Model of National Health Insurance Arrangements Based on Justice and Social Welfare
Abstract
National Health Insurance is very interesting to study, because it relates to the right of the community to obtain social security as mandated by the 1945 Constitution of the Republic of Indonesia. Health is one of the human rights in addition to the right to obtain a livelihood such as clothing, food and adequate housing for humans. Health is a basic human right that everyone has the right to obtain, health is an element of welfare that must be realized according to the ideals of the Indonesian nation as referred to in Pancasila and the 1945 Constitution of the Republic of Indonesia. This research is a normative legal research with a statutory approach, a conceptual approach and a comparative approach. Legal materials: primary, secondary and tertiary legal materials. The method of collecting materials used a combined method of snowballing with a systematic method. All legal materials collected were analyzed through the steps of description, interpretation, systematic, argumentation and evaluation. The results of this study indicate that the philosophical basis underlying the provision of national health insurance is the state's obligation to provide social protection to the community as stated in the 1945 Constitution of the Republic of Indonesia and social protection guarantees, one of which is health protection. get protection, especially for neglected children and the poor. Regulation of the National Health Insurance in the perspective of the Ius Constitutum, where currently BPJS in the legal perspective is accepted or treated with legal construction as rechtspersoon / rechtssubject with the principle of communis oppo doctorum, which in the implementation of its functions is subject to legal principles. As a state agency, BPJS has an independent policy authority as long as it is used to the maximum extent for the benefit of the participants. Within the scope of State Administrative Law (HAN), BPJS is a very specific Public Legal Entity (BHP) because BPJS is the only BHP formed and (only) can be dissolved by law. In addition, BPJS directors are also directly responsible to the President. The model for setting up a National Health Insurance based on Justice and Social Welfare, it is hoped that the National Health Insurance Arrangement can provide justice and social welfare both to the community as recipients of health services, to hospitals as providers of health services, to health workers and to other stakeholders who involved in the provision of National Health Insurance.
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Book.
Ali, Achmad, 2015, Menguak Tabir Hukum, Prenada Media Group, Jakarta.
Asshiddiqie, Jimly, 2009, Teori Hans Kelsen Tentang Hukum, Konstitusi Perss, Jakarta.
Asyhadie, Zaeni, 2008, Hukum Kerja, Raja Grafindo Persada, Jakarta.
Azhary, Tahir, 2003, Negara Hukum Suatu Studi Tentang Prinsip-Prinsipnya dilihat dari Segi Hukum Islam, Implementasinya Pada Periode Negara Medinah dan Masa Kini, Edisi Kedua, Prenada Media, Jakarta.
Black, Donald,1976, The Behavior of Law, Academic Press, New York.
Blackstone, Sir William 1994, Commentaries on the Laws of England, terungkap dalam Chand, Hari, Modern Jurisprudence, International Law Book Services, Kuala Lumpur.
Bruggink, JJH, 1996, Refleksi Tentang Hukum, diterjemahkan oleh B. Arief Sidharta, PT. Citra Aditya Bakti, Bandung.
Depkes RI, 2006, Pedoman Pelaksanaan Jaminan Pemeliharaan Kesehatan Masyarakat Miskin, Jakarta.
Diantha, Made Pasek, 2017, Metode Penelitian Hukum Normatif dalam Justifikasi Teori Hukum.,Kencana, Jakarta.
Darmodiharjo, Darji dan Shidarta, 1995, Pokok-Pokok Filsafat Hukum, PT Gramedia Pustaka Utama, Jakarta.
Busro, Abu Daud dan Busro, Abu Bakar, 1983, Azas-Azas Hukum Tata Negara, Ghalia Indonesia, Jakarta.
Fuadi, Munir, 2014, Teori-Teori Besar (Grand Theory) Dalam Hukum, Prenadamedia Group, Jakarta.
Hutchinson,Terry CM, 2002, Researching and Wariting in Law, Lawbook CO, Sydney.
Handoko, Widhi, 2014, Kebijakan Hukum Pertahanan Sebuah Refleksi Keadilan Hukum Progresif, Thafa Media, Yogyakarta.
