The Health System of Taiwan: HCT Healthcare of Many Nations
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- Опубликовано: 18 фев 2018
- Every once in a while, we like to take a moment and focus on health systems around the world. Today, we're looking at Taiwan, which made the transition to a single payer system kind of suddenly, and pretty recently.
I lived briefly in Taiwan and all my health care experiences were really amazing. Dental, emergency care, diagnostics, medication. All really flawless.
I am a citizen of Taiwan and US. My mother praised Taiwan’s health care system and continues to pay for my NHI premium, even if I don’t live there. Now I am 50 years old, and I truly appreciate her foresight about retirement. I plan on retiring in Taiwan in the future for sure.
I've actually been to a Taiwanese hospital & at first I was a bit overwhelmed by how crowded and simple the emergency department was. It was basically one giant room with beds along all walls and some in the middle. Lots of doctors and nurses were treating everyone at the same time. But everything was quick. Multiple specialists got to see me, instead of one general care doctor. And when I went to take x-rays. I got laid down on a computer controlled bed that would automatically move me to all the different spots for shots. Somewhat like a 3d printer does...
Basically, what needed to be was really high tech, but when it wasn't necessary it would be low tech, but really efficient.
A lot better than the inefficient money wasting system we have in the Netherlands IMO.
A literal Emergency "Room".
SAMWEST no it depends
An ER doctor may have to take care of up to 150 patients during a shift of 12 hours. Such overloading actually takes down the quality of care. Important details are frequently skipped to increase efficiency or lower the cost. High price medical devices designed for only single use are usually resanitized and reused. These are only some of the examples of inconvenient trade-offs for low cost. I believe no other developed countries have similar practices. That's why the healthcare in Taiwan costs only 6% of GDP and patients still have the freedom to shop around.
I am from Taiwan and worked there for a while.
When I started working, I needed to start my own healthcare plan (as opposed to being on my parents's plan). So I took a trip to the city hall to sign up. The whole process took less than 20 minutes. And I didn't need to think about it at all afterwards.
Now I'm working in the US. Simply figuring out how the system works took me hours, I'm spending more than 10 times as much for my premium, and the coverage is shit compared to what I had in Taiwan. And even for things that are covered, the costs are still higher than what I usually pay in Taiwan.
Right now I work in biotech industry where there are a lot of foreign workers from Europe and Asia. Almost everyone I talk to agrees that the US system is the worst they have ever experienced.
Pretty much the only possible way that the US system is good for someone, is if that someone is really really rich, and has cancer or some rare-disease that require the most advanced research to cure it. AND they must be rich enough to afford it.
Thanks for sharing this! Even with well-done informative videos like this one, it can be hard to link that to day-to-day life of people. I've married into a Taiwanese family and have started to talk to them about the differences in daily life where it comes to healthcare, but that can only go so far as they haven't experienced both.
Hearing from someone who has is illuminating. If you don't mind my asking, do you think this will change where you choose to live in the long-term?
It would definitely affect my decision making but there are also other factors as well, such as family and cultural preferences. There are pros and cons to both sides so it ultimately depends on what each person values more.
Combine with your co workers and lobby our politicans by explaing it's possible to change healthcare for the betterment of every person in our USA.
Having lived in Taiwan for 10 years as an expat the Health Care experiences was awesome! Low co-pay, quality care.
I am so glad you did this episode. Taiwan has an amazing system and, as a country that lives under actual fear of communist domination, can't be dismissed by Americans as being socialists.
what happens if you dont or cant work? Communist vouch for Free healthcare!
Yes! The return of international health systems made my day! And with a great example of quick changes! thanks guys
Yes!! I lived in Taiwan for several years and I always tell people how great the system was. My premiums were a very small percentage of my salary, and I could go to pretty much any doctor and pay a copy of $5-10. I was hospitalized for pneumonia for 4 days and it cost me $80. I found the quality of care to be similar to that of the US. I can't speak to the experiences of people suffering from longer-term issues, but overall I had no complaints. What amazed me the most is that people in Taiwan go to the doctor right away if they're sick, even if it's probably just a cold. People here in the US often wait to see if their illness will get better before seeing a doctor. From someone who's experienced both US healthcare and single-payer healthcare, I much preferred single payer.
