In Saudi Arabia, Indonesian health workers build careers, gain opportunities 

Ade Koswara, a perfusionist at the King Faisal Specialist Hospital and Research Center in Riyadh, sits besides a perfusion machine in this photo shared on July 14, 2024. (Supplied/Ade Koswara)
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Updated 14 July 2024
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In Saudi Arabia, Indonesian health workers build careers, gain opportunities 

  • There are at least 600 Indonesian nurses working in Saudi Arabia, one estimate shows
  • Many Indonesian health workers move to the Kingdom for higher salary, to upgrade skills

JAKARTA: For more than a decade, Ade Koswara has served as a perfusionist of the cardiac surgery team at one of Saudi Arabia’s top hospitals, working alongside some of the best in the field. 

The 42-year-old Indonesian, who is originally from Sukabumi, West Java, was responsible for operating the machine that artificially replaces a patient’s heart or lung functions during surgery. 

Since joining the King Faisal Specialist Hospital and Research Center in Riyadh in 2010, he said he has been able to develop his skills and has gained new, previously unthinkable, experiences. 

“There are many precious things I have gained, especially the knowledge and skills that I acquired,” Koswara told Arab News. 

“There are many new devices and equipment that aren’t yet available in Indonesia because they are very expensive, but they have a lot of them here with the amazing support from the government for the people in Saudi Arabia.” 

When he decided to move abroad, like many Indonesians Koswara considered the financial benefits of working in the Kingdom, which would have given him about eight times the salary he was earning at the time from a public hospital in his home country.

“There’s a significant difference financially, in terms of material rewards,” he said. “In 2010, I was earning about IDR 6 million ($372) (per month), which included benefits and incentives, but in Saudi Arabia, I would earn about IDR 50 million.”

Since moving to Riyadh, Koswara — who is also head of the ​​Indonesian National Nurses Association’s chapter in Saudi Arabia — has worked alongside doctors from the US and Europe and learned to keep up with the international standard practiced at the hospital, which has sent him abroad for training to upgrade his skills. 

“I had the opportunity to go to Germany and it was amazing because there was a time when I’d dreamed of going there and it came true … It makes me happy and motivated,” he said. 

“Opportunities here are equal. It’s not just for the Saudis, it’s also there when they see potential in any staff, even when they’re not Saudi nationals.” 

Koswara said there is much potential for other Indonesian nurses to pursue a career in Saudi Arabia. 

“For Indonesian nurses especially, the opportunity for an international career in the Middle East, especially in Saudi Arabia, is huge. We have the potential to enter this market, to gain new and better experiences, and hopefully a better financial reward,” he said. 

Saudi Arabia is among the top destination countries for Indonesian migrant workers and ranked seventh last year, according to government data. 

But as most of them are domestic workers, Koswara estimated that there are at least around 600 Indonesian nurses currently working in the Kingdom. 

Another one is Akhir Fahruddin, who first went to the Kingdom in 2015 to work under the Ministry of Labor and Social Development, which has since become the Ministry of Human Resources and Social Development. 

After working for almost three years, Fahruddin came back to Indonesia to continue his studies before returning to Riyadh in 2021 to work as an occupational health nurse, now specializing in protecting and promoting the health and well-being of workers. 




Akhir Fahruddin, an occupational health nurse from Indonesia, sits at the back of an ambulance in Duba, Tabuk while on duty in this photo shared on July 14, 2024. (Supplied/Akhir Fahruddin)

The 33-year-old is now serving a company in Oxagon, a floating port city in the flagship multibillion-dollar NEOM project. 

From the Saudi healthcare system, Fahruddin said he learned about the value of collaboration and respect among health workers. 

“There is no such thing as one person being more superior than another, it’s a positive thing that I’ve learned while working in Saudi Arabia,” he told Arab News. 

“I feel appreciated. When someone appreciates us in practicing our roles, I feel they are valuing my skills, and that’s something that I experienced firsthand.” 

He is also grateful for the time he is permitted to offer prayers, which he has learned from friends was not afforded to workers in other countries. 

“If I compare myself to two of my friends, who are in Japan and Germany, they encounter limitations in practicing their religion. This is in contrast with my experience in Saudi Arabia, where I am allowed to perform my prayers comfortably, they give me time,” Fahruddin said. 

Just four months ago, he experienced a highlight in his career when he resuscitated a patient in an emergency case and was able to save him. 

“He survived. It was very memorable for me because I was able to save a patient whose heartbeat had stopped … It allowed me to reflect on how everything I’ve learned all this time, I was able to put it into practice to save a patient,” he said. 

Most of all, Fahruddin is thankful that his career in the Kingdom has given him an opportunity to support his family back home in Sumbawa, West Nusa Tenggara. 

“I am able to help my family, to help my nieces and nephews to continue their education and my other relatives to pursue higher education,” he said. 

“I am also able to save money for my future and buy assets back home. This is the sort of happiness that I’ve gotten through working here.” 


