Various efforts to achieve dynamic governance in the field of social protection for the poor who Able people, agile processes, positive culture, and adaptive policies are unified set of processes that can not be seen partially, due to the success of the changes that determine the success of other changes. However, there are other important components, namely normative and imperatives that influence able people and agile processes. There is also a bureaucratic culture, such as pragmatic, bureaucratic rigidity, nonparticipatory, short‐term orientation. In addition, there are political interests that characterizes the process of implementation of health insurance. Implementation of health insurance is also still a procedural injustice, social injustice and political injustice