Ian McLeod.1996. Legal Method, Macmilan Press LTD, London
Ibrahim, Johnny, 2008, Teori dan Metodologi Penelitian Hukum Normatif, Bayu Publishing, Surabaya..
_______, 2012, Teori & Metode Penelitian Hukum Normatif (edisi Revisi), Bayu Medis Publising, Malang.
Kadafi, Binziad dkk., 2001, Advokat Indonesia Mencari Legitimasi Studi Tentang Tanggung Jawab Profesi Hukum di Indonesia, Pusat Studi Hukum dan Kebijakan Indonesia & Asia Foundation, Jakarta.
Kälin, Walter; Künzli, Jörg (2009). The Law of International Human Rights Protection. Oxford University Press, Oxford.
Kelsen, Hans, 2010, Teori Umum Tentang Hukum dan Negara Judul Aslinya (Theory Of Law and State) Diterjemahkan Rasul Muttakin, Cetakan ke IV, Nusa Media, Bandung.
Marzuki, Peter Mahmud, 2005, Penelitian Hukum. Kencana,Jakarta.
______, 2017, Penelitian Hukum. Kencana Pernada Media Group, Jakarta.
Mishra, Ramesh, 1984, Welfare State in Crisis, Social Thought and social Change, Wheatsheaf Books Ltd, Harverster Press, London.
Olivier, De Schutter, 2010 International Human Rights Law,Cambridge University Press, De Schutter.
Pantja Astawa, I Gde dan Suprin Na’a, 2008, Dinamika Hukum dan Ilmu Perundang-undangan di Indonesia, Alumni, Bandung.
Prasetyo, Teguh, 2015, Keadilan Bermartabat Perspektif Teori Hukum, Nusa Media, Bandung.
Rahardjo, Satjipto, 1986, Ilmu Hukum, Cetakan Kedua, Alumni, Bandung.
_______, 2008, Membedah Hukum Progresif, Kompas, Jakarta.
_______, 2009, Hukum dan Perilaku, Kompas, Jakarta.
Rasjidi, Lili dan Putra, I.B Wyasa, 1993, Hukum Sebagai Suatu Sistem, Remaja Rusdakarya, Bandung.
Rawls, Jhon, 1973 A Theory of Justice, London: Oxford University press, 1973, yang sudah diterjemahkan dalam bahasa Indonesia oleh Uzair Fauzan dan Heru Prasetyo, Teori Keadilan, Pustaka Pelajar, Yogyakarta.
Salim & Nurbany, ES, 2017, Penerapan Teori Hukum Pada Penelitian Desertasi dan Tesis, PT Rajagrafindo Persada, Depok.
Sinamo, Nomensen, 2013, Hukum Administrasi Negara, Jala Permata Aksara, Jakarta.
Soekanto, Soerjono & Sri Mamuji, 2004. Penelitian Hukum Normatif suatu Tinjauan Singkat, Rajawali Press.Cet 8. Jakarta.
______, 2010, Penelitian Hukum Normative Suatu Tinjauan Singkat, Rajagravindo Persada, Jakarta.
______, 2015, Penelitian Hukum Normatif suatu Tinjauan Singkat, PT Rajagrafindo Persada, Jakarta.
Soepomo, Iman, 1983, Pengantar Hukum Perburuhan,Djambatan, Jakarta.
Sukarno, 1988, Kepada Bangsaku, Ed. 2, Cet. 1, Haji Masagung, Jakarta.
Sulistyawati, Irianto dan Shidarta, 2011, Metode Penelitian Hukum Konstelasi dan Refleksi, Yayasan Pustaka Obor Indonesia, Jakarta.
Suharto, Edi 2005, Membangun Masyarakat Memberdayakan Rakyat: Kajian Strategis Pembangunan Kesejahteraan Sosial dan Pekerjaan Sosial, Refika Aditama, Bandung.
Syamsuddi, Aziz, 2011, Proses Dan teknik Penyusunan Undang-undang, Cetakan Pertama, Sinar Grafika, Jakarta.
