and efficient procurement system results in the best value for money and transparency. The study assessed the adherence of the Northern Mindanao Division of Social Security System to procurement policies provided in Republic Act No. 9184 – The Government Procurement Reform Act (GPRA) and its revised Implementing Rules and Regulation. Specifically, this answered the query on how adherent is the procurement procedure of Northern Mindanao Division of Social Security System to procurement policies. The study employed a descriptive research design utilizing a combination of document analysis, observation, and interview as data gathering tools. The data were obtained using a researcher-made checklist designed to assess adherence to procurement policies and analyzed using a descriptive statistics. Primary data were validated through a semi-structured interview and triangulated through observation or from available secondary data. Results showed the respondents were not fully adherent because of the inadequacy of technical expertise. There were areas of its existing procurement processes that needed to be corrected or re-engineered. Among the salient areas that should be improved are the professionalizing of all procurement personnel and amending its internal rules and policies to come-up with adherent, modernized, standardized and regulated procurement activities that are compliant with the core principles anchored by GPRA, namely: transparency, accountability, equity, efficiency and economy. Keywords - Social Science, procurement, Government Procurement Reform Act (GPRA), Shopping, Small Value Procurement, PhilGEPS, descriptive design, Philippines


2019 ◽  
Vol 2 (5) ◽  
Author(s):  
Peng Du

With the development of social economy and industry, fisheries also play an important role in the development of the country. In the process of fishery development, the problems in the fishermen's social security system are becoming more and more serious, and the types of problems are gradually increasing. Discovering the problems existing in the development of fisheries, and making up and correcting them in time, has an important role in promoting the development of fisheries and social and economic development. In recent years, the issue of “agriculture, rural areas and farmers” has been a hot topic of discussion. During the course of the problem, the party and the government introduced a series of safeguard measures and policy systems. Based on this, this paper focuses on the problems existing in the fishermen's social security system and the measures to solve the problems. At the same time, the reasons for the reform of the fishermen's social security system are also briefly explained. The main reasons can be divided into four points, namely the cost of living, unemployment insurance for fishermen, fishery resources, and income of fishermen, etc., which are the reasons why the fishery social security system is in urgent need of optimization, contributing to the sustainable development and progress of fisheries.


2018 ◽  
Vol 1 (1) ◽  
pp. 101
Author(s):  
Gunarto Gunarto

Objectives to be achieved in this research To understand and analyze the National Social Security System Construction of Health Sector in the current positive law, to understand and analyze the weaknesses of the National Social Security System in the Field of Health today and to analyze and reconstruct the National Social Security System for Health Based on the value of welfare Research is expected to have both theoretical and practical uses that researchers use is socio legal research, this research approach is chosen to see how far the effectiveness of law in the prosperity of the community especially in health insurance coverage, here the law is not only seen in terms of its effectiveness but Also related to non-legal factors such as institutions related to the welfare of the community. The Legal System of the Health Insurance Program with the participation of BPJS is still very weak both in terms of the legal substance component, in providing equitable welfare in obtaining health services through the Health Insurance Program with. Strengthening Components of Legal Substances by changing Article 39 Paragraphs (1), (3) and (4) of Presidential Regulation No. 12 of 2013, Strengthening Legal Structure Components by Strengthening FKTP I on the regulation of Government Regulation, Strengthening Legal Culture Component by developing Culture of community law through continuous education to the community so that the community, the Government is not responsible for providing funds for Beneficiaries of Contribution (PBI).


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