A policy can be manifested in statement, action, regulation,and law as decision result about how to implement something.Policy decision in health sector is a related system of thesurrounding condition such social factors, politic, economy,history, and other factor that influenced. There is a circuit ofcomponent, process, resources allocation, actor, and authoritythat play role in policy-making. Therefore the result policy issuch a product of elite interaction in every detail of that policymakingincluding attraction of interests between the actors,authority interaction, resources allocation, and bargainingposition on involved elites. Policy-making system cannot avoidfrom individual or certain group effort which endeavor toinfluence the decision makers so as to cause a policy morebenefited for their side. There are factors that influencingindividual politic behavior of actor either external (social politicenvironment) or internal (personality, behavior, value, interest).Keywords : health policy, policy making process as a system,black box in policy making process