Yea, no (and I part with a shit ton). Rich people benefit more from society than the poor, so they should pay more. And rich people need the masses more than the masses need the rich.
30% of $30k is naturally going to be higher than 30% of $10k. Don’t read too much into my choice of wording.
(I wasn’t even talking about the different percentage scales, which is a whole other topic of discussion… which I see you’ve already started discussing above.)
Perhaps taiwan is consistently decent and that is pretty much proxy for being good compared to others for many people. Doesnt mean there isnt a lot of work to do in order to makes things good. Taiwan is arguably better than most. but that thinking is really just a way of stroking oneself, it breeds complacency and inaction. Better to keep pushing and expecting excellence.
I don’t think it’s a good idea to raise costs for diagnostics and medications because you end up in a situation like many countries where people who can’t afford it or don’t want to pay the high price simply go untreated and then when things are really bad they come in and it costs the NHI a fortune.
Raise overall premiums sure, keep them low for lower income. I’d even put a cap on the number of visits per week for a similar issue to prevent overbilling
Put a stop in the system to prevent doctor shopping
Wonder what the sollution is to the over use issue. seems between fraud/theft and hypochondria the system is showing some stress marks finally.
Either way, the rich companies running the show get paid. might be good to spend that tax surplus fighting corruption and fraud within the system. Heck, maybe work on some prevention of certain avoidable health concerns that cost the country huge money
Having a gatekeeper system would work and Taiwanese love to be gatekeepers. Need to see a GP to get a referral to a specialist, no going straight to a specialist for a stomachache.
Limit emergency room use to… emergencies (it’s currently used like a GP clinic).
Perhaps increase the co-payment after each visit/year so the first visit might have a $100 co payment, the 5th $800, 10th $1500 etc. Where a patient is found to have a serious illness, refund the extra co-payments
It is a good first step. They also need to revamp the medical system from ‘treatment-oriented’, to a preventative health system. Prioritising prevention would lead to lower healthcare costs, but might also mean less money for doctors. Palatability depends on which constituencies the government serves.
This kind of policy might, unfortunately, lead to some negative consequences for lower income peoples dealing with chronic problems. It would also add another unwanted layer of bureaucracy with the “refund” scheme.
The problem is some doctors/hospitals don’t always want to issue chronic scripts (basically a 3 month supply of pills) until you visited them for a certain number of times. I wonder if they do this so the hospital can suck money out of the NHI system.