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Achieving and Sustaining Universal Health Coverage: Fiscal Reform of the National Health Insurance in Taiwan

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  • Jesse Yu-Chen Lan

    (I-Shou University)

Abstract

The paper discusses the expansion of the universal health coverage (UHC) in Taiwan through the establishment of National Health Insurance (NHI), and the fiscal crisis it caused. Two key questions are addressed: How did the NHI gradually achieve universal coverage, and yet cause Taiwanese health spending to escalate to fiscal crisis? What measures have been taken to reform the NHI finance and achieve moderate success to date? The main argument of this paper is that the Taiwanese Government did try to implement various reforms to save costs and had moderate success, but the path-dependent process of reform does not allow increasing contribution rates significantly and thereby makes sustainability challenging.

Suggested Citation

  • Jesse Yu-Chen Lan, 2017. "Achieving and Sustaining Universal Health Coverage: Fiscal Reform of the National Health Insurance in Taiwan," Applied Health Economics and Health Policy, Springer, vol. 15(6), pages 717-731, December.
    • Handle: RePEc:spr:aphecp:v:15:y:2017:i:6:d:10.1007_s40258-016-0286-6
    DOI: 10.1007/s40258-016-0286-6
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    Cited by:

    1. Zhe-Yu Yang & Wei-Liang Chen & Wei-Te Wu & Ching-Huang Lai & Ching-Liang Ho & Chung-Ching Wang, 2022. "Return to Work and Mortality in Breast Cancer Survivors: A 11-Year Longitudinal Study," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    2. Teguh Dartanto & Alin Halimatussadiah & Jahen Fachrul Rezki & Renny Nurhasana & Chairina Hanum Siregar & Hamdan Bintara & Usman & Wahyu Pramono & Nia Kurnia Sholihah & Edith Zheng Wen Yuan & Rooswanti, 2020. "Why Do Informal Sector Workers Not Pay the Premium Regularly? Evidence from the National Health Insurance System in Indonesia," Applied Health Economics and Health Policy, Springer, vol. 18(1), pages 81-96, February.
    3. Ousmane Traoré, 2020. "Economic Growth and Human Capital Accumulation across Countries: Evidence from WAEMU Region," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 26(2), pages 147-159, May.

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