Indonesian national health policy: Legal analysis of the elimination of mandatory health spending

  • Muhammad Juang Rambe Universitas Pembangunan Panca Budi, Medan, Indonesia
  • Muhammad Azhali Siregar Universitas Pembangunan Panca Budi, Medan, Indonesia
  • Danioko S. Sembiring Universitas Pembangunan Panca Budi, Medan, Indonesia
Abstract Views: 78 times
PDF Downloads: 51 times
Keywords: theory of justice; john rawls; mandatory spending

Abstract

Pusphose: The elimination of mandatory spending in Law No. 17 of 2023 on Health has sparked controversy, particularly because it contradicts the World Health Organization's recommendation that allocates 5-6% of GDP to health budgeting to facilitate better access to healthcare services. This removal also potentially violates the Indonesian Constitution, which through Article 28E, Article 28H paragraph (2), Article 28D paragraph (3), and Article 34 paragraph (3) guarantees the fulfillment of health rights for vulnerable groups.

 

Method: This study employs a legal dogmatic research method to analyze the constitutionality of eliminating mandatory spending in Law Number 17 of 2023 on Health, as it pertains to the 1945 Constitution of the Republic of Indonesia, using John Rawls' theory of justice as a tool for legal analysis.

 

Result: Law No. 17 of 2023 on Health has eliminated the mandatory spending provision, which previously stipulated a minimum health budget allocation of 5% from the national budget (called APBN) and 10% from the regional budgets (called APBD), as per Law No. 36 of 2009. The new law introduces performance-based budgeting, but it remains unclear how it will be implemented, especially at the regional level. The main criticism is that this potential elimination could reduce health guarantees for vulnerable groups, contradicting the principles of social justice mandated in the Indonesian Constitution.

 

Conclusion: Although the Constitutional Court has rejected a formal review of this law, opportunities still remain for a substantive examination of the real impact of this elimination on the health access of vulnerable groups.

Downloads

Download data is not yet available.

References

Aktariyani, T., Endah, E. N., Rimawati, & Aineka, G. (2021). Laporan Reviu Kebijakan Program Jaminan Kesehatan Nasional (JKN) Analisis dalam Tiga Aspek: Kepesertaan, Pelayanan dan Pembiayaan.

Badan Legislasi Dewan Perwakilan Rakyat Republik Indonesia. (2023). Naskah Akademik Rancangan Undang-Undang tentang Kesehatan.

Badan Pusat Statistik RI. (2019). Pengeluaran untuk layanan pokok (pendidikan, kesehatan dan perlindungan sosial) sebagai persentase dari total belanja pemerintah (Persen). Https://Www.Bps.Go.Id/. https://www.bps.go.id/indikator/indikator/view_data/0000/data/1759/sdgs_1/1

Badan Pusat Statistik RI. (2022). Persentase Penduduk yang Memiliki Jaminan Kesehatan Menurut Provinsi dan Jenis Jaminan, 2021. Badan Pusat Statistik (BPS - Statistics Indonesia). https://www.bps.go.id/id/statistics-table/3/VVVST00zbE1lR3N4WjBjelQyeEZlRUpzSzBWV1p6MDkjMw==/persentase-penduduk-yang-memiliki-jaminan-kesehatan-menurut-provinsi-dan-jenis-jaminan--2021.html

Coogan, E. H. (n.d.). Rawls and Health Care. https://digitalcommons.colby.edu/honorstheses/501

Faiz, P. M. (2009). Teori Keadilan John Rawls (John Rawls’ Theory of Justice). Jurnal Konstitusi, 6(1), 135–149.

Hidayat, A. A. N. (n.d.). Anggaran Kesehatan RI Lebih Rendah dari Negara Tetangga, Ekonom Bicara Risikonya. Tempo.Co. https://bisnis.tempo.co/read/1744495/anggaran-kesehatan-ri-lebih-rendah-dari-negara-tetangga-ekonom-bicara-risikonya?page_num=2

Kurniawan, A. (2023). Menakar Penghapusan Mandatory Spending. Diakses melalui. Lembaga Administrasi Negara RI. https://lan.go.id/?p=14429

Limbong, R. J., Farikhati, N., Hartanto, M. F. B., Ajie, I. Y., Ayunda, Z. M., Nike, D., Ramadhan, A., Novitasari, M. I., & Saputri, F. | F. I. (n.d.). Kajian pemenuhan hak atas kesehatan bagi kelompok rentan di Indonesia.

Mawardi, A. P. U. (n.d.). CISDI Soroti Penghapusan Mandatory Spending Di RUU Kesehatan. Validnews.Id. https://validnews.id/nasional/cisdi-soroti-penghapusan-mandatory-spending-di-ruu-kesehatan

Murti, B. (2001). Keadilan horisontal, keadilan vertikal dan kebijakan kesehatan. Jurnal Manajemen Pelayanan Kesehatan, 4(03).

Rawls, J. (1971). A Theory of Justice (original e). the Belknap Press of Harvard University Press Cambridge.

Rawls, J. (2001). Justice as fairness: A restatement. Harvard University Press.

Shaver, S., & Saunders, P. (1999). Social Policy for the 21st Century: Justice and Responsibility, Proceedings of the National Social Policy Conference, Sydney, 21-23 July 1999, Volume 1. Social Policy Research Centre.

Situmorang, C. H. (2023). Dampak Utang, Mandatory Spending Hilang. Berita.Iai.Id. berita.iai.id

Sofi, I. (2022). Bunga Rampai Hubungan Keuangan Antara Pemerintah Pusat dan Pemerintahan Daerah. Jakarta: Politeknik Keuangan Negara STAN.

Wayne Morrison, Morrison, W., & Wayne Morrison. (2019). Jurisprudence: from Greek to Post-modernism. (Yurisprudensi: Dari Zaman Yunani Kuno hingga Post-Modernism) (Khozim (ed.)). Nusa Media.

Published
2024-08-28