Mass media communication has changed constantly and followed by dramatically increased the number of internet users. , PR started to realized that the communication form becomes horizontal since people use gadget and live as account in the cyber era. The message should be real time, fast and must be understood while sending to theri stakehlders. Video News Release is a ready-made, pre-packaged story—produced in broadcast news style. that is distributed by habitualy by a PR firm to news stations across the country. It is used qualitative research that seeks to analyze the culture and behavior of humans and their groups from the point of view of those being studied. The result show that It can’t be denied that the public is mostly misled by individuals who present themselves to be independent, unbiased experts or reporters but are actually shills promoting a prepackaged hospital agenda