Samantha Priester glad you had a great time in Taiwan !
Thx for liking Taiwan
US has a poor excuse of a healthcare system. They spend the most on healthcare while getting almost nothing. Big part of it is lobbying.
Taiwan's health care system proved to be very efficient in the coronavirus pandemic.
Also, you didn't mention that every Taiwanese citizen has had an electronic medical record since 2002.
I want more of these! I know you have done quite a few international health care systems but I think there is plenty of room for more, they are always interesting
Any chance sources, where possible, could be linked? I’m the sort of nerd that loves extra research. Otherwise, I’m glad this series is still alive. Well put together and interesting, as always.
Gtal you should watch this documentary: ruclips.net/video/Y5nu9OGiG0w/видео.html also read his book: the healing of America. Great book about international health systems.
This isn't exactly what you're looking for but the upshot article on which this video is based has many links to sources that you can puruse.
www.nytimes.com/2017/12/26/upshot/the-leap-to-single-payer-what-taiwan-can-teach.html
These are really good, I hope you keep making more!
I love these videos! It's really interesting to see how Healthcare systems work in other countries!
Any chance to have one episode on Italian health system? I love your videos and I would be really curious to see my country health system from an outside point of view.
I spent a couple years in Taiwan for a LDS mission. If you had to see a doc for something, you were in and out pretty fast.
nuju888ice When were you there?
2011 through 2012
Is it possible to do an episode on the Dutch system? If I recall correctly from previous videos, it's the 2nd most expensive in the world, and it's an interesting example on how inefficient a system can be. Might be fun to have a look at.
That's funny.
The Netherlands is one of the healthiest and fittest countries on Earth.
@@marlonmoncrieffe0728 Have a friend who absolutely despised the Dutch system, didn't explain much, but said she got far better healthcare in both South Africa and the UK.
@@gabrielfraser2109
🤷♂️I guess the biking and athletic culture keeps the Netherlanders healthy.
Thank you for doing this series.
TAIWAN #1
These videos are really good!!! hope you will do the different scandinavians healthcare systems! :D
didn't know Aardvarks could house so many people...this is the kind of little knowledge pearls that makes me keep watching this channel, thanks Healtcare Traage!
Love these videos on the systems in other countries!
This is really great. First time watching your channel. I love it
Please do add more International Health Care videos to your collection. These are very informative.
Thanks Tori! We do plan on adding to this series!
I adore these episodes!
I love these. Great work
Would enjoy an episode on mainland China's system, it's a major nation and it would be interesting to know how you provide health care for over a billion people. A future episode on Japan would be nice. Plus maybe a historical episode on what the Soviet union's healthcare system was like, I'm just curious to know what a socialized system of medicine in a truly communist nation looks like. Thanks great series.
You mean China's system.
Really appreciate these videos
Please do one on the Israeli health care system!
Perfect for treating bullet wounds.
Robert Jarman I just knew someone was going to comment something random, irrelevant, and political. Well done.
Nobody has their hands free of blood. At least in Israel if you can get to the hospital, chances are much better that you can get care than in most places.
Yay! Now this is the healthcare triage I stuck around for. I understand that american healthcare policy is an important part of this channel but I really think the content is significantly better when it isn't just a receptacle for the news cycle of the current administration.
can you put some links in the description please? that article comparing different healthcare systems sounds awesome, i’d be really interested to read it!
this is one informative channel! heck.
Every health care system has pros and cons. The cheap healthcare system results in exploiting healthcare workers. I was an ICU nurse in Taiwan for two years and my annual income is 20K USD. I worked overtime every day but seldom got paid unless CPR or an emergency occurred during my shift cause the hospital said " It's your responsibility to complete your patient care for today". In addition to that, people exploit the health care system as well since it's SO cheap to see a doctor. I've seen people come into ER for nose bleeding, hangover, small scratches, headache. And sometimes if patients wait longer than a few hours in the ER, some start yelling or even punching doctors and nurses. I "enjoy" being a patient in Taiwan but not so much being a nurse there. I'm now in Canada searching for a better life but I'll certainly go back to Taiwan if I need medical care. And that's a sad truth.
