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BPJS Pasti Bikin Rumah Sakit Bangkrut

 

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Filed under: Dokter Indonesia, Kemanusiaan, Kesehatan, Medikolegal

An open letter for the people in Gaza

Lancet, Early Online Publication, 23 July 2014
doi:10.1016/S0140-6736(14)61044-8

Paola Manduca, Iain Chalmers, Derek Summerfield, Mads Gilbert, Swee Ang, on behalf of 24 signatories

We are doctors and scientists, who spend our lives developing means to care and protect health and lives. We are also informed people; we teach the ethics of our professions, together with the knowledge and practice of it. We all have worked in and known the situation of Gaza for years.On the basis of our ethics and practice, we are denouncing what we witness in the aggression of Gaza by Israel.We ask our colleagues, old and young professionals, to denounce this Israeli aggression. We challenge the perversity of a propaganda that justifies the creation of an emergency to masquerade a massacre, a so-called “defensive aggression”. In reality it is a ruthless assault of unlimited duration, extent, and intensity. We wish to report the facts as we see them and their implications on the lives of the people.We are appalled by the military onslaught on civilians in Gaza under the guise of punishing terrorists. This is the third large scale military assault on Gaza since 2008. Each time the death toll is borne mainly by innocent people in Gaza, especially women and children under the unacceptable pretext of Israel eradicating political parties and resistance to the occupation and siege they impose.This action also terrifies those who are not directly hit, and wounds the soul, mind, and resilience of the young generation. Our condemnation and disgust are further compounded by the denial and prohibition for Gaza to receive external help and supplies to alleviate the dire circumstances.The blockade on Gaza has tightened further since last year and this has worsened the toll on Gaza’s population. In Gaza, people suffer from hunger, thirst, pollution, shortage of medicines, electricity, and any means to get an income, not only by being bombed and shelled. Power crisis, gasoline shortage, water and food scarcity, sewage outflow and ever decreasing resources are disasters caused directly and indirectly by the siege.1People in Gaza are resisting this aggression because they want a better and normal life and, even while crying in sorrow, pain, and terror, they reject a temporary truce that does not provide a real chance for a better future. A voice under the attacks in Gaza is that of Um Al Ramlawi who speaks for all in Gaza: “They are killing us all anyway—either a slow death by the siege, or a fast one by military attacks. We have nothing left to lose—we must fight for our rights, or die trying.”2
Gaza has been blockaded by sea and land since 2006. Any individual of Gaza, including fishermen venturing beyond 3 nautical miles of the coast of Gaza, face being shot by the Israeli Navy. No one from Gaza can leave from the only two checkpoints, Erez or Rafah, without special permission from the Israelis and the Egyptians, which is hard to come by for many, if not impossible. People in Gaza are unable to go abroad to study, work, visit families, or do business. Wounded and sick people cannot leave easily to get specialised treatment outside Gaza. Entries of food and medicines into Gaza have been restricted and many essential items for survival are prohibited.3 Before the present assault, medical stock items in Gaza were already at an all time low because of the blockade.3 They have run out now. Likewise, Gaza is unable to export its produce. Agriculture has been severely impaired by the imposition of a buffer zone, and agricultural products cannot be exported due to the blockade. 80% of Gaza’s population is dependent on food rations from the UN.
Much of Gaza’s buildings and infrastructure had been destroyed during Operation Cast Lead, 2008—09, and building materials have been blockaded so that schools, homes, and institutions cannot be properly rebuilt. Factories destroyed by bombardment have rarely been rebuilt adding unemployment to destitution.
Despite the difficult conditions, the people of Gaza and their political leaders have recently moved to resolve their conflicts “without arms and harm” through the process of reconciliation between factions, their leadership renouncing titles and positions, so that a unity government can be formed abolishing the divisive factional politics operating since 2007. This reconciliation, although accepted by many in the international community, was rejected by Israel. The present Israeli attacks stop this chance of political unity between Gaza and the West Bank and single out a part of the Palestinian society by destroying the lives of people of Gaza. Under the pretext of eliminating terrorism, Israel is trying to destroy the growing Palestinian unity. Among other lies, it is stated that civilians in Gaza are hostages of Hamas whereas the truth is that the Gaza Strip is sealed by the Israelis and Egyptians.
Gaza has been bombed continuously for the past 14 days followed now by invasion on land by tanks and thousands of Israeli troops. More than 60 000 civilians from Northern Gaza were ordered to leave their homes. These internally displaced people have nowhere to go since Central and Southern Gaza are also subjected to heavy artillery bombardment. The whole of Gaza is under attack. The only shelters in Gaza are the schools of the UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), uncertain shelters already targeted during Cast Lead, killing many.
According to Gaza Ministry of Health and UN Office for the Coordination of Humanitarian Affairs (OCHA),1 as of July 21, 149 of the 558 killed in Gaza and 1100 of the 3504 wounded are children. Those buried under the rubble are not counted yet. As we write, the BBC reports of the bombing of another hospital, hitting the intensive care unit and operating theatres, with deaths of patients and staff. There are now fears for the main hospital Al Shifa. Moreover, most people are psychologically traumatised in Gaza. Anyone older than 6 years has already lived through their third military assault by Israel.
The massacre in Gaza spares no one, and includes the disabled and sick in hospitals, children playing on the beach or on the roof top, with a large majority of non-combatants. Hospitals, clinics, ambulances, mosques, schools, and press buildings have all been attacked, with thousands of private homes bombed, clearly directing fire to target whole families killing them within their homes, depriving families of their homes by chasing them out a few minutes before destruction. An entire area was destroyed on July 20, leaving thousands of displaced people homeless, beside wounding hundreds and killing at least 70—this is way beyond the purpose of finding tunnels. None of these are military objectives. These attacks aim to terrorise, wound the soul and the body of the people, and make their life impossible in the future, as well as also demolishing their homes and prohibiting the means to rebuild.
Weaponry known to cause long-term damages on health of the whole population are used; particularly non fragmentation weaponry and hard-head bombs. We witnessed targeted weaponry used indiscriminately and on children and we constantly see that so-called intelligent weapons fail to be precise, unless they are deliberately used to destroy innocent lives.We denounce the myth propagated by Israel that the aggression is done caring about saving civilian lives and children’s wellbeing.
Israel’s behaviour has insulted our humanity, intelligence, and dignity as well as our professional ethics and efforts. Even those of us who want to go and help are unable to reach Gaza due to the blockade.This “defensive aggression” of unlimited duration, extent, and intensity must be stopped.Additionally, should the use of gas be further confirmed, this is unequivocally a war crime for which, before anything else, high sanctions will have to be taken immediately on Israel with cessation of any trade and collaborative agreements with Europe.
As we write, other massacres and threats to the medical personnel in emergency services and denial of entry for international humanitarian convoys are reported.6 We as scientists and doctors cannot keep silent while this crime against humanity continues. We urge readers not to be silent too. Gaza trapped under siege, is being killed by one of the world’s largest and most sophisticated modern military machines. The land is poisoned by weapon debris, with consequences for future generations. If those of us capable of speaking up fail to do so and take a stand against this war crime, we are also complicit in the destruction of the lives and homes of 1·8 million people in Gaza.We register with dismay that only 5% of our Israeli academic colleagues signed an appeal to their government to stop the military operation against Gaza. We are tempted to conclude that with the exception of this 5%, the rest of the Israeli academics are complicit in the massacre and destruction of Gaza. We also see the complicity of our countries in Europe and North America in this massacre and the impotence once again of the international institutions and organisations to stop this massacre.

