In our country, Health scheme recently free for everyone who has no other health security scheme. This means nearly 97-98 % of people in our country are covered by one health scheme and they need not to pay for fee and charge. Thanks to the goverment for giving the free-for-charge health scheme equally to all people in the country. This scheme surely have benifits to all Thai people. But! however, health personnel, especially doctors and nurses, have many trobles from the health scheme. First of all, number of patients is increasing rapidly. Some doctors have to care at least 200 patients per day(I mean 200 patients per a doctor per day). Secondly, as result from increasing patients, most patients need high quality of care. Some expect as high quality as the private hospitals: not wait too long, get the best medicine, get the best intervention, get the best operation, the best health outcome, but as CHEAP as possible! In my opinion, the most challenge our goverment must handle with is how to balance between the quality and the quantity.