Indonesia: Health Care Mega-Spending –Whose Have No Complaints?

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    AXIS Capital is a group of global insurer and reinsurer, providing clients and distribution

    partners with a broad range of specialized risk transfer products and services, i.e. health

    insurance that serves a host of industries and diverse coverage needs through our

    operating subsidiaries and branch offices in Bermuda, Australia, Canada, Europe, Latin

    America, Singapore and the United States.

    An effort to guarantee universal health careprovision by 2014 in the worlds fourth-mostcrowded country essentially requires large-scale investments, and is opening up

    opportunities for the private sector.

    Indonesia is obligating billions of dollars as it targets to meet the governmentspromise to

    run universal health care for its 240m citizens by January 1, 2014. This investment, joint

    with the robust economic growth that is boosting Indonesians incomes, is leading to fast

    growing mandate for health services, equipment and pharmaceuticals, in addition to a

    must for more medical professionals. Reviews says the country is fast becoming one ofthe worlds most-important health care markets, and international and domestic firms are

    progressively profiting as the market grows and opens up.

    The establishment of universal coverage involves the creation of a Social Security

    Management Agency (BPJS), linking existing public insurance schemes and prolonging

    them to cover all Indonesians deprived of health insurance. The BPJS will gather

    insurance premiums and pay health care bills, and is anticipated to begin an early

    investment of Rp25trn ($2.59m).

    It must be the worlds largest single payer of health care, a sole payer being a body

    which buys health care from a single insurance pool. The UKs National Health Service

    (NHS) is presently the worlds major single payer. But a warning though, be very

    watchful of insurance scams and frauds.

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    The BPJS will conquest schemes like Jamkesmas, an insurance programme presented in

    2008 that covers more than 75m poorer Indonesians. According to the international press,

    the Jamkesmas scheme offers a broad safety net but not a great depth of coverage, with an

    annual budget of less than $10 per head. Presently, around 40% of the population is

    covered by insurance schemes providing for state employees and their dependents, along

    with the poor.

    Similar to the growth of insurance coverage, the government and private sector are

    working to upsurge the capability of the sector. Our estimates say the government will

    require about 150,000 hospital beds by 2014. That means increasing the number of beds

    by 30% in only two years, as the current number of beds in the country is approximately

    110,000, Jonathan Sudharta, the director of Mensa Group, told OBG.

    According to the UNs World Health Organisation (WHO) currently, the country has a

    ratio of six hospital beds per 10,000 people, compared to 18 in Malaysia and 21 in

    Thailand.

    Increasing health care will furthermore require a considerable upsurge in the amount of

    health care professionals. At this time, the country delays behind regional standards for

    the quantity of doctors as a proportion of the population: Indonesia has three physiciansper 10,000 people, while Malaysia has nine and India, six. There is both a scarcity of

    medical graduates and the challenge of brain drain, whereby several of Indonesias best

    doctors and nurses relocate abroad to work, counting to Malaysia, where wages are a lot

    higher and facilities better.

    Reference:

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