The wellbeing of B40 households: A case of MySalam scheme from Sen's Capability Approach
Abstract
According to the World Bank and World Health Organisation, about 100 million people in the world must pay for healthcare expenses from their own pockets, which has pushed them into extreme poverty. In light of this, the Malaysian government has launched the MySalam Scheme to assist the impoverished and vulnerable in overcoming financial challenges during an unforeseen critical illness. The government has introduced the MySalam Scheme as a new form of healthcare assistance. Thus, on the one hand, a one-time cash payout through the scheme may increase the health of B40 households and access to the facility. However, on the other hand, it may not improve the wellbeing of the B40 households unless it also expands their capability to be what they want to be. Due to that, this study aims to examine whether the Scheme improves the wellbeing of the recipients or not. This study employed qualitative research, and a total of 20 respondents were interviewed using semi-structured interviews. Findings from this study indicated that the MySalam Scheme improved recipients' wellbeing in terms of improving health access, providing financial health protection, and lessening the financial burden on B40 households. Even so, the government should improve the Scheme by expanding access to 65-year-olds and older people and by increasing the accessibility of healthcare centers to poor households.
Keywords: B40 households, capability approach, MySalam scheme, wellbeing
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Abd Wahab, S. N., Nurul Huda, M. Satar., & Makmor, T. (2022). Urban poor: Evidence of barriers in accessing public clinics in Kuala Lumpur, Malaysia. Malaysian Journal of Public Health, 22(1), 193-204. https://doi.org/10.3726/mjphm/vol.22no.1/art.1148
Alkire, S. (2005). Why the capability approach?. Journal of human development, 6(1), 115-135. https://doi.org/10.1080/146498805200034275
Bryman, A. (2012). Social Research Methods. London, Oxford University Press.
Falchetta, G., Hammad, A. T., & Shayegh, S. (2020). Planning universal accessibility to public health care in sub-Saharan Africa. Proceedings of the National Academy of Sciences, 117(50), 31760-31769. https://doi.org/10.1073/pnas.2009172117
Fukuda-Parr, S. (2003). The human development paradigm: operationalizing Sen's ideas on capabilities. Feminist economics, 9(2-3), 301-317. https://doi.org/10.1080/1354570022 000077980
Gasper, D. (2007). What is the capability approach? Its core, rationale, partners and dangers. The Journal of Socio-Economics, 36(3), 335-359. https://doi.org/10.1016/j.socec.2006.12.001
Hoffman, C., & Paradise, J. (2008). Health insurance and access to health care in the United States. Journal of Academy of Sciences, 11(36), 149-160. https://doi.org/10.1196/annals. 1425.007
Jacobson, T. L. (2016). Amartya Sen's capabilities approach and communication for development and social change. Journal of Communication, 66(5), 789–810. https://doi.org/10.1111/jcom.12252
Kelland, K. (2010, November 22). One billion people cannot afford healthcare: WHO. Reuters. https://www.reuters.com/article/idUSTRE6AL1GV/#:~:text=LONDON%20(Reuters)%20%2D%20Around%20a,Health%20Organisation%20said%20on%20Monday
Kim, S. M., Wu, C. F., & Woodard, R. (2020). The dreams of mothers: Implications of Sen's capability approach for single mothers on welfare. Journal of Poverty, 24(4), 267-283. https://doi.org/10.1080/10875549.2019.1692272
Lim, K. K., Sivasampu, S., & Mahmud, F. (2017). Equity in access to health care in a rural population in Malaysia: A cross‐sectional study. Australian Journal of Rural Health, 25(2), 102-109. https://doi.org/10.1111/ajr.12298
Lum, M. (2022). New government needs to address fundamental healthcare issues. The Star. https://www.thestar.com.my/lifestyle/health/the-doctor-says/2022/12/06/new-government-needs-to-address-fundamental-healthcare-issues
MacLeod, S., Musich, S., Hawkins, K., & Armstrong, D. G. (2017). The growing need for resources to help older adults manage their financial and healthcare choices. BMC geriatrics, 17, 1-9. https://doi.org/10.1186/s12877-017-0477-5
Malaysiakini. (2019, Dec 4). MySalam scheme insufficient to meet B40 takaful needs – consultant. Malaysiakini Online News. https://www.malaysiakini.com/news/502429-MalaysiaKini
MySalam Portal. (2022). MySalam Skim Perlindungan Masyarakat. https://www.mysalam.com.my/mys/info/
Nurdianawati, I. A. (2021). Impactful and collective microtakaful in addressing the impact of Covid-19 pandemic. Journal of Islamic Finance, Special Issue 10(1), 117-126. https://doi.org/10.31436/jif.v10i.534
Naz, F. (2020). Understanding human wellbeing: How could Sen's capability approach contribute?. The Forum for social economics, 49(3), 316–331. https://doi.org/10.1080/ 07360932.2016.1222947
Ong, S. (2019). MySalam may be deficient for B40. The Malaysian Reserve. https://themalaysianreserve.com/2019/12/05/mysalam-may-be-deficient-for-b40/#google_vignette
Rapi, M. Z. H., Salaudeen, A. O., Muhammad Rawi Ravi, M. I., Wongsangiam, R., & Redzuan, N. H. (2022). Micro Takaful Programs for the Poor: The Malaysian Experience. International Journal of Accounting, Finance and Business, 7(45), 65-81. https://10.55573/IJAFB.074504
Robeyns, I. (2005). The capability approach: a theoretical survey. Journal of human development, 6(1), pp.93-117. https://doi.org/10.1080/146498805200034266
Sen, A. (1999). Development as freedom. Oxford, Oxford University Press.
Sen, A. (2002). Rationality and freedom. United States, Harvard University Press.
Schanz, Alms & Company. (2019). Malaysian Insurance Highlights 2019. https://faberconsulting.ch/files/faber/pdf-pulse-reports
World Health Organization. (2017). World bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses
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