The Dilemma of PBI and Non-PBI Criteria for JKN 2014

By on December 5, 2013

Lumajang—Due to the impending implementation of JKN (National Health Insurance) on 1 January 2014, and referring to the previous versions of national health program, namely JAMKESMAS, there would be severe difficulties to face. One of them is the lack of information regarding JKN available to the public; rendering JKN corruptible by people with nefarious intentions, through the misreporting of the number eligible for PBI (Premium Assisted) and Non-PBI. This misreporting will cause the people eligible for PBI losing their access to the health program.

JKNThe Social Security Implementation Body (BPJS) must draw up more specific criteria for PBI and Non-PBI. The criterion “poor” will be interpreted differently from one region to another. It would be much better if the people are allowed to draw the criteria for themselves. In the workshop in Lumajang, attended by people from five villages (Tegalrandu, Sumberweringin, Papringan, Salak, and Yosowilangun), on 31 August 2013, one of the participants told the forum that the misreporting is due to the exclusion of local leaders and village chiefs in the registration process. “Luckily I know the people in the District and the Statistical Office. Those people went straight to the villages to conduct registration. They didn’t even knock the door, so to speak. And thus the data for JAMKESMAS and BLSM are in jumble. The village leaders and village chiefs were furious, demanding the replacement of the statistical officers responsible. This kind of practice usually ends up in abuse, where the officers only register their own relatives. If the instruction for registration came from the District Head, the Village Chiefs would be empowered to submit an accurate data of persons eligible for PBI,” thus Sri, a woman from Salak Village, described.

The problem lies not just with the BPJS officers but also with all the stakeholders. The implementation calls for a close monitoring process to enable the poor to enjoy their rights to health; and to prevent those ineligible for assistance to rip the poor off these rights.*

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