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HEALTH INSURANCE AND CITIZEN RIGHTS: Reviewing the State Role in Fulfilling the Right of Access to Health

Abstract

Indonesia is one country that gained world recognition as a country that respects the Human Rights (HAM), Indonesia is also a party to ratify the two international covenants (International Covenant on Civil and Political Rights [ICCPR] and International Covenant on Economic, Social, and Cultural Rights [ICESCR]) which is derived from the Universal Declaration of Human Rights (UDHR) as the main instrument of human rights. In the national context, the right to obtain access to health is one of the rights possessed by citizens, and the state is obliged to fulfill these rights. UDHR, ICESCR, the Constitution of the Republic of Indonesia, the Human Rights Act, a number of national rules in the field of health, and the social security system through the National Health Insurance program (JKN) into the basic responsibility of the state to fulfill the right to access to healthcare for its citizens. But in fact, based on the news, there are many events and cases related to the problem of poor service at both the Hospital and the Regional Center becomes a problem for the fulfillment of human rights by state. Issues to be discussed in this paper is the factor that causes difficulty in obtaining access to health in Indonesia? and How the state’s role in tackling problems of access to health in Indonesia?. This paper is a conceptual article and in the discussion using the theory of human rights. Economic and geographical problems are two factors causing the population is difficult to get access to healthcare, issues health costs such as certain drugs that are not covered by JKN and other costs (transport, meals, etc.) for the poor is an economic factor that must be addressed by state, whereas unequal distribution of health facilities in a given area makes 188 it difficult for people to access it, but because of the distance traveled very far even have to cross the island into a separate problem for poor people who are sick, it is a geographical factor that should be handled by state. The state’s role in tackling the problems of access to health is the increase allocation of health aid to the poor, coordination of central and local governments to equitable development of health facilities in every region of Indonesia, so that every community can easily access and enjoy the health facilities provided by the state

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