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There is a situation where the hospital has a mission to serve the poor. Therefore, the government or the hospital owner has a policy of setting the lowest possible rates. It is expected that with low rates, the access of the poor will be better. However, it should be noted that high access does not necessarily guarantee good service quality. The various studies show that the quality of government hospital services is low due to limited government subsidies and low hospital rates with a bureaucratic management system. The government's failure to provide sufficient subsidies for the operational and maintenance costs of hospitals that have low rate has resulted in the hospital services quality getting lower continuously. In various local government hospitals, the policy of rate setting for VIP wards is based on considerations to improve service quality and increase job satisfaction of specialist doctors. For example, VIP wards were built to reduce specialist time in private hospitals. Too long time spent by government specialists working in private hospitals can reduce the quality of service.