I love this series! Can you do Norway in a future episode?
I want single payer system (paid by taxes/government) with private providers, I don't want VA type system that hire doctors to provide services.
Taiwan number 1.. although one issue with it is hard to maintain such a giant system
First of all,thanks for the overview of health system around the world.My country spends just around 1.3% of GDP on Healthcare even though it's poverty contribution is around 16% overall. However, the revamped proposed Healthcare -Ayushman Bharat sounds quiet grand.If possible ,please consider doing a take on Indian healthcare system.It would definitely help many to look at comparison and catalyse the debate within India
do you have a video that talks about ways to expand the medical supply of care such as retail clinics and expanding duties of care to NP (nurse practitioners with more training), pharmacists and PA?
Muito bom, me ajudou muito sobre o trabalho que estou fazendo sobre como é o sistema de saúde em Taiwan...
Great video!
Could you please do an episode on the ME/CFS and it's history? I have it and there's so much stigma and so little awareness and funding for research. More awareness would really help.
It would be really nice to compare with Hong Kong as well, since you guys have done Taiwan and Singapore already. Also a place that spends little while achieving quite a lot.
All of these videos are great! Thank you for making them. :)
Yeah, especially since Hong Kong rivals Singapore when it comes to healthcare.
This channel's playlist named "International Health Care Systems" appears to be in backward release order until you reach this video. If you watch the playlist with its current ordering, many videos reference information covered in videos that come along afterward in the (current) viewing order. Unfortunately, the information is still presented as though you've already watched the previous videos in the correct order...
Can you make a video on NZ's healthcare? I'd love to see a different perspective on my home country's healthcare system.
Great video! Can you give the source link next time in the description?
Oh boy will China be mad at this episode.
What are you talking about. Taiwan is China wink wink nudge nudge.
RUclips is blocked in China anyway!
*FALUN DAFA!!!!* *TANG DYNASTY!!!!*
Now they madAF XD
TheGreen Jarret lol this comment on healthcare triage. You have no idea what they preach do you?
Taiwan number 1 !
(Just to make things a little spicier)
The best description I heard to describe the Taiwan health care system is "Obamacare working the way it suppose to work"
No, obamacare is more like the duch and swiss system. Taiwans system is most like a Medicareforall system Bernie wants, where there is a single payer nationalized goverment funded insurance system, but hospitals and previders remain private.
This is great! Can you do The Philippines next please? 😊
A South Korea episode would be interesting.
Is the book on Audible yet?
Could you do Israel next? It's an interesting mix of public private with hospitals being public and daily care being semi private.
Do an episode on Japan’s system please!
Short to the point ,,, brilliant
Do Sweden next!
You should do a video on New Zealand's healthcare system. It's unusual as it has a socialised public element, a private insurance element, and a government monopoly for-profit insurance scheme which covers healthcare needs from accidents (called ACC). The latter system is no-fault and means that protect individuals from civil liability in for accidental injury. In short, if I crash my car into yours, you can sue me for the damage to your car, but ACC will cover your healtcare, rehabilitation, and loss of income costs.
I can help if you want info on the system in Spain
"Uh oh, did you just call Taiwan a country?"
*Demonitized*
Also I subbed♡
Please do more countries healthcare systems
Taiwan and the eastern Asian countries in general seem to have a pretty well run system in the context of government controlled.
Do Norway!!! :D
I have almost given up on US health care. I don't want to be rude and tell my gastro doc that she is useless but it is pretty much true.
#HCTBlastFromThePast
please do new zealand next :)
Did anyone else notice the lint on his shirt on our left and the grease spot on our right near his shirt's pocket?
I think a health care savings plan will work for some who has the money to be set aside for their healthcare. But it must be tax free and allow all kinds of investments including gold and crypto to be tax free as long the money is used to pay bills. And have a local single payer system designed only for the town or part of the city you live similar to how school districts are broken up. The local government chooses the lowest bid healthcare provider to be the predominant provider for that city or district and all employers in that area will use the same provider. Basically using Taiwan’s model and break it up into tiny local bits all unique to other cities. No Federal government control all local control.You wouldn’t want the electric company controlling everyone’s thermostat. Locally controlled is best.
