6/4 (Tue.) Taiwan health care system (Host: Miller)

6/4 (Tue.) Taiwan health care system (Host: Miller)

文章miller » 週三 5月 29, 2019 10:07 pm

This is Miller, your host for the meeting on 6/4.
Taiwan health care system is famous all over the world.
Would you like to know how it is great? Please make avalible to attend this meeting.
Before 1995, we had a patchwork system, including labor insurance, farmer insurance, civil servants and teachers insurance.
Sometime we can hear about the old health care system from old generation, the illness people need to sell out all what she/he had to get a medical therapy.
It was a miserable decades.
After the National Health Insurance(NHI) was implemented in 1995, the midecal benefit is separate from labor insurance and farmer insurance.
Nowadays, we rarely heard about that patients have to sell out property to make a medical therapy.
Most people are satisfied with this system, especial the old generation.
Many governments of other nations had visited Taiwan for learning how the health care system can operate.
Even some countries want to duplicate the system in their nations.
They doubted this system how can it make the hospitals and patients satisfied and just cost 6.2 percent of the GDP.
(By comparison, countries in the Organization for Economic Cooperation and Development spend on average more than 9 percent of G.D.P. on health care,
and the United States spends about twice that.)

After we put the second generation system into force in 2013, the system began to run surpluses.
This system is so easy access and convenient that create more demand, then the overutilization of health care services become another problem.
It also caused a physician shortage on the other hand.
We can say it is already one of the best systems in the world, but it is not perfect. What can we do for it.
In the session I, we discuss about the benefits and effects that you had seen.
Then we discuss how to operate this system permanently in the session II.

There are some reference information about Taiwan health care system.
The introduction of Taiwan health care system.
https://m.youtube.com/watch?v=MCDiFIyW0tQ
https://www.nytimes.com/2017/12/26/upshot/the-leap-to-single-payer-what-taiwan-can-teach.html
http://www.nhi.gov.tw/Resource/Registration/2568_2二代健保重點說明-民眾版.ppt

Compare with Taiwan and US.
https://www.northcarolinahealthnews.org/2013/08/28/different-cultures-different-systems-comparing-health-care-in-the-u-s-and-taiwan/




Session 1:
1.How often do you use the health care system? Do you feel satisfied? What benefits do you gain from it?
2.To compare with the health care system of other countries, please share your experience abroad if you had ever encountered.
3.Did you ever hear about the overutilization or waste of Taiwan system from your relatives or friends? Please share several real cases with your table mates.
4.This is one of the best systems in the world. As you know, how does Taiwan make it?



Session 2:
1.Base on the cheap health care services, the relations between physicians and patients are getting worse. The doctors usually have to face the accuse from patients.
Not only we get a growing physician shortage, but also we get more examinations. The doctors would do more examinations to protect themselves.
The results we waste more, even more than what we saved from the reduced cost. Could you propose your idea for the NHI?
2.Compare to the Japanese health care system, they spent more resource in preventive medicine. Do you think whether it will be effective for Taiwan? Why?
3.If your Families got an illness, how much are you willing to pay for? If it needs you to sell out what you had, would you do that?
4.We are getting into an aging society and the birthrate is going down, the NHI may make a bankruptcy in the near future.
Everyone is forced to pay more premium to keep the health care system going on, how much would you like to pay for it?

*******************************************************************************************************************************************
Agenda:
6:50~ 7:00pm Greetings & Free Talk / Ordering Beverage or Meal / Getting Newcomer’s Information
7:00 ~ 7:20pm Opening Remarks / Newcomer’s Self-introduction / Grouping
(Session I)
7:20 ~ 8:00pm Discussion Session (40 mins)
8:00 ~ 8:20pm Summarization (20 mins)
8:20 ~ 8:30pm Regrouping / Instruction Giving / Taking a 10 Minutes Break (Intermission)
(Session II)
8:30 ~ 9:10pm Discussion Session (40 mins)
9:10 ~ 9:30pm Summarization / Concluding Remarks / Announcements (20 mins)
********************************************************************************************************************************************
聚會日期:列於該貼文主題內
聚會時間:請準時 7:00 pm 到 ~ 約 9:30 pm 左右結束
星期二聚會地點:丹堤濟南店
地址、電話:台北市濟南路三段25號 地圖 (02) 2740-2350
捷運站:板南線 忠孝新生站 3 號出口
走法:出忠孝新生站 3 號出口後,沿著巷子(忠孝東路三段10巷)走約 2 分鐘,到了濟南路口,左轉走約 2 分鐘即可看到。
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miller
YOYO member
 
文章: 6
註冊時間: 週三 5月 09, 2018 6:17 pm

Re: 6/4 (Tue.) Taiwan health care system (Host: Miller)

文章Luis Ko » 週六 6月 01, 2019 10:30 pm

Taiwan health care system the best systems in the world? based on what? from whose perspective? a patient or a doctor? hope it's not simply because it's long been hailed. anyway, probably people should try to see it from different angles as well.. 8)
i might be a cynic and, a sceptic as well but, i'm definitely not a bad person!!
Luis Ko
YOYO member
 
