The healthcare system is a presuming indicator of the development of a country. The corporality of a welcome healthcare system will provide welfare and health for every citizen. However, the reality is that not all countries have the same rights and access to health services. Therefore, to obtain equal basic needs, right, and access to health services for every citizen, various countries are trying to implement universal/national health insurance. The implementation of universal health insurance is still a challenge for Indonesians. It is also related to the healthcare system that is still low compared to several other developing countries and Indonesia's neighboring countries. Therefore, the purpose of this paper is to find a comparison between the healthcare system and the implementation of universal health insurance among neighboring countries in Indonesia. The analysis of this study was conducted by the literature review method. Each country has unique and different characteristics, so the healthcare system and universal health insurance that apply in each country have advantages and disadvantages. Therefore, every homeland strives for its healthcare system and instead seeks to build a strong, more stable, and stable health system so that every citizen can enjoy a quality and quality healthcare system