Indonesian Medical Association Criticizes BPJS Kesehatan's Undocumented Healthcare Restrictions

'Silent Regulation' Affects Critical Medical Services

The Indonesian Doctors Union (IDI) has strongly criticized BPJS Kesehatan's implementation of undocumented restrictions on various healthcare services through what they term 'silent regulation'. IDI Chairman Slamet Budiarto highlighted that these unofficial limits are affecting critical medical procedures including cataract surgery, medical rehabilitation, and high-risk services like cathlab procedures and chemotherapy.

Impact on Patient Care and Medical Practice

These restrictions, though presented as efficiency measures, have resulted in significant operational challenges for healthcare providers. For instance, some hospitals are limited to performing only 10 cataract surgeries per month, leading to waiting lists extending into next year. The situation is further complicated by restrictions on referrals to specialist care, leaving both patients and doctors in difficult positions.

Professional Concerns and Government Engagement

The IDI has formally written to President Prabowo Subianto and the DPR regarding these issues, but reports no positive response thus far. The organization is particularly concerned about the potential harm to patient safety and the ethical dilemmas created for medical professionals. Other healthcare professionals, including nurses and pharmacists, have also raised related concerns about workload, career development, and drug availability issues within the JKN system.

Broader Healthcare Professional Concerns

The Indonesian Nurses Association (PPNI) has reported high nurse workloads and limited opportunities for professional development, while the Indonesian Pharmacists Association (IAI) has highlighted issues with drug availability and pricing. The Indonesian Midwives Association (IBI) has requested adjustments to the Rp800,000 tariff for delivery services, citing the need for more realistic cost calculations.