Theo, van Boven, 2010 Categories of Rights". Dalam Moeckli, Daniel; Shah, Sangeeta; Sivakumaran, Sandesh. International Human Rights Law, Oxford University Press, Oxford.
Wiyono, Suko, 2001, Hak Asasi Manusia (HAM) Dalam Kerangka Negara Hukum Yang Demokratis Berdasarkan Pancasila dalam Demokrasi, HAM dan Konstitusi Perspektif Negara Bangsa untuk Menghadirkan Keadilan, Setara Press, Malang
Putra, Ida Bagus Wyasa, 2015, Filsafat Ilmu : Filsafat Ilmu Hukum, Udayana University Press, Denpasar
Yuliani, Margaretha, 2013, Menyongsong BPJS Kesehatan 2014, Jaminan Kesehatan: Hak Rakyat-Kewajiban Negara, Jakarta
Yustina, Endang Wahyati, 2012, Mengenal Hukum Rumah Sakit, Keni Media, Bandung.
Scientific meeting.
Hiareij, Eddy O.S Hand Out Mata Kuliah Teori Hukum, Magister Kenotariatan Fakultas Hukum Universitas Gadjah Mada, Yogyakarta
Ibrahim,R., 2013, Kedudukan Filsafat Ilmu Pada Bidang Ilmu, Makalah di Sampaikan Pada Kuliah Umum Program Magister dan Doktor Ilmu Hukum Pascasarjana Universitas Mataram, 26 September
Journal/Magazine.
Agustina, Shinta, 2015, Implementasi Asas Lex Specialis Derogat Legi Generali dalam Sistem Peradilan Pidana, Jurnal Masalah-Masalah Hukum Vol. 44 No. 4. Fakultas Hukum. Universitas Diponegoro, Semarang.
Faiz, Pan Mohamad, 2009, Teori Keadilan John Rawls, dalam Jurnal Konstitusi, Volume 6 Nomor.
Maryam, Siti, 2018, Sistem Jaminan Sosial Nasional melalui Badan Penyelenggaran Jaminan Sosial (BPJS) Kesehatan (Perspektif Hukum Asuransi), Serat Acitya, Jurnal Ilmiah UNTAG Semarang, Vol 7 No 2, 2018.
Prasetyo, Teguh, 2016, Kejahatan Pertambangan Dalam Perspektif Keadilan Bermartabat, Perspektif, Volume XXI Nomor 1 Edisi Januari 2016.
Rahardjo, Satjipto, 1993, Penyelenggaraan Keadilan Dalam Masyarakat Yang Sedang Berubah. Jurnal Masalah Hukum.
Santoso, Urip, 2014, Rekonstruksi Sistem Jaminan Sosial Nasional Bidang Kesehatan Berbasis Nilai Kesejahteraan, Jurnal Pembaharuan Hukum Volume I No. 3 September – Desember 2014.
Santoso, Lukman, 2015, Problematika Sistem Jaminan Kesehatan Nasional Pasca Reformasi di Indonesia, Judicia Jurnal Studi Hukum; Vol. V, No.1, Januari – Juni 2015.
Widada, Trisna, Agus Pramusinto, Lutfan Lazuardi, 2017, Peran Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan dan Implikasinya Terhadap Ketahanan Masyarakat (Studi di RSUD Hasanuddin Damrah Manna, Kabupaten Bengkulu Selatan, Provinsi Bengkulu, Jurnal Ketahanan Nasional, Volume 23 no.2, Agustus 2017.
Constitutional Court Decision.
Putusan Mahkamah Konstitusi RI dalam Perkara Nomor 82/PUU-X/2012 tanggal 8 Oktober 2012.
Putusan Mahkamah Konstitusi RI dalam Perkara Nomor 138/PUU-XII/2014 tanggal 7 Desember 2015.
Putusan Mahkamah Konstitusi RI dalam Perkara Nomor 119/PUU-XIII/2015 tanggal 28 Juli 2016.
