The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia
Abstract In Indonesia, the national universal health coverage scheme (Jaminan Kesehatan Nasional [JKN]) has consistently overspent against its budget since it was introduced in 2014. In 2017, a new regulation diverted 37.5% of tobacco tax revenue collected at the district and city level to the centr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-09-01
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| Series: | Asia & the Pacific Policy Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/app5.334 |
| _version_ | 1818352590899904512 |
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| author | Abdillah Ahsan Elisabeth Kramer Nadhila Adani Askar Muhammad Nadira Amalia |
| author_facet | Abdillah Ahsan Elisabeth Kramer Nadhila Adani Askar Muhammad Nadira Amalia |
| author_sort | Abdillah Ahsan |
| collection | DOAJ |
| description | Abstract In Indonesia, the national universal health coverage scheme (Jaminan Kesehatan Nasional [JKN]) has consistently overspent against its budget since it was introduced in 2014. In 2017, a new regulation diverted 37.5% of tobacco tax revenue collected at the district and city level to the central government in order to increase government contributions to the JKN. Through a review of policy documents and interviews and focus group discussions with relevant stakeholders, this article explores the history of the JKN and its relationship to local tobacco taxes. Offering an ex‐post assessment of the policy and its implementation, we find it negative on three fronts: funding for local anti‐smoking initiatives and services was cut, the procedures for implementing the policy were complex and time‐consuming, and it did not contribute as much as anticipated to the JKN. These findings underscore potential pitfalls of politically motivated policy that fails to consider implementation and impact. We recommend that the policy be revoked, and local tobacco tax revenue reallocated to its initial purpose, which includes promoting local smoking prevention programs and health service delivery. |
| first_indexed | 2024-12-13T18:56:04Z |
| format | Article |
| id | doaj.art-6f71a70bf2ab46d7bcbd5deae35ef14d |
| institution | Directory Open Access Journal |
| issn | 2050-2680 |
| language | English |
| last_indexed | 2024-12-13T18:56:04Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Asia & the Pacific Policy Studies |
| spelling | doaj.art-6f71a70bf2ab46d7bcbd5deae35ef14d2022-12-21T23:34:48ZengWileyAsia & the Pacific Policy Studies2050-26802021-09-018335136610.1002/app5.334The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in IndonesiaAbdillah Ahsan0Elisabeth Kramer1Nadhila Adani2Askar Muhammad3Nadira Amalia4Faculty of Economics and Business University of Indonesia Jakarta IndonesiaSydney Southeast Asia Centre University of Sydney Sydney New South Wales AustraliaFaculty of Economics and Business University of Indonesia Jakarta IndonesiaFaculty of Economics and Business University of Indonesia Jakarta IndonesiaFaculty of Economics and Business University of Indonesia Jakarta IndonesiaAbstract In Indonesia, the national universal health coverage scheme (Jaminan Kesehatan Nasional [JKN]) has consistently overspent against its budget since it was introduced in 2014. In 2017, a new regulation diverted 37.5% of tobacco tax revenue collected at the district and city level to the central government in order to increase government contributions to the JKN. Through a review of policy documents and interviews and focus group discussions with relevant stakeholders, this article explores the history of the JKN and its relationship to local tobacco taxes. Offering an ex‐post assessment of the policy and its implementation, we find it negative on three fronts: funding for local anti‐smoking initiatives and services was cut, the procedures for implementing the policy were complex and time‐consuming, and it did not contribute as much as anticipated to the JKN. These findings underscore potential pitfalls of politically motivated policy that fails to consider implementation and impact. We recommend that the policy be revoked, and local tobacco tax revenue reallocated to its initial purpose, which includes promoting local smoking prevention programs and health service delivery.https://doi.org/10.1002/app5.334governmenthealth policyIndonesiatobaccouniversal healthcare |
| spellingShingle | Abdillah Ahsan Elisabeth Kramer Nadhila Adani Askar Muhammad Nadira Amalia The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia Asia & the Pacific Policy Studies government health policy Indonesia tobacco universal healthcare |
| title | The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia |
| title_full | The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia |
| title_fullStr | The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia |
| title_full_unstemmed | The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia |
| title_short | The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia |
| title_sort | politics of funding universal healthcare diverting local tobacco taxes to subsidise the national health scheme in indonesia |
| topic | government health policy Indonesia tobacco universal healthcare |
| url | https://doi.org/10.1002/app5.334 |
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