For the Open Letter to Israel Academics see http://haimbresheeth.com/gaza/an-open-letter-to-israel-academics-july-13th-2014

We declare no competing interests.

Filed under: Kemanusiaan, ,

Mr. Obama – do you have a heart?

GAZA — Seorang dokter yang bekerja di Rumah Sakit Al-Shifa mengirimkan surat terbuka untuk Presiden Amerika Serikat Barack Obama dan para pemimpin dunia yang lainnya. Dengan menuliskan  “Tuan Obama – Apakah anda memiliki hati ? ,” 

Dokter itu adalah Mads Gilbert MD PhD, seorang Prof Klinis dan Kepala Klinik of Emergency, University Hospital of Noertg Norway. Yang mana kini ia berkerja di rumah sakit Al-Shifa, Jalur Gaza. 

Surat tersebut diterbitkan di Middle East Monitor (MEMO) Ahad, (20/7), yang berisikan sebagai berikut ; 

I invite you – spend one night – just one night – with us in Shifa. Disguised as a cleaner, maybe.
I am convinced, 100%, it would change history.
Nobody with a heart AND power could ever walk away from a night in Shifa without being determined to end the slaughter of the Palestinian people.
But the heartless and merciless have done their calculations and planned another “dahyia” onslaught on Gaza.
The rivers of blood will keep running the coming night. I can hear they have tuned their instruments of death.
Please. Do what you can. This, THIS cannot continue. 

Sumber: Republika Online

 

Filed under: Kemanusiaan

JKN, Madu dan Racun

12/2/2014  | Badrul Munir

ORANG bijak mengatakan, “gagal dalam merencanakan sesuatu berarti merencanakan suatu kegagalan”.

