Easy Access to Health Services in Inclusive Government Governance

Abstract

Access to health services is a fundamental right guaranteed by the 1945 Constitution. The Indonesian government has demonstrated its strong commitment through the Contribution Assistance Recipient (PBI) program, namely in Article 14 paragraph (2) of Law Number 40 of 2004 concerning the National Social Security System, which provides subsidies for National Health Insurance (JKN) premiums funded by the regional budget for the poor and underprivileged. However, there are serious challenges related to the accuracy of targeting recipients and the equitable distribution of health care facilities throughout Indonesia. The objective of this study is to analyze the mechanism for determining PBI recipient criteria, identify obstacles in program implementation, and offer strategic solutions to make health subsidies more effective and equitable. The method used is normative juridical, employing a legislative and analytical approach. Research shows that although PBI has succeeded in improving access to health services through Article 14 paragraph (2) of Law Number 40 of 2004 concerning the National Social Security System, the problem lies in the validation of recipient data, which is often inaccurate, so that the wealthy continue to enjoy subsidies while some of the poor are overlooked. Government efforts such as DTKS integration, supervision of aid distribution, and the construction of primary hospitals are significant steps toward improvement. effectiveness of the PBI program is highly dependent on the accuracy of beneficiary data and the equitable distribution of healthcare services. With strengthened databases, continuous verification, and improved healthcare infrastructure, this program can be more targeted and sustainable in achieving social justice in the field of health.