Putusan Mahkamah Konstitusi RI dalam Perkara Nomor 7/PUU-XVII/2019 tanggal 26 Maret 2019.
Dictionary.
Dendy Sugono, 2008, Kamus Bahasa Indonesia, Pusat Bahasa, Jakarta
Kamus Besar Bahasa Indonesia, 2016, Badan Pengembangan dan Pembinaan Bahasa,Kementerian Pendidikan dan Kebudayaan Republik Indonesia, Jakarta
Susi Moeimam dan Hein Steinhauer, 2005, Kamus Belanda - Indonesia, Gramedia Pustaka Utama, Jakarta.
Dissertation
Nasution, Chairul Radjab, 2009, Pola Hubungan Antar Lembaga dalam Implementasi Program Jaminan Kesehatan Nasional, (disertasi), Program Doktor Ilmu Kedokteran & Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gajahmada, Yogyakarta.
Supriyantoro, 2014, Formulasi Kebijakan Intergrasi Jaminan Kebijakan Daerah ke Sistem Jaminan Kesehatan Nasional menuju Universal Health Coverage, (disertasi), Program Doktor Ilmu Kedokteran & Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gajahmada, Yogyakarta.
Setiono, 2004, Rule Of Law (supremasi hukum), Magister Ilmu Hukum Program Pascasarjana Universitas Sebelas Maret, Surakarta.
Yusrianto, 2019, Rekontruksi Tanggungjawab Pemerintah di bidang pelayanan Kesehatan Badan Penyelenggara Jaminan Sosial (BPJS) berbasis nilai Keadilan Bermartabat, (disertasi), Program Doktor llmu Hukum Fakultas Hukum Unissula, Semarang.
Laws and regulations
Constitution of the Republic of Indonesia.
Law Number 39 of 1999 concerning Human Rights (State Gazette of the Republic of Indonesia of 1999 Number 165. Supplement to the State Gazette of the Republic of Indonesia Number 3886).
Law Number 40 of 2004 concerning the National Social Security System (State Gazette of the Republic of Indonesia of 2004 Number 150. Supplement to the State Gazette of the Republic of Indonesia Number 4456).
Law Number 10 of 2004 concerning the Establishment of Invitation Regulations (State Gazette of the Republic of Indonesia of 2004 Number 5).
Law Number 36 Year 2009 concerning Health. (State Gazette of the Republic of Indonesia of 2009 number 144. Supplement to the State Gazette of the Republic of Indonesia number 5063).
Law Number 24 of 2011 concerning the Social Security Administering Body. (State Gazette of the Republic of Indonesia of 2011 Number 116. Supplement to the State Gazette of the Republic of Indonesia number 5256).
Law Number 23 of 2014 concerning Regional Government. (State Gazette of the Republic of Indonesia of 2014 Number 224).
Presidential Regulation of the Republic of Indonesia Number 111 of 2013 Amendment to Presidential Regulation number 12 of 2013 concerning Health Insurance. (State Gazette of the Republic of Indonesia of 2013 number 255).
Regulation of the President of the Republic of Indonesia number 32 of 2014 concerning the Management and Utilization of the National Health Insurance Capitation Fund at the First Level Health Facilities of the Regional Government. (State Gazette of the Republic of Indonesia of 2014 number 81).
Presidential Regulation number 82 of 2018 concerning National Health Insurance. (State Gazette of the Republic of Indonesia of 2018 number 165).
Regulation of the Minister of Health Number 71 of 2013 concerning Health Services at the National Health Insurance. (State Gazette of the Republic of Indonesia of 2013 number 1400).
Regulation of the Minister of Health Number 59 of 2014 concerning Standard Tariffs for Health Services in the Implementation of the Health Insurance Program (State Gazette of the Republic of Indonesia of 2014 number 1287).
Bali Governor Regulation Number 104 of 2018 concerning the Prosperous Bali Krama National Health Insurance. (Regional Gazette of Bali Province Year 2018 Number 10).
DOI: http://dx.doi.org/10.18415/ijmmu.v9i2.3511
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