Health Bill: To Make Health Affairs Bureaucratics Simpler

The laws and regulations regarding pharmaceuticals are also included in the discussion of the Health Bill. (Between/Indrianto Eko Suwarso/foc/aa)

JAKARTA The Draft Health Law has entered the socialization stage to the public and stakeholders. Reportedly, said Secretary General of the All-Indonesian Doctors Association (PDSI), dr. Erfen Gustiawan Suwangto, the inventory list of problems that have been collected will soon be finalized and submitted to the DPR RI this week.

Improvements to health sector regulations through omnibus law are needed to avoid overlaps or disharmony. Also, as efficiency and eliminating sectoral egos in various laws and regulations.

The Health Bill revokes 9 laws (UU) and amends 4 existing laws. The law that was repealed was:

The amended laws are:

"The Health Bill is expected to be an answer to the difficulties faced by health workers, including the issuance of Registration Certificates (STR) and Practice Permits (SIP) by professional organizations," Erfen said at the Forum Group Discussion related to the Health Bill at the Central General Hospital Prof. dr. IGNG Ngoerah on March 24.

That, according to Erfen, is in accordance with the instructions of the Minister of Health who wants to make it easier for health workers in their licensing process. As a result, the current authority of health worker organizations must be limited.

When referring to the organization of health workers or medicine in the United States, Britain, Singapore, no one takes care of licensing. As well as mass organizations, all they take care of is only about the welfare of their members, such as providing legal assistance, making cooperatives, student duties, and so on," said Erfen.

In contrast to the professional health worker organization in Indonesia which is in power from upstream to downstream.

"I don't blame the organization because it's in the 2004 Law, mistakes are already in the rules. Regardless of the number of people who have been considered to power abuse in the organization, it's another matter, which we observe is the system. Changing this means having to change the system," Erfen added.

Expert Staff to the Minister of Health for Health Law Sundoyo also welcomed the DPR's Health Bill initiative with the omnibus law method. This is good enough to reduce overlap in statutory regulations.

"Let us pay attention to the 9 laws that will be revoked, from one to another many overlap and even tend to be cons. Second, there are also many similarities," said Sundoyo in the FMB9 Dialogue entitled 'Transformation of Indonesian Health Services: The Health Bill' on April 3.

Examples of several arrangements in health workers ranging from the Health Law, the Medical Practice Law, the Nursing Law, and the Obscenity Law.

"Well, if we can simplify, make one, discuss it together, this will be more efficient. At the same time avoiding multiple interpretations in practice. Because there is only one word difference in one formulation, the interpretation can vary, the implementation will have an effect too," he added.

The point is, health problems in Indonesia are very complex, requiring a comprehensive solution. Starting from the fulfillment of the resources of health workers, facilities and infrastructure, to the pharmaceutical industry.

Chairman of PB IDI, Moh. Adib Khumaidi actually questioned whether the Health Bill would later be able to fix the current problems. For example, regarding the revocation of a number of rules regarding professional organizations.

The constitution has so far authorized professional organizations in managing, including ethical issues. If this is eliminated, what will happen to health workers and medical personnel in the future. Moreover, the current character of patients is much different, they have a high tendency to demand.

Ada kemudian UU ini memberikan sebuah perlindungan hukum terhadap tenaga medis dan tenaga kesehatan. Kita lihat pasal 282, 326, 327, 328. Di dalam pasal-pasal ini norm yang berkaitan dengan pasal perlindungan hukum hanya norm yang akstrak, kata Adib dalam kesempatan sama.

Later, there will be three demands that can occur. First, demands from the disciplinary honorary assembly. Second, demands in the provisions of criminal legislation, and lawsuits related to civil matters as well.

"It's not impossible, the consequences are all doctors, health workers will make a high-cost health effort. Everything will be checked to be safe. Very contradictory to conditions, sorry, national health insurance which is actually a minimum service standard," he said.

That's why, Adib asked not to rush, "Not in a hurry. Let's talk about it from the public interest side, as well as the interests of health workers who serve health."

"The basic problems in the health system must be discussed comprehensively, ranging from financing systems, health services, to education for health workers and medical personnel," he added.