Sunday, March 27, 2011

Health Insurance, Keeping the People Stay Sick?

Obama finally won the battle to pass the bill that expands health insurance penetration to the unreached segments of society. 32 million citizens of the United States (U.S.) can breathe easier because it has been protected by an insurance system that provides free health care. Most of them sneering Republican efforts against ratification of this bill - the grounds would be dangerous for the country's economy and create new taxes for the haves in the US-as an effort to rich people not to cross-subsidize the poor.

Republican camp might have forgotten that social issues like this are not popular in the community who had just hit the biggest economic crisis after the recession of the 1930s. They were too busy fuss about health insurance fund that cuts income upper class without realizing that it is curative and merely superficial. If only he had put forward the issues such as preventive promotive and preventive for U.S. society do not fall ill as a reason for refusal in advance, the end result will probably be different.

In Asia, many public figures who suggest perberlakuan National Social Security System (Navigation) as soon as possible. More or less the same reasons; equitable health care for all citizens of this beloved country. The question now is how long and how much budget to spend whether if we only pay for health care for the sick without prevent our society from falling ill?

This pain is caused by the strong paradigm of the handcuff policy makers in this country. Each time Questioning health, which appears on their minds is health care (medical services), such as health centers and hospitals (RS), and areas where people lying and sitting waiting for medical intervention by health personnel. Though pain is a long process that begins by normal conditions (no pain). Like a river flows downstream stop regardless of the amount of water flow should be reduced in the upstream, the application regardless of the effort SJSN promotive / preventive is something futile.

Perhaps this also is why we are unable to reach strata Asia utopian Healthy 2010 that proclaimed the Ministry of Health (Kemkes) nearly a decade ago. Health bureaucracy more concerned with logistics supply of medicines and health care facilities rather than health education and prevention is cheaper and more effective. Part of our health workers in the health center is designed like a fire extinguisher; just sitting waiting and give health care when the "fire" has been raging disease. Health promotion efforts in the form of posters and messages only appeal on the walls of health centers due to lack of budget that has largely been sucked up curative efforts.

The paradigm that makes people sick as an investment and source of funds is unfortunately even been adopted by our health insurance system. Community lulled by the safety net of hospitalization by insurance service providers. The message caught clear: why should maintain health, yet if ill, care and treatment will be free?. The insurance company did not bother to cover the cost of promotive / preventive of illness are risk factors (risk factor) is the main attraction for the public would use their product. Conversely, healthy is a condition that must be avoided because it is not valued economically.

Supposedly, in addition to SJSN embodiment, the government is also promoting prevention efforts in the upstream. Should be considered a legal product promotive / preventive as a companion implentasi SJSN. Legislation is also useful to erode the curative paradigm that gripped so far. If not, we will open a Pandora's Box-financing continued to swell due to the number of sick people who continue to grow and par-higher taxes, the grief will be borne by our grandchildren in the future

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