I'm about to make a Video about Health Care service and finance. I think the best model for a Health care system would be one modeled after that of ancient China, where instead of Paying your Doctor when you're sick, you pay them or the Organization they work for, a retainer to keep you healthy.
-Your Insurance provider and Health care provider would one and the same.
-Health care providers have huge advantage over Patients, in that they actually do have the resources and Know-how to go up against Drug companies. So having the health care provider also bare the cost of treatment and medicine, will have them seek the most cost-effective method to get you healthy as soon as possible and keep you that way for as long as possible. This would drive up the quality of care, while also driving down the costs of care, as promised by Free Market Health care theory.
-To have Universal access, Public money that would have gone towards a Public Health care system, can instead be used to pay for such Retainers with reimbursable Vouchers. If a Patient finds and picks a service that is cheaper than the Voucher's limit, they can keep the change. If it Exceeds the Voucher's limit, they would only pay the difference out of their pocket.
- There would be a separate scheme for Emergency care.
What about health care in Taiwan if you are unemployed?
if you are unemployed, you pay only the minimum $25 each month. If you don't pay it, you can still have NHI services.
Formosa
Having worked at both system, there seems to have higher patient load per doctor via antidotal observation in two trauma one hospital. Also it’s frustrating as they can not turn away “possible” emergency and seeing too many cause flags, state review, and lower reimbursement per patient visit. Imagine if you are told to work for less at a almost exponential format. They system foster over dependence, lack of self care and community based preventative health, instead the public see the Er like a pit stop. While I understand the same can be said about US ED, the patient burden and stress of reduce pay from “seeing” too many adds a lot more stressor on the provider. And it’s difficult to improve care when there is a systemic issue of again over/ineffective utilization of hospitals. Though I will say, the nationalize health card where ALL patient emr are compiled to one was amazing. It reduce doctor shopping, opiate seeking, by centralize information. If only us’s ACA mandate common coding language and billing. I’m sure EPIC and ECW won’t let that happen.
Taiwan has a great reputation for this world class healthcare system! But here is a serious question the world is looking for, already possible in Sweden, will Taiwan one day legalize hospice care, or legalize euthanasia?
台灣在這個世界級的醫療體系中享有盛譽! 但這裡有一個世界尋求的嚴肅問題，在瑞典已經是可能的, 台灣有一天會合法臨終關懷, 或合法安樂死嗎?
Docs don't make big money there, a change the AMA( a trade organization) will not tolerate.
Try telling the medical graduate with $250k-$300k of debt, who spent 12-15 years in school, that they shouldn't be allowed to make a lot of money. You aren't going to convince anyone to become doctors if that's the case. Who in their right mind would go through all that work and schooling to work in an immeasurably stressful environment, working long hours without overtime pay and will lose 10 years off their life expectancy from the stress they will endure, only to make slightly more than a nurse like they do many other countries? Why do you think doctors from other countries come to the US?
I'm Taiwanese. The doctors' salary range from 5,000USD to 16,666USD or even more. Doctors have high incomes in our society and are well respected. "Taiwan’s medical technology was also ranked third in the world, after the United States and Germany." You can Google that!
Can you do Italy?
I have been required to pay into Taiwan Health System, although I live most days of year in Canada.
When I carried Taiwan Passport entering Taiwan immigration, their computer detected upon my arrival, if I owe money to government.
A video about Taiwan without a social credit joke? This is a dream come true :D
Ooh boy, everything you said I have experienced from my parents’ complaining every day during dinner. But holy shit is the access just fantastic. It’s almost to the point where people are taking it for granted. If you can name a “so and so specialist” in whatever specialty, you can pretty much get an appointment, but they can be very, very busy. A daily outpatient waiting list of 120+ is not unheard of.
