One of the World's Best Healthcare System Is Cracking | Gen Taiwan
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- Опубликовано: 10 окт 2023
- Taiwan has what is considered one of the world’s best healthcare systems, a single payer system run by the government. Patients pay a premium benchmarked to their income, and co-payments to a general practitioner costs around $2.50.
But this low-cost approach is cracking with declining birth rates and an aging population adding more pressure. VICE journeys inside Taiwan’s well-oiled health system to understand why change is needed.
@1:02 Due to an error introduced during editing, the sentence should be "Even a large medical center, like our Taipei Veterans General Hospital" and not "centre".
@2:29 the cost in USD should be USD 75,000 rather than USD 750,000. We regret the error.
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Развлечения
Wife had an itchy mole changing in color. A general practitioner in Canada could book her in after a month. A dermatologist would then see her in 6 months. If it's something serious, like skin cancer, it would be another two months. We flew to Taiwan on September 28, booked an appointment at a hospital through their online system, got a spot on September 29, arrived at 10AM. The mole was identified as changing but not yet cancerous at 11AM and was surgically removed and stitched up by 11:15AM. We left the hospital before lunch. Now, is Canada's healthcare as good as people say?
America is even worst. :(
Let me answer you NO.
It depends on your position. As a patient, you can say Taiwanese healthcare is very great. I personally think it is great for patients as well. On the other hand, if you were the medical staff, I bet you never want to work in Taiwan, you would vote for Canada's healthcare system. The quality of Taiwan's health insurance is basically built on the corpses of all medical staff, who constantly over-work with low payment, even the doctors. Taiwan's healthcare system exploits medical staff so that Taiwanese people and even foreigners (for example, your case) could have enjoyed the convenience and low-priced service.
Since testing, scans and labs mean profits here in the us, she would've spent at least a month racking up a higher bill.
American healthcare says “hold my beer”
As a born and raised Taiwanese, I can tell you some of the problems contribute to this trend:
1. Due to the extremely inexpensive healthcare system, Taiwanese very much abuse the system, which contribute to the stress on the system. People who really need the help are forced to wait in long lines.
2. Not properly compensating medical staffs, and this include doctors. A lot of the funds collected were not properly allocated to medical workers' pay and benefits. They are also overworked constantly, worse than US or UK.
The doctors abuse it, too, esp. dentists. If you take a closer look at what they charge you at each visit, you know why being a dentist is such a lucrative job.
Same here in Hong Kong
I live in Taiwan myself, so I compare it with the German system.
1. Low monthly health insurance premiums in Taiwan may need to be increased to cover costs.
2. Medical staff earn low wages but work long hours; nearly 50% of the staff at my wife's clinic have quit in the last two years.
3. A large elderly population incurs costs without contributing financially, with some visiting medical facilities for social interaction, adding unnecessary costs.
4. Over-utilisation of health services for minor problems strains finances and increases waiting times for those in real need.
Germany's system appears to be more balanced, with insurance premiums adjusted to cover healthcare costs, but also faces similar problems.
I am a Taiwanese and also had been a medical oncologist at National Taiwan University Hospital for 15 years. I immigrated to the US since 2021 because of the deterioration of the medical working environment. Taiwanese people and the politicians are bullying the medical professionals in Taiwan and this is the major reason that I left my career as an oncologist in Taiwan. When I saw this video, it made me feel really sad.
沒錯，且大部分台灣人不願正視重視這問題，超可悲
I can’t agree with you any more!
你跑得真快，現在很慘，收入低，健保天天威脅要告你詐欺............
Don't worry about Taiwan's healthcare system.
God's mercy nano-medication can save Taiwan's healthcare system.
Do you believe:
1. Central pontine hemorrhagic stroke can be cured.
2. AMD (age-related macular degeneration), dry as well as wet, can be
effectively treated and reversed by nano-medication.
ruclips.net/video/B5c4LMspqMs/видео.html
3. About 40% breast cancer can be cured by nano-medication. If cancerous cells
with tp53 gene (tumour suppressor 53 gene), apoptosis can be triggered by
nano-medication, i.e. cytochrome C to be transported from intermembrane of
mitochondrion to cystosol.
