A Bruneian’s Take on Healthcare Reform: Balancing Progress and Compassion

As a proud Bruneian citizen, I deeply value the care our government provides for its people. The recent policy change, effective July 1, 2025, which ends free healthcare for non-citizens, including permanent residents with foreign nationalities and foreign spouses of Bruneians, has sparked much discussion. Reflecting on my own experience as a young student in Perth during the 1990s, where I had to navigate mandatory health insurance through Medibank, I can relate to the adjustments non-citizens in Brunei now face. I support this policy for its long-term benefits to our healthcare system, but I also empathize with those affected, and I’m grateful for the thoughtful safety nets put in place to support them.

Understanding the New Policy

The updated policy requires non-citizens, such as permanent residents (purple IC holders) and foreign nationals (green IC holders), to cover the full cost of healthcare services at government hospitals and specialized centers like the Pantai Jerudong Specialist Centre (PJSC). Previously, these groups benefited from subsidized care, with the government spending nearly BND70 million annually to support their treatment. Now, only Bruneian citizens and stateless persons (yellow and purple IC holders) are eligible for free or low-cost healthcare, with registration fees set at BND1 for citizens and stateless persons, BND3 for purple IC holders (foreign citizens), and BND5 for green IC holders.

The Ministry has also mandated health insurance for foreign nationals, aligning Brunei with international practices. This resonates with my time in Perth, where, as an international student, I was required to enroll in Medibank’s Overseas Student Health Cover (OSHC). It was a new experience for me, coming from Brunei’s generous healthcare system, to manage insurance paperwork and understand coverage limits. While it ensured access to quality care in Australia, it came with out-of-pocket costs for certain services, which taught me the importance of planning for healthcare expenses abroad.

Why I Support This Change

As a Bruneian, I see the importance of prioritizing resources for citizens and stateless residents, especially as healthcare costs rise. The BND70 million spent annually on non-citizen healthcare is significant, and redirecting these funds can enhance services for our community while maintaining high standards. This policy aligns with global practices, like those I encountered in Australia, where non-citizens rely on private insurance or personal funds. It’s a practical step toward ensuring our healthcare system remains sustainable for future generations.

Empathy for Those Affected

I genuinely sympathize with non-citizens, particularly foreign spouses and long-term residents, who now face new financial responsibilities. In Perth, I remember the initial confusion of navigating Medibank’s system—figuring out what was covered, dealing with upfront payments, and waiting for reimbursements. It wasn’t always straightforward, especially as a young student on a budget. For non-citizens in Brunei, especially those with ongoing medical needs or limited resources, this shift could feel overwhelming. A Borneo Bulletin letter highlighted similar confusion among families about eligibility, and I can relate to the uncertainty they’re experiencing.

Gratitude for Safety Nets

I’m truly thankful that the Ministry of Health has established safety nets to ease this transition. Exemptions ensure fairness: patients receiving treatment before July 1, 2025, will continue to access subsidized care until their treatment concludes; mental health services under the Mental Health Order remain subsidized; and treatment for infectious diseases listed in the Infectious Diseases (Amendment) Order 2020 is covered. For those facing financial difficulties, the Medical Social Worker Division offers access to the MoH Patient Relief Fund, support from the Brunei Islamic Religious Council (MUIB), Yayasan Sultan Haji Hassanal Bolkiah, or installment payment plans. These measures reflect Brunei’s commitment to compassion, ensuring no one is left without options.

Looking Ahead with Hope

My experience in Perth showed me that while adapting to a new healthcare system can be challenging, it’s manageable with the right support. I believe this policy strengthens Brunei’s healthcare system, ensuring it serves citizens and stateless residents effectively. At the same time, I hope the government continues to provide clear guidance and accessible insurance options for non-citizens. The mandatory insurance policy is a positive step, but its success depends on affordability and ease of access. I encourage affected residents to explore support options and contact the Ministry for assistance.

Brunei has always balanced progress with care for its people, and I’m confident that with these safety nets, we can uphold that legacy. To my fellow residents, both citizens and non-citizens, what are your thoughts on this change? Let’s keep the conversation open and supportive as we navigate this together.