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Most developed countries have partially or fully publicly funded health systems. Most western industrial countries have a system of social insurance based on the principle of social solidarity that covers eligible people from bearing the direct burden of most health care expenditure, funded by taxation during their working life.
The organization of the public sector can take several forms, including: Direct administration funded through taxation; the delivering organization generally has no specific requirement to meet commercial success criteria, and production decisions are determined by government.
As part of the JKN, on 1 January 2014, PT Askes (Persero) was changed from a state-owned company into BPJS Kesehatan, a public agency, which becomes the provider of JKN. [3] [4] It is expected that the entire population will be covered in 2019. [5] [6] [7] In 2016, the BPJS program had a deficit of more than six trillion IDR.