The leap to single-payer: what Taiwan can teach

 26-Dec-17, The New York Times 

Less than 25 years ago, Taiwan had a patchwork system that included insurance provided for those who worked privately or for the government, or for trade associations involving farmers or fishermen. Out-of-pocket payments were high, and physicians practiced independently. In March 1995, all that changed.

Image: David Chang / European Pressphoto Agency

Taiwan chose to adopt a single-payer system. At first, things did not go as well as hoped. The system, including providers and hospitals, was caught somewhat off guard. The public, however, was much happier about the change.

Today, most hospitals in Taiwan remain privately owned, mostly non-profit. Most physicians are still either salaried or self-employed in practices. The health insurance Taiwan provides is comprehensive. Both inpatient and outpatient care are covered, as well as dental care, over-the-counter drugs and traditional Chinese medicine.

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