Trump pivots to new 10 percent global tariff, new probes after Supreme Court setback

Updated 28 min 46 sec ago
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Trump pivots to new 10 percent global tariff, new probes after Supreme Court setback

WASHINGTON: US President Donald Trump moved swiftly on Friday to replace tariffs struck down by the Supreme Court with a temporary ​10 percent global import duty for 150 days while opening investigations under other laws that could allow him to re-impose the tariffs.
Trump told a briefing he was ordering new tariffs under Section 122 of the Trade Act of 1974, duties that would go on top of surviving tariffs. These would partly replace tariffs of 10 percent to 50 percent under the 1977 International Emergency Economic Powers Act that the top court declared illegal.
Trump said later on Truth Social that he had signed an order for the tariffs on all countries “which will be effective almost immediately.”
A spokesperson for the US Customs and Border Protection agency declined comment when asked when collections of the illegal IEEPA tariffs would halt at ports of entry.
Trump’s Treasury Secretary, Scott Bessent, said the new 10 percent duties and potentially enhanced tariffs under the Section 301 unfair practices statute and the Section 232 national security statute would result in virtually unchanged tariff revenue in 2026.
“We will get back to the same tariff level for the countries. ‌It will just be ‌in a less direct and slightly more convoluted manner,” Bessent told Fox News, adding that the Supreme ​Court ‌decision had ⁠reduced Trump’s ​negotiating ⁠leverage with trading partners.
The never-used Section 122 authority allows the president to impose duties of up to 15 percent for up to 150 days on any and all countries to address “large and serious” balance of payments issues. It does not require investigations or impose other procedural limits. After 150 days, Congress would need to approve their extension.
“We have alternatives, great alternatives,” Trump said. “Could be more money. We’ll take in more money and we’ll be a lot stronger for it,” Trump said of the alternative tools.
While the administration will likely face legal challenges, the Section 122 tariffs would lapse before any final ruling could be made, said Josh Lipsky, international economics chair at the Atlantic Council, a think tank in Washington.
Trump said his administration also was initiating several new country-specific investigations under Section 301 of the Trade Act of 1974 “to protect our country from unfair trading practices of ⁠other countries and companies.”
Trump’s shift to other statutes, including Section 122, while initiating new investigations under Section 301 ‌had been widely anticipated, but these have often taken a year to complete.
The 10 percent tariffs only last ‌five months, but Trump said that would allow his administration to complete investigations to enhance tariffs.
Asked if rates ​would ultimately end up being higher after more probes, Trump said: “Potentially higher. ‌It depends. Whatever we want them to be.”
He said some countries “that have treated us really badly for years” could see higher tariffs, whereas for others, “it’s going to ‌be very reasonable for them.”
The fate of dozens of trade deals to cut IEEPA-based duties and negotiations with major US trading partners remained unclear in the wake of the ruling, though Trump said he expected many of them to continue. He said deals that are abandoned “will be replaced with the other tariffs.”
“This is unlikely to affect reciprocal trade negotiations with our trading partners,” said Tim Brightbill, trade partner with the law firm Wiley Rein in Washington. “Most countries would prefer the certainty of a trade deal to the chaos of last year.”
US ‌Trade Representative Jamieson Greer said details on new Section 301 investigations would be revealed in coming days, adding these are “incredibly legally durable.” Trump relied on Section 301 to impose broad tariffs on Chinese imports during his first term.
The Supreme Court’s ruling puts about $175 ⁠billion in tariff revenue collected over the past year subject to potential refunds, according to estimates provided to Reuters by Penn-Wharton Budget Model economists.
Asked if he would refund the IEEPA duties, Trump said, “I guess it has to get litigated for the next two years,” a response indicating that a quick, automatic refund process was unlikely.
Speaking in Dallas, Bessent told business leaders that since the Supreme Court did not provide any instructions on refunds, those were “in dispute,” adding: “My sense is that could be dragged out for weeks, months, years.”
Part of the reason why Trump opted for IEEPA to impose tariffs last year was because the 1977 sanctions statute allowed fast and broad action with almost no constraints. Until Friday, he had also used it as a cudgel to swiftly punish countries over non-trade disputes, such as Brazil’s prosecution of former president and Trump ally Jair Bolsonaro.
While Trump’s new investigations will prolong tariff uncertainty, they could inject more order into his tariff policy by forcing him to rely on trade laws that have well-understood procedures, research and public comment requirements, and longer timelines, said Janet Whittaker, senior counsel with Clifford Chance in Washington.
“The administration will need to follow these set processes, conduct the investigations, and so for businesses, that means more visibility into the process,” Whittaker said.
Robert Lighthizer, Trump’s trade chief during his ​first term, said on Fox News that he hoped Congress would revise decades-old ​trade laws to give Trump new tariff tools.
“I think there’s consensus in this Congress that we have to change the old system, and I hope that they will take this as an opportunity to do that,” Lighthizer said.