(1)Medical care cost study in patients with chronic obstructive pulmonary disease. Treatment in the hospital srinakarin Faculty of medicine, Khon Kaen University, Khon Kaen, annual budget, 2556 (2) rights obtained from the academic core of the health insurance patients, chronic obstructive pulmonary disease hospital srinakarin. Faculty of medicine, Khon Kaen University, Khon Kaen, annual budget, 2556 (3) compare the cost of medical treatment. Medical expenses are charged against income from the main health insurance rights, which is supported by the public sector (4) propose a management approach to be appropriate. Resource management guidelines, the maximum benefit to the Organization and to society.