There're a lot of medical breakthroughs already. It's plausible that
next year, nano-medication can be initiated across-the-board in Taiwan.
Western medication, compared to nano-medication, is so primitive and ineffective.
Nano-medication is the only stem cell therapy.
Stem cell therapy is to help those endogenous adult stem cells to
clear away so-called inhibitory molecules so that its regenerative potentials
can be triggered for regeneration, i.e. dedifferention, differentiation and
proliferation.
All glory belongs to God !
The politicians, yes, and the capitalists behind them, but it’s not average person’s fault that Taiwanese wages are so low and haven’t grown much in the last thirty years despite tremendous growth in productivity that they can only afford so little premium. That’s why ALL industries in Taiwan are highly exploitive that the “blow up liver”culture (where one works till his/her liver “blows up”) is a common theme.
"The truth can be harsh." As a physician in Taiwan, my colleagues and I all agreed the points presented in the video.
重點不在這，重點是這媒體採訪前與被採訪人講報導的重點跟報導後方向完全不同而且是負面的，這難道不構成詐欺嗎？
@@jimmywang6457 醫界普遍有健保崩壞危機感，原本受訪的醫師，也可能想藉著媒體發聲，只是在政治的壓力下，主管不得不出來否認、粉飾太平，這個真相是否又更殘酷了呢😭
@@hsartway 你這樣講健保的問題，我也沒有什麼好反對的，健保不完美但民眾滿意度90%醫護20%，這問題已經很明顯是政府該改善是哪部份了
From a foreigners perspective. Been here 18 years. People just go to ER. They don't go to Watsons with a mild ailment. Or go to a clinic. It is straight into the hospital. There are times when I really needed to see a doc in ER with my child and ahead of me were people with a sore thumb. Or a slightly twisted ankle. One guy who was behind us literally leaned on the pram as he wanted to get ahead. The doctor even said 'are you guys together?' and he reluctantly stepped back. If they put on a series of adverts on TV to try and get people to go to the clinic if they have minor aliments it would help to tell the public that hospitals nd especially ER are for when you are in dire need.
Urgent care clinics should be a thing here. No need to go to the ER for a twisted ankle.
I came back to Taiwan in 2005 after having lived most of my childhood and formative years in Canada. One of my first culture shocks in Taiwan (the place I was born in and lived until I was 6 years old) was that it cost me MORE to pay for over the counter, generic medicine for a common cold at a local pharmacy than it cost me to visit a doctor at a local clinic and get prescription medicine for 3 days.
They really missed the point here by not visiting a rural clinic, as Dr. Chen said. For someone wants to see how Taiwanese healthcare is crumbling, the Taipei veterans hospital is not the place to go since it's the one of two best hospitals in Taiwan.
I lived in Taiwan for 3 years in the 2010's and was greatly impressed with the effiency of their health care system. I had ER visits, hospital stays, and elective surgery, and never did I pay more than a few hundred dollars out of pocket. Describing it as "falling apart" is clickbait nonsense. It is true that copayments need to increase, a higher portion of GDP needs to go towards healthcare spending, and that there needs to be stricter deterrents to prevent people from abusing the health care system. These are solvable problems. I'd gladly trade my current American health care supposedly valued at $10,000/year for my Taiwanese health insurance.
From the financial perspective, Taiwan’s Healthcare System suffered losses from 2017 to 2021. Fortunately, it turned a profit in 2022 because of the good economy. It is absolutely wrong to say that the system is "Falling Apart".
Talk to some people who are doctors and nurses. Hell even listen to the people in the video.
Uhhh, someone is being paid from your "few hundred dollars out of pocket", in a difficult, stressful, dangerous (COVID), 24hr/d, 365 days/year, professional field.
