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Abstract
The deactivation of 7.39 million participants in the National Health Insurance Contribution Assistance Program (PBI-JKN) by the Ministry of Social Affairs in early 2025 sparked policy controversy, particularly regarding data accuracy and its impact on vulnerable groups. This study aims to analyze the governance of data verification and the implementation of this policy within the framework of Good Enough Governance proposed by Marlie S. Grindle. Through a case study in Central Java Province—covering Semarang, Demak, and Wonogiri—this research explores how local bureaucratic and fiscal capacity limitations influence responses to central government policies. The results reveal a mismatch between the central government's technocratic approach and the adaptive needs of local areas. While digitalization enhances efficiency, the lack of social sensitivity in implementation risks causing health exclusion. The theory of Good Enough Governance is relevant for evaluating policies contextually and realistically, where reforms do not have to be ideal but sufficiently effective in reaching people with low incomes. The study recommends improvements in data integration, public participation, and policies grounded in social justice. These findings will enrich the discourse on inclusive and adaptive social policy governance amid systemic limitations.
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References
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References
Cairney, P. (2019). Understanding public policy: theories and issues (Vol. 2). Bloomsbury Publishing.
Ciborra, C. (2005). Interpreting e‐government and development: Efficiency, transparency or governance at a distance? Information Technology & People, 18(3), 260–279.
Creswell, J. W. (2003). Research design: qualitative, quantitative, and mixed methods approaches. Thousand Oaks (CA): Sage Publications.
detiknews. 2024). Kemensos Nonaktifkan 7,39 Juta Penerima Bantuan Iuran Jaminan Kesehatan. https://news.detik.com/berita/d-7971561/kemensos-nonaktifkan-7-39-juta-penerima-bantuan-iuran-jaminan-kesehatan
Dunn, W. N. (2015). Public policy analysis. Routledge.
Dwiyanto, A. (2021). Mewujudkan good governance melalui pelayanan publik. Ugm Press.
Fung, A. (2003). Thinking about Empowered Participatory Governance: Archon Fung and Erik Olin Wright. Deepening Democracy: Institutional Innovations in Empowered Participatory Governance, 4(3).
Grindle, M. S. (2004). Good enough governance: poverty reduction and reform in developing countries. Governance, 17(4), 525–548.
Head, B. (2015). Toward More "Evidence-Informed" Policy Making? Public Administration Review, 76, n/a-n/a. https://doi.org/10.1111/puar.12475
Kemensos. (2025). 7,39 Juta Peserta PBI JKN Dinonaktifkan, Gus Ipul: Diganti Warga Tak Mampu Sesuai DTSEN. https://kemensos.go.id/berita-terkini/menteri-sosial/7,39-Juta-Peserta-PBI-JKN-Dinonaktifkan,-Gus-Ipul:-Diganti-Warga-Tak-Mampu-Sesuai-DTSEN
Koenti, I. J. (2023). Kajian atas Pemenuhan Hak Jaminan Sosial Melalui BPJS sebagai Perwujudan Negara Kesejahteraan (Walfare State). Supremasi Hukum: Jurnal Kajian Ilmu Hukum, 1(1).
Kulon, P. L. D. C. (2023). Implementasi Dan Evaluasi Digitalisasi Administrasi Kependudukan.
Mayring, P. (2014). Qualitative content analysis: theoretical foundation, basic procedures, and software solution.
Nurmala Selly Saputri, S. M. (2023). Kajian Dampak Bantuan Iuran Program Jaminan Kesehatan Terhadap Masyarakat Miskin Dan Tidak Mampu. https://smeru.or.id/id/publication-id/kajian-dampak-bantuan-iuran-program-jaminan-kesehatan-pada-masyarakat-miskin-dan
Rosyadi, M. A. I. (2016). Implementasi Kebijakan Tatakelola Peserta Program Jaminan Kesehatan Nasional Di Jatim. JPAP: Jurnal Penelitian Administrasi Publik, 2(01).
Ruhyana, N. F., & Ferdiansyah, H. (2020). Strategi Kebijakan Pemerintah Kabupaten Sumedang Dalam Penyaluran Bantuan Sosial di Masa Pandemi COVID-19. Jurnal Khazanah Intelektual, 4(2), 789–804.
Subakti, H., Hurit, R., Eni, G., Yufrinalis, M., Maria, S., Adwiah, R., Syamil, A., Mbari, M., Putra, S., Solapari, N., Musriati, T., & Putra, A. P. (2023). Metodologi Penelitian Kualitatif.
UNDP. (1996). Human Development Report: Economic Growth and Human Development. Oxford University Press, New York.
UNDP, A. (2017). Strengthening Strategic Alignment for Africa's Development: Lessons from the UN 2030 Agenda for Sustainable Development, the African Union Agenda 2063 and the… econpapers.repec.org. https://econpapers.repec.org/paper/agsundpar/267618.htm