One thing that Taiwan could learn from US is the long term care. Home hospice care is not really a thing yet, although hospitals are beginning to dabble with it. Equipment rentals can be done with small medical equipment shops (we rented the oxygenator and mechanical bed for my grandma this way), but my recollection is that the national insurance didn’t cover those. However, since my grandpa was a veteran, the Veterans General hospital had some pretty nice rooms for my grandma.
C'mon America...we can reform...
Can you do Mexico?
What kind of advertiser would object to educational content, such as this?
RUclips clearly has a lot of work to do concerning its advertising system if even you guys are feeling the pinch.
Do South Korea
Title: Healthcare of many *nations*
Random Chinese commie: TAIWAN IS CHINA! REEEEEEEEEEEEEEE
No it's not. Taiwan is not China.
You really need to handle Israel system!!
Do Hong kongs
Can we do India 🇮🇳
这语速好快……
😣< *_MORE!_* ]
3:42 Yes, because the NHS is better
From what I've learned, a lot of drugs are quitting from Taiwan and probably never coming back, because drugs' prices are highly regulated and keep being cut or bring down by the Bureau Of National Health Insurance(it's only a sum to be granted every year so they want drugs as cheap as possible). That and exploiting doctors by not include them in the labor law are the reasons why the health system in Taiwan appears to be better than other countries: forced cheap labors and keep down the prices of drugs. The results are patients no longer have their best drugs to use, and doctors running away from major practices like surgery, gynecology, pediatrics and emergency department. Instead they are going to plastic surgery industry, not just because the profits are higher, but they are less likely to overwork and die in early age there.
The two problems are just the tip of the iceberg. It's a sinking ship and I hope people know the facts before praising it.
Uuuuh, you called Taiwan the N word. That hurt the feelings of 1.3 Billion people who can't watch this video ;)
Nah. A lot of us actually get to watch this. They just can't understand it as it is in English. And the N word is fine, you don't hurt our 1.3B feelings at all (at least the reasonable ones). It is country to country politics. Doesn't really affect us, the common folks.
It's a persiflage on official statements of the CCP...
I understand. And I apologize if I sounded overly serious. I just wish to clarify as it is a common question I get posted here in Singapore: Hey, how do you feel about Taiwan? And it has already become a second nature for me to clarify that "No, the general public actually doesn't care a lot about it." Again, my apologies.
Ah ok. I just always assume that the "typical" person doesn't care too much for politics
Hm... Most people I know (at least for my generation) doesn't really do that. My parents' generation perhaps (they are almost 70 years old now), but even in their generation, most are able to see how many things the government stand for can be a matter of national pride (which is a much bigger thing among Chinese than people from the west) rather than practical considerations.
However, if you treat us in a hostile way, we tend to react in kind as well. For example, this one dude I met decided to yell at me "Taiwan is its own country, you PRC f*** off." So I had a good argument with him. A simple few examples. Catalan wants to be its own country, should Spain f*** off too? Northern Ireland wants to be with Ireland, should the Brits f*** off too? Quebec wants to be its own country, should Canada f*** off too? California wants to be its own country, should Americans f*** off too? Things go problematic if it is closer to home.
For me, and most Chinese I know, we are of similar opinion. Status quo is good. Taiwan exists as its own separate country effectively but never declare full independence. China claims Taiwan to be part of its territory but never enforce that claim. Maybe one day the Taiwan people decide to be part of China. Maybe one day the communist party collapse and we all decide to be part of Taiwan. Just don't push this issue to something so big that it starts spoiling people's lives. You be nice and don't probe us about our opinion about Taiwan. And we will be nice and not probe about your own country's separatist movements which you can find a list here: en.wikipedia.org/wiki/Lists_of_active_separatist_movements
You mean real china?
I can tell this guy's ideological bent by listening to this video. Without a doubt two things are very important to him regarding healthcare;
1.) It should be involuntarily funded
2.) It should be (at least partially) controlled by politicians.
im okay with paying higher healthcare costs to allow our fast pace of medical innovation here in the USA to continue. Pharma/biotech companies cut their R&D when governments negotiate lower prices.
Are you saying it's okay that tens of thousands of people die every year without care so Pharma/Biotech companies can get higher prices?