It's "great" to you because you don't have a clue!
I stated that co-payments need to increase and that healthcare spending as a % of GDP need to increase, and some of those increases should go towards workers. Out-of-pocket payments are not the primary source for how health care workers are paid. Taxes (which I also paid) pay for the majority of health care workers' salaries. I'm in agreement with you that most healthcare workers in Taiwan deserve to be paid more, even if that meant higher upfront costs for the consumer. @@SK-lt1so
@@nigel-uno not that it's any better, but I think there's a distinction to be made between "system falling apart" and "personnel falling apart because of the system." The system is still very much working as far as healthcare is concerned, but at the expense of medical professionals and also people with less than life-threatening or severe chronic afflictions.
at the minutes 2:30, the NTD 2.4 million is equal to USD 75,000. You have an extra 0. that is not correct. The exchange rate between USD:NTD is 1:32 as today
This video didn't answer the most pressing question: Why are there shortages of medical staff? Here in the US, the reasons include low pay, long hours, lack of respect from the public, demoralization leading to high turnover, hefty student loans, for profit hospitals that are focused on maximizing profit and not on providing care, and more. It's why we spend a massive amount on healthcare and yet have poor outcomes. Do medical staff in Taiwan get free or heavily subsidized education? If not, alter taxes so they can. (The only way to get free or reduced higher education in the US is through a very limited amount of scholarships. It's a massive problem. ) If the medical staff are underpaid, where is the health insurance money going? If there's too much public backlash to raising the cost of healthcare, how about raising taxes to compensate?: Hopefully Taiwan can figure this out and not have a failing healthcare system like the US.
@@thehantavirus Sounds similar to the US. Travelling doctors and nurses, especially if they're specialists or headed to non-urban areas. They get higher pay and likely more control over their schedules. Also, when medical staff like nurses go on strike, one of the things they frequently say is that the for profit owners are purposely understaffing the nurses, in order to save money.
Low pay and long hours is most to blame imo. Other things aren't non-issues, but have much less impact. (fwiw, my medical school tuition was about $1,700 usd per school year for 6 years)
The government in Taiwan does not care about the underlining healthcare system declining problem, they do care about their political short term benefit more! So medical abusing is really presenting in Taiwan medical environment, this situation will turn into a disgusted punishment those who stay at work and continue to work and will make the urgent and dangerous medical collapse.
Waiting in a waiting room for 2 hours and seeing the doctor for 5 minutes just for them to tell you nothing substantial sound exactly like healthcare in the US. Except in the US, we give them thousands of dollars afterward and then our insurance payments go up if we're diagnosed with anything.
Doctors from other countries move to America for higher pay. Taiwan is struggling to find doctors and nurses. Did you even watch the video?
@@nigel-unoso USA healthcare issue is leaking to other country.
When are we demanding USA gov to fix they're crap
@@nigel-uno Of course I did. Do you have a point or did you just feel like arguing?
The Taiwanese healthcare system is nothing like that of the US. Health insurance is extremely cheap in Taiwan, which is achieved through the sacrifice of doctors and nurses.
@@linerin168 I wrote how it _is_ the same, then I explained how it was different. Is there a language barrier going on?
I live both in taiwan and spain with a child who need the medical assistence very very often, here is the comparism:
1. Both are universal healthcare system and both people think their own health care are the best in the world. But they all has their own problems.
2. Taiwanese problem is that paying inexpensive monthly rate and get a "efficient" service. Not a good service but an efficient service. As if you are eating McDonald's. Quick and trying to solve your issue.
3. In spain, the service is good, for example the doctor is more slow, taking care the patient, explaining the reason of your problem. (I barely know a doctor in taiwan who would explain details for their patient) But the downside is that you might need to wait upto 4-5 weeks for a medical specialist, and the monthly rate are slightly higher than taiwan, but we can consider the fee are the same.
