Biopolitics in The Implementation of AI SatuSehat as a Tool of Health

Abstract

This study critically examines Indonesia's SatuSehat digital health platform through Michel Foucault's biopower lens, analyzing how Human-Centered AI reshapes relations of power (as state control through digital surveillance and normalization), trust (as public confidence in data security and ethical use), and justice in service distribution (as equitable access requiring inclusive design and infrastructure) in public administration. Using a qualitative case study methodology, it employs Actor-Network Theory and Critical Discourse Analysis to deconstruct official narratives, map stakeholder networks, and analyze application features as techniques of algorithmic biopower. The research reveals a stark contrast between the government's efficiency narrative and on-ground realities of infrastructure gaps, eroded public trust due to data breaches, and risks of digital exclusion. It concludes that SatuSehat functions as a political instrument extending state surveillance and normalization, necessitating robust data protection, transparency, and inclusive governance to prevent deepened social inequalities.

References

Agudo, U., & Matute, H. (2021). The influence of algorithms on political and dating decisions. PLoS ONE, 16(April 4), 1-17. https://doi.org/10.1371/journal.pone.0249454

Al Farauqi, D. A. M. (2022). Analysis of Governmentality and Discourse Reproduction in the History of the Emergence of the Family Planning Program in Indonesia in 1970. Journal of Prophetic Politics, 10(1). http://siteresources.

Aji Muhawarman, S. M. (2024). SATUSEHAT Dikembangkan Langsung Oleh Kemenkes. Https://Kemkes.Go.Id/Id/Satusehat-Dikembangkan-Langsung-Oleh-Kemenkes.

Asmawati, Ruru, Y., Nurdin, M. A., Zainuri, A., Hasmi, & Rantetoding, S. (2025). Evaluasi Implementasi Sistem Rekam Medis Elektronik Menggunakan Metode HOT-Fit di RSUD Mulia Kabupaten Puncak Jaya Provinsi Papua Tengah. Journal of Innovative and Creativity, 5(2), 3330–3338.

Bhowmick, S., & Alam, M. (2023). Foucault Meets Novel Coronavirus: Biosociality, Excesses of Governmentality and the "Will to Live" of the Pandemicariat. Foucault Studies, 35, 148-169. https://doi.org/10.22439/fs.i35.7088

Burchell Graham, G. C. and M. P. (2009). Studies in Governmentality. In International Encyclopedia of Human Geography: Volumes 1-12 (Vols. 1-12). https://doi.org/10.1016/B978-008044910-4.00783-5

Center for Indonesia's Strategic Development Initiatives. (2022). Cisdi Health Outlook 2022 Out of the Darkness, Out of the Light (Vol. 1).

CNN Indonesia. (2021). Kominfo Tracks 279 Million Data Leaks: Strongly Suspected from BPJS.

Deonisia Arlinta. (2024). Pemanfaatan AI dalam Layanan Kesehatan Terkendala Kapasitas SDM. Https://Www.Kompas.Id/Artikel/Pemanfaatan-Ai-Dalam-Layanan-Kesehatan-Terkendala-Kapasitas-Sdm-Kesehatan.

dr. Juliana Ng. (2025). Apa itu SATUSEHAT Platform: Implementasi, Regulasi, dan Tantangan Data Kesehatan Nasional. Dr. Juliana Ng.

Eubanks, V. (2018). Poorhouses were common enough that they often appeared in offensive, idealized, or ominous early-twentieth-century postcards. Picador, St. Martin's Press.

Foucault, M. (2008). Want to Know: A History of Sexuality. Yayasan Obor Indonesia. Foucault, M. (2017). Power/Knowledge Discourse on Power/Knowledge (Toni Setiawan, Ed.; 1st ed.). Narasi-Pustaka Promethea.

Foucault, M. (2017). Power/Knowledge Wacana Kuasa/Pengetahuan (Toni Setiawan, Ed.; 1st ed.). Narasi-Pustaka Promethea.

Gatra. (2023). DPR Khawatir Data Aplikasi Satu Sehat Mobile Rentan Bocor. Https://Www.Gatra.Com/News-566437-Kesehatan-Dpr-Khawatir-Data-Aplikasi-Satu-Sehat-Mobile-Rentan-Bocor.Html.

Greenhough, B. (2014). Biopolitics and Biological Citizenship. In The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society (pp. 145-148). https://doi.org/https://doi.org/10.1002/9781118410868.wbehibs152

Grimmelikhuijsen, S. G., & Meijer, A. J. (2014). Effects of transparency on the perceived trustworthiness of a government organization: Evidence from an online experiment. Journal of Public Administration Research and Theory, 24(1), 137-157. https://doi.org/10.1093/jopart/mus048

Hardiyanta, P. S. (1997). Body Discipline, Modern Individual Workshop (1st ed.). LKis. Hardjati, O. R. S., & Bagus Nuari Harmawan, D. (2023). Governance in the Digital Age: Contemporary Issues.

Hidayat, R. A., Hana Zafira, G., Rahmawati Indah Nurfitriani, N., & Alfitriya Syahida, A. (2023). Digital Healthcare Development for Global Citizenship: Equality of Access to Health Facilities and Services During the COVID-19 Pandemic in Indonesia. KnE Social Sciences, 2023, 22-34. https://doi.org/10.18502/kss.v8i3.12813

Investigasi.org. (2023). Permenkes Rekam Medis Digital (SatuSehat) digugat ke Mahkamah Agung. Https://Investigasi.Org/Permenkes-Rekam-Medis-Digital-Satusehat-Digugat-Ke-Mahkamah-Agung/.