文章: 842
註冊時間: 週三 6月 06, 2007 10:18 pm

Re: 6/4 (Tue.) Taiwan health care system (Host: Miller)

文章miller » 週一 6月 03, 2019 10:11 pm

It’s just one of, not the top one. It’s still not perfect. Come to discuss with us. Everyone can make it better.
miller
YOYO member
 
文章: 6
註冊時間: 週三 5月 09, 2018 6:17 pm

Re: 6/4 (Tue.) Taiwan health care system (Host: Miller)

文章Dan » 週一 6月 03, 2019 11:48 pm

I think it’s a great topic to discuss, Miller, especially given that health care is such a vital service for any society.

I’ve thought a lot about Taiwan’s health care system vis-à-vis the U.S system, and every time I do, I find the U.S. system wanting. That is not difficult to believe since the U.S. health care system is a scandal.

Profit-driven, often hard to access and leaving millions without adequate care, the U.S. system nonetheless costs nearly three times more than Taiwan’s as a percentage of GDP, but yields no better health outcomes—perhaps worse. In fact, life expectancy in the U.S. has actually dropped in each of the past three years!

I can see a specialist in Taiwan on the same day I make the appointment. In the U.S., the same appointment could take weeks, even months and cost a lot more—even with good insurance. And I’d first have to go through a primary care physician.

Of course, senior citizens in the U.S. enjoy good health care under the separate, taxpayer-funded Medicare system. And if you need advanced medical treatment, the U.S. is probably your best bet…though it could bankrupt you.

Still, Taiwan’s health care system has some problems. Increasing expenses and an aging population could make the system insolvent in a few years. Doctors have incentives to see too many patients, prescribe too many drugs and ask for too many tests. And there is a shortage of doctors here. Following are some of the problems as I’ve experienced them.

1. Hospitals and clinics are often overcrowded. This is no doubt a consequence of the popularity of the system. In some bustling hospitals at peak hours, such as Mackay Memorial,
I’ve felt like cattle being herded through chutes—from registration to examination to payment to pharmacy.

2. Poor privacy: Anyone who knows my ID number and date of birth can see my appointments online. And some hospitals display my name outside the clinic door. Inside the clinic room, there are sometimes several people who can overhear my conversation with the doctor. (And they can hear the doctor telling me how to deal with my prickly heat in summer. :oops: )

3. Little time with the doctor: I’ve read that some doctors in Taiwan see 80 or more patients per day. That leaves little time for each patient, and while I haven’t been kicked out of the examination room yet, sometimes I feel rushed. Of course, U.S. doctors, who triple- or quadruple-book patients at the same time aren’t any better.

4. Doctors hand out drugs like candy: Because of the low cost of most drugs and high expectations from patients in Taiwan, doctors seem to issue lots of prescriptions. I don’t think I’ve ever left the hospital or clinic with fewer than two drugs in my pocket, and I often receive more. I usually don’t take most of the drugs the doctors and pharmacies dispense.

5. Headed for insolvency: Taiwan’s national health insurance system cannot handle the growing weight of higher costs and more and more patients. If the government doesn’t increase premiums or copays, the system will become insolvent. Besides discouraging visits by patients with minor ailments and reducing doctors’ workloads, I wonder why the system covers alternative medicine, like traditional Chinese treatments and remedies. That may not be a popular question, but let’s face it, few of these treatments or remedies have been scientifically proven to work.

Well, that’s my (too-long) take on the topic—which I’m sure is (not necessarily) what the doctored ordered to induce vomiting--I mean, discussion--tomorrow. :lol:
最後由 Dan 於 週二 6月 04, 2019 2:25 pm 編輯,總共編輯了 1 次。
Dan
Member
 
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註冊時間: 週四 9月 22, 2016 8:08 pm

Re: 6/4 (Tue.) Taiwan health care system (Host: Miller)

文章miller » 週二 6月 04, 2019 11:23 am

Dan
thank you for your good opinions.
You observed the health care system so thoroughly.
Please come to discuss with us this evening.
We can work out some solutions for this system.
miller
YOYO member
 
文章: 6
註冊時間: 週三 5月 09, 2018 6:17 pm

Re: 6/4 (Tue.) Taiwan health care system (Host: Miller)

文章Luis Ko » 週二 6月 04, 2019 12:59 pm

don't get me wrong. i just wanted to emphasize what makes people draw the conclusion "one of the best"? why people are satisfied with the system? why can't other richer than us countries have such "good" care system? is it always "the cheaper, the better" or what? right, i will leave you with these questions to think about.. 8)
i might be a cynic and, a sceptic as well but, i'm definitely not a bad person!!
Luis Ko
YOYO member
 
文章: 842
註冊時間: 週三 6月 06, 2007 10:18 pm


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