4. Taiwan's monthly rate is kind of low, and it's easier to get rid of it, just raise it. On the other hand, in Spain, there are inmigration issues, and lots of people are not paying, but having the health insurance. (This is what they said but I am not too sure, and its eventually a political issue. In this part, taiwan is less political.....)
I like both places and the medical personal deserve a better quality of life.
你是哪國人？
Just to add that in the case of Spain, their Seguridad Social, as known as SSGG are only covered by the public hospital. People may have a quicker service for the private hospital if they pay the insurance around 600 EUR per year. Taiwanese healthcare system cover them all.
@@jimmywang6457 TWN
@@ttps50614所以你是雙重國籍嗎？
@@jimmywang6457 台灣不是國家。所以 沒有雙重國籍問題。
Still light years ahead of our healthcare system...
What an amazing doctor & surgeon, his patients are very lucky to have him. A professional who loves their job is priceless.
I'm a US military veteran so I have the VA healthcare from the US. I'm also a permanent residence holder in Taiwan so I also have national healthcare there as well. t's nice to know I will have affordable healthcare from of the two of the best heathcare systems in world when I do need it someday.
I just had ER medical treatment (small surgery due to an accident) this August in Yilan/Jiaoxi and it was tremendous efficient and great!! ❤
The nurse proceeded the necessary procedures right away without waiting time and the main doctor checked another doctor to perform surgery within 20 minutes. This surgery took almost 2 hours. The doctors are so professional.
I appreciated very much! Without their excellent medical treatment at the fist stage, I couldn’t have such good recovery now (this wound by accident will be expected to be fully recovered around 9-12 months since it turned to cosmetic surgery recovery).
Well, like that doctor says at the end, raise the price. Things cost more these days, health care cost around 9-11% (of GDP) sounds reasonable. They already have a good system in place, just raise the price more to pay nurses and doctors.
健保不敢漲價，沒有官員敢提出，怕下台?? 想太多了~台灣官員連鬼都不怕。十五年前媒體:健保要倒啦！勞保要倒啦！當時我的父母因此把勞保退了......
One of the thing you want to be cautious is:
1) The service provided in Taiwan isn't exactly like the U.S. You will have to pay out of pocket for additional things (versus being billed). So the out of pocket isn't being accounted for. For example, nurse's assistant. That's your pocket-money. You're paying their salary for how long you're in the hospital, unless you have a sister or wife or husband who can act like a nurse's assistant. It still may be cheaper but you have to consider the fact that people only make a median salary of 1,500 USD per month versus 5,000 USD per month in the U.S. A factor of 3.3 times. Moreover, the Family-Leave-Act isn't that great in Taiwan. It's worse.
2) The quality of care isn't exactly the same. If you get bacterial meningitis, your chances of dying is probably higher in Taiwan because the diagnosis is worse as I have witnessed for something that was pretty obvious. There's very little rehab in the hospitals there. If you have heart failure, you won't get the same options as in the U.S. (which has more options).
By the way, the population started to decline since 2010. The increase from 2010 to 2023 is due to Taiwan accounting for immigrant work-visas with very little chance of naturalization. It's all detailed in the government statistics.
Cheapness doesn't equate to better quality, so take it with a grain of salt.
Well, if you are rich, you can afford quality healthcare and treatments in both countries. If you are poor, you get something in Taiwan, probably not much in the US.
And could you do some basic research so you don't talk BS? The government required FMLA in the US is 12 weeks and the employers don't have to pay a penny. It's 2 years in Taiwan, with 80% pay for 6 months. Also, the median annual income is USD$61K per HOUSEHOLD in the US and NT$500K per PERSON in Taiwan. Oh gosh, you can't even do 1st grade math.
