In the development of a country or a region, quality of citizen’s health is very important. So that’s why, in order to improve the quality of citizen’s health, there needs a social policy action by the government, especially with the right decision making in its formulation process. In the local context, the Banyuwangi Public Health Services Insurance (JPKMB) Program is the answer to these problems, where the program offers free primary health service without charge for whole community levels. The main finding in this research is that in the decision making of the JPKMB Program, the decision maker claims that they have done in-depth consideration and analysis using the rational approach model. But the facts on the research suggests that decision makers tend to use an incremental approach model, where they make decisions quickly because it is affected by various limitations. This is due to health issues being politicized in terms for political campaigning purposes by one of the candidates who was competing in the local general elections of Banyuwangi Regency 2005. Consequently after the candidate has been elected, the candidates should run the free health service program immediately, no matter what way. Its can be said that the decision making of the JPKMB Program is not going through a mature process.In the development of a country or a region, quality of citizen’s health is very important. So that’s why, in order to improve the quality of citizen’s health, there needs a social policy action by the government, especially with the right decision making in its formulation process. In the local context, the Banyuwangi Public Health Services Insurance (JPKMB) Program is the answer to these problems, where the program offers free primary health service without charge for whole community levels. The main finding in this research is that in the decision making of the JPKMB Program, the decision maker claims that they have done in-depth consideration and analysis using the rational approach model. But the facts on the research suggests that decision makers tend to use an incremental approach model, where they make decisions quickly because it is affected by various limitations. This is due to health issues being politicized in terms for political campaigning purposes by one of the candidates who was competing in the local general elections of Banyuwangi Regency 2005. Consequently after the candidate has been elected, the candidates should run the free health service program immediately, no matter what way. Its can be said that the decision making of the JPKMB Program is not going through a mature process.