This study aimed to analyse the ability to pay National Health Insurance (NHI) contributions by the community in the Lakkang Island of Makassar City. The type of research used is quantitative research with a descriptive survey approach. The population in the study was 121 families who had not participated in the NHI program on Lakkang Island. Saturated sampling method is used to obtain a sample of 95 families. Data collection was carried out by direct interviews with the people of Lakkang Island based on the questionnaire and the data analyzed using univariate analysis. The results showed that the ability to pay ATP 1 of the respondents was in the capable category, which was 61.1% with an average of IDR 90, 440 per month, for non-food ATP 2 category, it was 62.1% with an average amounting to IDR23, 544 per month. Non-essential is in the capable category, which is 51.6% with an average of IDR26, 536 per month.
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