More people are dying from diseases for which we dont have a cure yet. I'd be in support of regulation that would prevent another Valeant from happening (eg dont let pharmas act as hedge funds), but the solution here is a free market approach. Also, these companies only have exclusivity in their respective markets for 20 or so years after FDA approval, which isn't very long if you consider the intricacies of drug development. If you look at innovation in the pharma industry by country, the USA has over 5x more biomedical research than the 2nd country. The rest of the world is lucky to have a country with such strong intellectual property law, free market capitalism, and incentives to create novel therapeutics.
"More people are dying from diseases for which we dont have a cure yet." Sorry, this is completely untrue.
Making sure people can receive high quality care right now would save more lives than developing new treatments for diseases.
"A recent analysis by our research team at Virginia Commonwealth University demonstrated that developing new treatments often does less good than ensuring the delivery of older drugs to all those in need... [T]he larger problem with our focus on medical breakthroughs is that more Americans will die as a result. Solutions that make the delivery of quality care more systematic are not as sexy as robotic surgery, gene mapping and other medical advances, but they are more apt to save lives. Failing to establish systems to ensure that everyone receives recommended care is causing greater disease and deaths at levels that can rarely be offset by medical advances."
www.washingtonpost.com/wp-dyn/content/article/2006/01/06/AR2006010602269_2.html
If you are buying anything in bulk, negotiating a discount is a no brainer. Medical R and D costs have to be spread out over a large number of units for the drug to be affordable anyways. Pharmaceuticals have a tendency to come up with expensive and potentially useless drugs that you see on TV commercials more often than any products that provide more than marginal benefits.
US is too big to succeed on HealthCare and too big to fail on finances...
Does it mean that there should not be a political entity/social structure bigger than Taiwan's population-territory ratio ? I bet a mathematical law can be defined from that situation : when empires crumbles. Back in the day, the size of an empire was defined by the speed of the horses, nowadays it is decided by the number of strata the hierarchy has overgrown.
Even Americans agree that the american empire hegemony is on decline. Guess why ? #HierarchyOvergrowth #CorruptionNecrosis
Taiwan is not a country demonetized and reported
maggie Lin I'm sure these advertisers would love to know that the authority of the Chinese government is being subverted by this a false notion of a Nation
maggie Lin money.cnn.com/2018/01/11/news/companies/marriott-china-website-app-blocked-tibet-taiwan/index.html this isn't a one-off store either if Healthcare triage and complexly in general want Advertiser Revenue they better quit subverting the Chinese government because all those companies who advertise for complexly will be banned from Commerce in China it's that simple
maggie Lin ruclips.net/video/tQOdjQXLriE/видео.html people are really serious about this you better not have a Chinese boss and have this opinion
maggie Lin Silicon Valley and Hollywood do everything in their power to please China subverting regions like Macau Hong Kong Tibet and the Republic of China everyone ignores all the violence they cause like the exploitation of falun gong practitioners and the Harvest of their organs no one cares about how the people at Foxconn factories are so desperate they jump out of the building to end it all and I take it upon myself in my misguided attempt to raise awareness especially on those RUclips channels most notably those that belong to complexly that completely ignore this fact because it doesn't align with their political agenda and their friends political agendas I want to wake people up if you can't tell by my picture the color is black and yellow a representative of libertarianism and or anarcho-capitalism the exact opposite of Communism I use that Motif to construct my icon as a spoof I'm just trying to raise awareness and I do this by being provocative and argumentative I agree totally with what you're saying I'm just playing a role
maggie Lin that's not true Hollywood make special versions of movies that correspond with the Communist Party Line and when I say Republic of China I meant the real Republic of China not the People's Republic of China And in regards to Silicon Valley look at how people like Zuckerberg and the like are always trying to court China placating to them ignoring the kinds of human rights abuses they partaking a lot of people don't even know the kinds of things that go on in China people are really ignorant on the subject
inbf "Taiwan is not a country"
Farahen Den Taiwan is a country, with its own judicial system and government. So bring your nonsense somewhere else.
This whole series is very unpatriotic. _Fake analyses!_
Petitio Principii wtf are you talking about? He’s just telling you the facts about international healthcare systems.