One can't just go to Taiwan and get health treatment like that unless he or she doesn't mind lacking the health insurance and paying the full cost of surgery and such -- 10,000 USD or so which is better than paying 90,000 USD. The other problem, not many speak English. The doctors may be able to write English which is a requirement to write into medical records, but speaking is a different thing for them -- I've seen foreigners who still need translators. And again, not all solutions are offered in Taiwan. I've met a few people from Taiwan who have experienced between U.S. vs Taiwan this last two years and just a few months ago, they would say Taiwanese doctors would be like, "please just die, please just die." I would agree in a sense based on experience.
But for anything simple, that's fine. Pay the 1200 USD plane ticket to pay full cost (non-insured) to pay for the same cost of western medicine in Taiwan.
I think doctors desire to get paid more as well as nurses. Also for avoiding waste of this medical system I think they should rise the registration fees. I know a lot people kind of going to clinics or hospitals even with very small issues because the fees is nothing and this harm the whole system for those people who are needed.
What about immunotherapy for cancer?
你知道，我知道，政府也知道我們知道
但就是選票優先，台灣的未爆彈真的太多了，反正丟給下一任解決就好
A nurse shortage? Okay sounds like the US but it needs to be absolutely free to become a nurse or doctor and should be no cost for schooling etc. Maybe the shortage won’t be so bad, if people don’t have to go into debt to help others.
Not a bad idea actually
U know these docs are fr fr when most clinics on any street in Taipei close at 9 or 10pm daily
It is truth, we are a local hospital, can`t have enough patients cause lack of murses, hodpital lose 1M per month cause very low pay , it is sacrificing the rights of medical staff in exchange for low-cost medical care. It is an abnormal system, name health insurrance but all you can eat, not enough money, don`t worry, cut the pay can fix all problem, cut the pay again, just cut the pay
Taiwan doctors need at least 3 times raise to prevent them from leaving Taiwan... in fact, we are going there to see a spine and frozen shoulder specialist at a major hospital.. Canada's doctors are good but the problem is the crazy wait time... not sure why Taiwan can do it so efficiently whereas Canada can't...
with extreme long working hours and low payment definitely.
As you mentioned above: Taiwanese doctors (actually as well as other medical staff ) need much higher raise to prevent them from leaving Taiwan (or changing jobs). Besides salary raise, to reduce working time could also help a lot.
通往地獄的道路是由善意鋪就的。對一個人的善意，就是對另外一個人的惡意。醫療投入越多，病人就越多，老人越多，兒童越少。醫療投入擴大本質上是侵占下一代人的資源，斷送子孫的前程。增加醫療投入最得人心，但那不過是末路狂奔而已。2年前抗擊新冠病毒時，新加坡總理李顯龍說過，不能以減少死亡人數作為政府的防疫目標。台灣人應該鼓起勇氣，解決這個倫理難題，給其他人做個示範。
I guess malaysia also facing the same issues.
The system is unbelievably efficient, fast and practical. You may be operated upon before even having met your tumor. But the service is not exactly very personal. What you should not expect is any lengthy explanation or "psychological" talk. Doctors are, of course, too busy for that and don't possess any rhetorical ability.
so many doctors in Taiwan have terrible rhetoric and bedside manner.
@@pithyginger6371 from personal experience, I beg to differ. I think generally they mean well, they may not have a lot of time on their hands, but they try. I try not to think of it as a service industry, they are there to manage my disease, not my feelings.
More government investment into this but it’s much more efficient than the U.S. imo lol and they have talented specialists
Nothing is free. We got what we pay for. Taiwan medical staffs have been abused by the health care system. Urgent reformations are needed.
I have never been to an understaffed clinic or hospital in Taiwan. It's always possible to see a doctor, and service is always timely. Maybe this is a problem that is coming, but I haven't seen any evidence of it yet.
you are lucky. if you are old enough, or you have old parents, you will see the evidence .
The system is not cracking, and not perfect, but its good enough. Best in the world still.
This video presents the original form of Taiwan's medical care faithfully.
It begins by elaborating on the advantages that Taiwan's National Health Insurance brings cost-effective and fast to the public.
