In Indonesia, financial problems have reduced the ability of the central government to finance hospital development. Practically, the government keeps away from the welfare state, which the state should finance all its public services from tax and state enterprise. Hospitals are increasingly being relegated to a service system based on the principle of private goods. As a result, beside of referring to social humanitarian services in a factual manner, hospital services have developed into an industry based on economic principles with one of the prominent characteristics, namely a competitive nature. The understanding that the hospital is already an industry is the basis for developing the quality of hospital services. Without this understanding, it is difficult for Indonesia hospitals to compete with hospitals in other countries that provide better services. The facts have shown that many Indonesia society has sought medical treatment in other country. This phenomenon can be called the first stage of globalization. Meanwhile, the second stage of globalization is the operation of foreign hospitals in Indonesia or foreign investment in the health care sector.