Kate Crawford. (2021). Atlas of AI Power, Politics, and the Planetary Costs of Artificial Intelligence. Yale University Press.

Kemenkes. (2022a). Peraturan Menteri Kesehatan Republik Indonesia Nomor 18 Tahun 2022 Tentang Penyelenggaraan Satu Data Bidang Kesehatan Melalui Sistem Informasi Kesehatan.

Kemenkes. (2022b). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis.

Kemenkes. (2023a). Kebijakan SATUSEHAT.

Kemenkes. (2023b). Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/133/2023 Tentang Integrasi Data Kesehatan Nasional Melalui Satusehat.

Kemenkes. (2025a). FAQ Satu Sehat. Https://Faq.Kemkes.Go.Id/Faq/.

Kemenkes, S. D. S. (2025b). Peta Jalan SATUSEHAT SDMK 2025-2029.

Klinik Pintar. (2023). Transformasi Kesehatan Digital: Cerita dr. Fahrizal dan SatuSehat. Https://Klinikpintar.Id/Blog-Klinik/Transformasi-Kesehatan-Digital-Cerita-Dr-Fahrizal-Dan-Satu-Sehat?Utm_source=google&utm_medium=organic&utm_campaign=search&utm_term=.

Latour, B. (2005). Reassembling the Social an Introduction to Actor-Network-Theory (1st ed.). Oxford University Press.

Lemke, T. (1992). Foucault, Governmentality, Critique. 2, 1-17.

Lemke, T. (2024). Biopolitics: An Introduction (Rayno, Ed.; 2nd ed.). Sophia Library. Margetts, H., & Dunleavy, P. (2013). The second wave of digital-era governance: A quasi-paradigm for government on the Web. Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, 371(1987). https://doi.org/10.1098/rsta.2012.0382

Ministry of Health, R. (2023). Health Transformation to Achieve Health and Excellence. 186- 197.

Muchamad Zaid Wahyudi. (2023). Kecerdasan Buatan Tidak Akan Gantikan Peran Tenaga Kesehatan. Https://Www.Kompas.Id/Artikel/Kecerdasan-Buatan-Tidak-Akan-Gantikan-Peran-Tenaga-Kesehatan.

Munro, I. (2012). The Management of Circulations: Biopolitical Variations after Foucault. International Journal of Management Reviews, 14(3), 345-362. https://doi.org/10.1111/j.1468-2370.2011.00320.x

Prudential Syariah. (2025). Studi Prudential: 9 dari 10 Pasien di Indonesia Menunda Perawatan Kesehatan. Https://Www.Prudentialsyariah.Co.Id/Id/News/Pengumuman/Pasien-Di-Indonesia-Menunda-Perawatan-Kesehatan/#:~:Text=Di%20Indonesia%2C%20survei%20ini%20mengungkap,Pengasuhan%20anak%20dibanding%20perawatan%20diri.

Rachel Farahdiba Regar. (2023). Transformasi Jadi SatuSehat, Ini Perjalanan PeduliLindungi Layani Masyarakat Sejak Pandemi Covid-19. Https://Www.Tempo.Co/Ekonomi/Transformasi-Jadi-Satusehat-Ini-Perjalanan-Pedulilindungi-Layani-Masyarakat-Sejak-Pandemi-Covid-19-217495#google_vignette.

Raihan, K., & Rosadi, S. D. (2024). Have AI-Enhanced Telemedicines in Indonesia Adopted the Principles of Personal Data Protection? Yustisia, 13(2), 151-167. https://doi.org/10.20961/yustisia.v13i2.85996

Reddy, S., Fox, J., & Purohit, M. P. (2019). Artificial intelligence-enabled healthcare delivery. Journal of the Royal Society of Medicine, 112(1), 22-28. https://doi.org/10.1177/0141076818815510

Sebastian, R. (2024). The Role of Artificial Intelligence in Telemedicine: Legal Considerations under Indonesian Health Laws. Devotion: Journal of Research and Community Service, 5(12), 1558-1568. https://doi.org/10.59188/devotion.v5i12.20694

tempo.co. (2025). Ministry of Health Says 400 Puskesmas Still Constrained by Internet for Free Health Check Program | tempo.co. Tempo. https://www.tempo.co/politik/kemenkes-sebut-400-puskesmas-masih-terkendala- internet-untuk-program-pemeriksaan-kesehatan-gratis-1204227

Topol, E. (2019). Deep Medicine How Artificial Intelligence Can Make Healthcare Human Again (Vol. 1). Basic Books.

Wadipalapa, R. P., Katharina, R., Nainggolan, P. P., Aminah, S., Apriani, T., Ma'rifah, D., & Anisah, A. L. (2024). An Ambitious Artificial Intelligence Policy in a Decentralized Governance System: Evidence From Indonesia. Journal of Current Southeast Asian Affairs, 43(1), 65-93. https://doi.org/10.1177/18681034231226393

Whitelaw, S., Mamas, M. A., Topol, E., & Van Spall, H. G. C. (2020). Applications of digital technology in COVID-19 pandemic planning and response. The Lancet Digital Health, 2(8), e435-e440. https://doi.org/10.1016/S2589-7500(20)30142-4