It then discusses the difficulty of pursuing both cost-effectiveness and high quality.
The statement from VGH is great, supporting the right of colleagues to express their opinions, but at the same time protesting the sensational headline of this video.
I do think it is indeed necessary to protest, as in order to avoid the risk of exploiting Taiwan's unique environmental situation, such sensational headlines can easily be taken advantage of.
Setting aside the headline, the content of the video is still good.
I have a better idea for the topic, "Taiwan’s World-Class Healthcare System Is Looking for the Next Step | Gen Taiwan"
My entire family are very much appreciated the government’s medical system since many decades ago . The system looks after all of our generations and that’s something that we truly proud of .
Generally speaking, if "Taiwan’s World-Class Healthcare System Is Falling Apart", please tell me which nations are ahead of Taiwan?
Happening in every country in the World 👎
Wait, isn't Vice bankrupt? SHouldn't Vice a piece on itself, that would be funn and have views like no other
Inconvenient truth of Taiwan NHI. A lot more is still beneath the surface.
My family lives in Taiwan and I don’t think all of this is completely true. My grandma needed cancer drug and some are not covered by this health care system. Some medications that are more advanced may not be covered by the insurance and often the inpatient beds are shared with others unless you pay more to get your own room. They have these amentities you can pay more for beside the national health insurance. They can ask people to pay extra during their hospital stay and help make up for the raising cost in healthcare supplies and medications. It is not like this in the US unless you are a celebrity and buy out the whole wing of the hospital.
It’s true even ten year ago when I went back, I have seen the doctors overwork and even the speciality doctors have to work in the ER at night to rotate and that’s unheard of in the US.
台灣加油❤
What is happening in Taiwan is very similar to Canada.
雖然台灣人民有些不能認同，但其實說的也是事實一部分，雖然是號稱全世界最民主國家，但是我們國家的預算最後都去了哪裡，人民不知道，也打上一個很大的問號，尤其近年來我們的前瞻建設預算近1兆元跟防疫預算近1兆,總共近2兆的錢都去哪裡了？我們不知道，另外在這國家有一位百億高中生命案真相離奇，最後的錢也都不知道去哪裡了，這是很可怕的事情，在民主國家發生
原來自己不知道就能隨便影射阿
這個人就是標準的柯粉，自己無知還喜歡造謠！
@@rogerwang1474 請說影射誰了？還是你知道流向跟真相，說好不惜動搖國本查弊案的支票，阿扁下任時就已經跳票了！她女兒說民進黨誰沒有拿過他爸爸的錢，你可以上網查查看她是影射誰
@@2Pianos44 我還真不是，妳這涼們猜錯囉！
@@jeremyc9774 露出馬腳了，就是打繁體字的中國人！
未针对受访者抗议提出回应澄清，足论贵司严重违反新闻伦理。shame on you
Where is the part that point out the system is falling apart? manpower shortage? I think I will die of old age before that time arrives.
This title is misleading. Shame on you Vice.
做個報導可以搞到榮總出來抗議，你這媒體要不要出來道歉啊，vice asia你想採訪台灣應該是沒有下次了
Unfashionable self-media
There is no such thing as flawless system in the world. Not in health , education not anywhere.
Stop being dramatic
True and fax, noone, nobody and nothing is perfect
🙏💛🦁🐾
It's a great system but the average person here abuses it. People use the Emergency Room like they are popping into the supermarket or 7-11. Taiwan has one of the lowest birth rates in the world, and a lot of old Baby Boomers. The only way to solve the problem is to open the door and allow migrants to apply for Taiwanese Citizenship, otherwise the population is going to plummet just like Japan. The world has no shortage of people, it just depends whether or not you want to welcome them into your society. Clearly up until now, the answer is "once a foreigner always a foreigner" .... hilarious mind set.
會抗議就表示戳到痛處了！
Welp..
"Everything has a price"
In the States it has yes i agree sadly my child.
