Critical Review of Triple Helix to Quanto-Tuple Helix: Lesson Learned from Social Security System Act Implementation

The National social security system in Indonesia has not provided answers to the social demands. This led to the discussion of the legal draft of the National Social Security System in Indonesia that in turn seriously responds to the issues of national social security compliance in the healthcare field. The enactment of the draft into Law No. 24 of 2011, shows not only the triple helix collaboration model among scholars, enterprises, and government, but also assigns the legislative body as an additional force in the quadro helix collaboration model. This study analyzes the uncertainty of the future of national health insurance system, therefore, in building planning scenarios there is often an alternative scenario. The result shows that there are two scenarios of the national social security health system i.e. optimistic and pessimistic scenarios. Three strategies can be done by stakeholders i.e. leading sector enactment, interest synchronization, and legal enforcement. The resulting scenarios are expected to be used to formulate a strategy for national social security health system as a model approach to learning and recommendations quanto-tuple helix model.