Kalimat ini rasanya sangat pas digunakan dalam beberapa kegiatan penting kehidupan sehari-hari, apalagi kegiatan yang menyangkut hajat hidup orang banyak seperti Jaminan Kesehatan Nasional (JKN). Read the rest of this entry »

Filed under: Kesehatan,

Mengurus Kartu SBY-care

Samdy Saragih | Kompasiana |

Kalau apa yang dikutip Kompas.com dari Bloomberg bahwa program Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan disamakan dengan Obamacare di Amerika, maka kita bisa namakan BPJS Kesehatan dengan nama “SBY-care”. Kata Bloomberg lagi, program BPJS Kesehatan ini ditunggu dunia keberhasilannya karena program serupa di Amerika tidak berjalan mulus. BPJS-nya Indonesia akan menjadi asuransi kesehatan terbesar di dunia jika pada 1 Januari 2019 mendatang, seperti direncanakan, akan mencakup seluruh warga negara Indonesia. Read the rest of this entry »

Filed under: Kesehatan

“Dok, saya dipulangkan dari Rumah Sakit”

6/1/14 | imani-prokami.org

…Tentu perubahan ini tidak bisa dikatakan nyaman. Baik bagi dokter, apalagi pasien.

Bagi dokter, jika pasien sudah datang “masak” iya mau dipulangkan? Masalahnya adalah, dalam JKN ini kondisi emergency yang tidak dirawat inap, tidak bisa diklaim ke BPJS. Dan, kriteria kondisi emergency pun berbeda antara kriteria BPJS, kriteria RS dan kriteria (persepsi) pasien. Read the rest of this entry »

Filed under: Kesehatan, ,

Pejabat Berobat ke Luar Negeri Juga Ditanggung Pemerintah

Oleh Nurmayanti | Posted: 27/12/2013 14:23 | liputan6.com

Liputan6.com, Jakarta : Fasilitas kesehatan yang diberikan pemerintah kepada para pejabat negara cukup besar. Buktinya, mengacu pada Peraturan Presiden (Perpres) Nomor 105/2013 dan Perpres Nomor 106/2013 menyebutkan pelayanan kesehatan paripurna (menyeluruh) termasuk pelayanan kesehatan rumah sakit di luar negeri yang dilakukan dengan mekanisme penggantian biaya. Read the rest of this entry »

Filed under: Uncategorized

US-Business Council Sampaikan Dukungan ke Kemenkes

JUM’AT, 15 NOVEMBER 2013 , 10:04:00

JAKARTA – Para pengusaha dan investor asal Amerika, yang tergabung dalam US-ASEAN Business Council menyatakan dukungannya atas langkah pemerintah dalam meraih tujuan Indonesia Sehat dan pelaksanaan Jaminan Kesehatan Nasional (JKN). Hal itu terungkap dalam pertemuan antara Menteri Kesehatan, Nafsiah Mboi dengan delegasi US-ASEAN Business Council kemarin.

“Sebagai pihak swasta, kami ingin menyelaraskan bisnis kami dengan kebijakan pemerintah. Dengan demikian, kami bisa lebih mendukung pemerintah. Untuk itu, kami berharap dialog seperti ini dapat dilakukan lebih intensif,” Read the rest of this entry »

Filed under: Kesehatan, Politik

Hadapi Serbuan Dokter Asing, Menkes Siapkan Strategi

SABTU, 16 NOVEMBER 2013 , 08:23:00 | m.jpnn.com

JAKARTA – Menjelang datangnya ASEAN Economic Community pada tahun 2015, Menteri Kesehatan Nafsiah telah menyiapkan startegi untuk melindungi dokter-dokter Indonesia dari serbuan dokter asing. Menkes mengatakan akan menaikkan standar masuk bagi seluruh dokter asing yang ingin masuk ke Indonesia. Read the rest of this entry »

Filed under: Kesehatan, Politik

“Di Balik Frekuensi”: Ketika Jurnalisme Dibungkam Oleh Pemilik Medianya Sendiri

February 22 2013 | By Sigit Kurniawan

Dulu, di masa Orde Baru, ada kutipan populer dari seorang penulis-cum-wartawan Seno Gumira Ajidarma yang berbunyi “Ketika jurnalisme dibungkam, sastra bicara.” Ungkapan ini menggambarkan bagaimana praktik jurnalisme sering mengalami penindasan dari kekuasaan Orde Baru. Sastra menjadi salah satu cara melawan  tirani negara atas jurnalisme tersebut.

Negara cukup kuat dan mengintervensi ruang-ruang redaksi. Read the rest of this entry »

Filed under: Uncategorized