Although the people of Taiwan may not agree with it, it is actually part of the truth. Although it is known as the most democratic country in the world, the people do not know where our country's budget goes in the end, and it is also a big question mark, especially in recent years. Our forward-looking construction budget is nearly 1 trillion yuan and the epidemic prevention budget is nearly 1 trillion yuan. Where did the total nearly 2 trillion yuan of money go? We don’t know. In addition, in this country, there is a murder case of a high school student worth tens of billions. The truth is bizarre, and I don’t know where the last money went. This is a terrible thing. It happens in a democratic country.
Rumor !
@@2Pianos44 Ask the government to reveal the truth. Please do not seal bachelor's thesis. Please do not seal vaccine prices and details. If you don't understand, just shut up.
🇹🇼❤ 🇹🇼❤
The word of cracking mislead the facts and Truth. Health Insurance globally are all faced very dynamic environments, all need balancing adjustment journey. Taiwan Health Insurance scheme are in such journey but the value it brought to citizens can not valued at monetary terms particular stabilization to society and community.
I kept hearing tis decline birth rate in a negative way! Less birth rate less using resources ! Dude make ur research !
Oh but americas health care system is powering is it lol eh?
Erin Marie Olszewski nurse whistleblower exposa documentary exposed medical doctors directly and intentionally killing patients during the height of Covid on CAMERA in the USA, ironically in the district of Taiwanese Grace Meng who praised that exact hospital and gave them extra funding with AOC, batshi* cra**
They all come to the US for their education then go back to where they came from to render medical care via said education, fuck the American people. People been taking advantage of the US like this for a long time now so no surprise.
USA literally has the worst. Broken ass system.
This is about Taiwan and there are 195 countries in the world. Stop being a brat about the US.
@@Acr6gAttt-mq2hr wtf you talking about?
There is no such thing as a perfect system. Capitalism exist for a reason, so does universal service such as universal healthcare. Doesn't matter which system we end up, it's all the same in term of aggregated happiness. A basic walkthrough of an example; Imagine a society of 100 subgroup people with only private insurance, the cost modeled out based on the economy where people incomes will be a pyramid structure. Let's just say only 20% of the population can afford it and be 100% happy, now let's call this HP (happiness point) of 2000 (20*100). now due to demand and supply, we have to lower cost to expand it to 40 subgroup(people) because we want to serve more people, this will result more wait time and less care where total HP is still 2000 but split among 40 people. when we expands it to everyone, now the original 20% who are richer will have to find alternative (private insurance) who will no longer be 100% happy anyway because they're now paying for universal healthcare while paying for private insurance that they actually use. System doesn't change satisfaction, it just allocate satisfaction based on design of the system. This is no different than the airline industry, more demand = more seats = less room, then there is first class where people pay more to sit away from the poorer population. The private jets are flying their own planes but their tax dollar also goes toward airline bailout too. I'm sure people will be talking about the benefit of being rich and etc. All fair but my example is purely on insurance and stuff where I assume all else not being a factor to keep the conversation focused on few points rather than every interconnected pieces.
Well said
Australia healthcare system has the same problem as Taiwan. Such spending would dry up your coffer.
假新聞的代表作！報導這樣的新聞只會讓你們失去公信力！北榮正式提出嚴正抗議！
這影片真的是部超級丟臉的報導！
美國人自己推不了健保，在那邊ggyy台灣健保要倒閉？😗
美國有點錢的都看不起窮人，所以健保這種制度推不了~台灣人就不一樣了，每月繳一千但自己其實沒用到那麼多~就一個幫助人的概念，這在美國這種國家是推不了的。
你確定沒有用到那麼多？越來越多高單價的治療正在被納保。例如4900萬元的基因治療，1000萬元的癌症免疫治療。
如果每個人都要要求用這個治療，不然就威脅醫師要醫師負責，這樣的收費是夠的嗎？還是要走老路，用醫師護理師的薪水來換？你知道衛福部每個月都要醫院自行負擔5000萬到7000萬不等的醫療費用嗎？台北榮總上個月被衛福部告知，有72億治療費必須自行吸收不得和健保申請費用給付。你知道全台灣大多數的醫院都是這樣的嗎？
為什麼我知道？因為我就是醫療人員。
台灣健保的品質是踩在所有醫護人員的屍體上撐起來的。
@briyantseon176 無法同意你更多了，尤其最後一句，台灣的健保真的是踩在所有醫護人員的尸體上撐起來的
@@hsinyihuang7628 沒那麼誇張好嗎?還屍體咧
不是美國人推不了，是美國保險公司跟醫院勾結，聯合坑殺病人，醫院開天價病人就會買高價保險，美國政府敢動財團利益嗎
美國醫生收入也沒有高到那麼高，都被財團拿走了
Although Japan and Korea are more advanced and famous than Taiwan, I think Taiwan's healthcare system is interesting 🎉
美國人自私得很~健保這種制度在美國是推不動的。。太資本主義了！😁
台灣相對於美國來講，是比較中庸的社會型態(雖然年輕一代也是資本主義化比較重)
No talk of biofilm causing cancer?
美國網路媒體Vice近日推出影片，訪問多名北榮醫師，報導台灣世界級健保正崩潰議題。北榮不滿發出2點聲明，與原訪談主軸和內容差異甚大，令人錯愕，深感遺憾，已表達強烈抗議 垃圾媒體 要這樣報導就自己寫就好 還訪問個屁阿?
我同意你 ! 台灣世界級健保有民進黨負全責買單, 台灣人醫療統通免錢 ! 健保正崩潰, 怎麼可能 !
I have been living in Taiwan 50 years + . This video has distorted the truth and totally not reflect the actual medical situation in Taiwan . The person who post this video is obviously trying to harm us. Very very disappointed.
And this is why anything gov ran doesn’t not always work. Eventually it breaks down
Diseases and karmic illness are hard & sturborn to heal. Solve the problems spiritually or the buddhist way. Give life will prolong life and heal your karmic sturborn illnesses. I release lots of cat fish sold in markets into very large calm lakes. In the mean time do not eat anything fresh or life slaughtered for your plate. When one body is seriously sick, reflect what is your past and current continuous wrong. Harming life sow bodily sickness or past life karma
More accurate title: Taiwan's world class economy is failing apart due to reckless action of its own politicians from DDP and nativism in economic policy returning globally. The US, Europe, and China will get better at making semiconductors, the world dependence on Taiwan is ending. I am pretty sure that will make an effect on its economy as well as driving down chips prices to a level that Taiwan's role on it will be speculative. As its economic and vitality weaken, its position will weaken as well. Future Taiwanese leaders will struggle.
I know you are supporting China to invade Taiwan. Period.
You are so wrong
China is the one which is sinking
Definitely not Taiwan
You are a liar
🇹🇼🇹🇼🇹🇼🇹🇼🇹🇼🇹🇼🇹🇼🇹🇼🇹🇼
親中人士都討厭民進黨，什麼錯誤都要歸咎給民進黨，無視民進黨做的貢獻。
And you sound like an old "Chinese-Taiwanese" who immigrated to the US for years, watches pro China news every day, and visits Taiwan once every four years.
@@useridcnWhen the shooting starts and Taiwan is like Ukraine or Gaza, everyone will be like that. Did the Ukrainian people know they were going to be in this position? Did the people in Gaza? Did Americans or the house of representatives or the executive administrations?
Don't wait for the shooting to start and you can't put the fire out to make the right choice. There is a difference between keepiong your independence and poking the dragon or bear or whatever Israel's national animal is when you can't win the either the long or short war.
LET THE SYSTEM FAIL! It's the *ONLY* way people learn!
Its the immigrants fault.
Formosa(Taiwan) belongs to the Philippines.
NOT MY PROBLEM
YOU COULD LEARN SOMETHING