# US and Taiwan healthcare systems and taxation

**URL:** <https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407>\
**Category:** Health & Fitness\
**Created:** [October 30, 2020, 10:24am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407 "2020-10-30T10:24:02Z")\
**Posts on this page:** 20\
**Page:** 1

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**Author:** ![QuaSaShao](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/quasashao/32/220200_2.png) [@QuaSaShao](https://tw.forumosa.com/u/QuaSaShao)\
**Post date:** [October 30, 2020, 10:24am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/1 "2020-10-30T10:24:02Z")

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Taiwan’s government-run healthcare systems works because there’s no parasitic lawyer lobby running a legal lottery on the back of the healthcare system and healthcare providers can’t charge sick, injured and dying patients anything they want. Those two conditions will unfortunately never be met in America’s crony socialism political system.

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**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 10:55am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/2 "2020-10-30T10:55:38Z")

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> [@QuaSaShao](#):
>
> Taiwan’s government-run healthcare systems works because there’s no parasitic lawyer lobby running a legal lottery on the back of the healthcare system and healthcare providers can’t charge sick, injured and dying patients anything they want. Those two conditions will unfortunately never be met in America’s crony socialism political system.

Taiwan’s NHI system is on it’s last legs, forcing people to pay for something they don’t want and then using that money to pay for people who do want it but don’t want to pay for it is never going to work long term. Hopefully the proposal to increase the forced payment amounts next year and further reduce the available treatments will finally lead to rebellion and a fairer system.

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**Author:** ![Marco](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/marco/32/179744_2.png) [@Marco](https://tw.forumosa.com/u/Marco)\
**Post date:** [October 30, 2020, 11:12am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/3 "2020-10-30T11:12:44Z")

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What would be a fairer system?

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**Author:** ![Andrew](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/andrew/32/179806_2.png) [@Andrew](https://tw.forumosa.com/u/Andrew)\
**Post date:** [October 30, 2020, 11:48am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/4 "2020-10-30T11:48:50Z")

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> [@SuperS54](#):
>
> Taiwan’s NHI system is on it’s last legs, forcing people to pay for something they don’t want and then using that money to pay for people who do want it but don’t want to pay for it is never going to work long term.

Would you mind sharing the data you saw that shows that a majority of Taiwanese people don’t want NHI and/or would prefer a different system? Despite its problems, the current system seems like a bargain to me and pretty “fair”, so would be curious for more info.

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**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 11:52am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/5 "2020-10-30T11:52:30Z")

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> [@Marco](#):
>
> What would be a fairer system?

Everyone pay for their own.

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 11:55am UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/6 "2020-10-30T11:55:32Z")

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> [@Andrew](#):
>
> Would you mind sharing the data you saw that shows that a majority of Taiwanese people don’t want NHI and/or would prefer a different system?

That’s your statement not mine, you share the data.

> [@Andrew](#):
>
> Despite its problems, the current system seems like a bargain to me and pretty “fair”, so would be curious for more info.

I’m guessing you’re single without children, and/or on a lower income. When you’re forced to pay more than private insurance would cost you and get far less for your contribution than private insurance would give you then tell me how “fair” the system is.

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**Author:** ![Marco](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/marco/32/179744_2.png) [@Marco](https://tw.forumosa.com/u/Marco)\
**Post date:** [October 30, 2020, 12:24pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/7 "2020-10-30T12:24:37Z")

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US style? The country that spends more per person on healthcare yet provides very little to its citizens? The same system that gives Americans a crap deal compared to other countries? That has to be one of the dumbest replies I have received so far.

> Well Mr Chen. You need this $3 million NT medicine. Or you’ll die. What? Banks turned you down due to your age? Whoops! Sorry! Guess you’ll have to die.

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**Author:** ![tando](https://forumosa-12829.kxcdn.com/letter_avatar_proxy/v4/letter/t/6f9a4e/32.png) [@tando](https://tw.forumosa.com/u/tando)\
**Post date:** [October 30, 2020, 12:25pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/8 "2020-10-30T12:25:47Z")

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> [@SuperS54](#):
>
> how “fair” the system is.

it is the same with that progressive taxation is fair, I guess.

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**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:30pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/9 "2020-10-30T12:30:06Z")

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> [@Marco](#):
>
> US style? The country that spends more per person on healthcare yet provides very little to its citizens?

You said “US style”, not me. There are quite a few other countries on this planet, although US citizen find it hard to see around their blinkers.

> [@Marco](#):
>
> That has to be one of the dumbest replies I have received so far.

LOL, it’s your reply so I won’t disagree with you.

> [@Marco](#):
>
> Well Mr Chen. You need this $3 million NT medicine. Or you’ll die. What? Banks turned you down due to your age? Whoops! Sorry! Guess you’ll have to die.

Who do you think should pay for Mr Chen’s $3 million NT medicine?

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:30pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/10 "2020-10-30T12:30:41Z")

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> [@tando](#):
>
> it is the same with that progressive taxation is fair, I guess.

Taxation is not fair, whatever gave you that idea?

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<div class="post-metadata">

**Author:** ![tando](https://forumosa-12829.kxcdn.com/letter_avatar_proxy/v4/letter/t/6f9a4e/32.png) [@tando](https://tw.forumosa.com/u/tando)\
**Post date:** [October 30, 2020, 12:32pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/11 "2020-10-30T12:32:56Z")

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> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/270):
>
> > [@tando](#):
> >
> > it is the same with that progressive taxation is fair, I guess.
> 
> Taxation is not fair, whatever gave you that idea?

actually it is a flat rate. And, taxation is considered to be fair, by some way.

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:33pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/12 "2020-10-30T12:33:54Z")

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> [@tando](#):
>
> actually it is a flat rate

What is a flat rate?

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<div class="post-metadata">

**Author:** ![tando](https://forumosa-12829.kxcdn.com/letter_avatar_proxy/v4/letter/t/6f9a4e/32.png) [@tando](https://tw.forumosa.com/u/tando)\
**Post date:** [October 30, 2020, 12:34pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/13 "2020-10-30T12:34:32Z")

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> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/272):
>
> > [@tando](#):
> >
> > actually it is a flat rate
> 
> What is a flat rate?

premium of nhi  
It is calculated by the same rate. Not progressive like US tax. And, for people who earn more than a certain amount, It is regressive.

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:34pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/14 "2020-10-30T12:34:54Z")

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> [@tando](#):
>
> premium of nhi

LOL, no its not.

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**Author:** ![Marco](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/marco/32/179744_2.png) [@Marco](https://tw.forumosa.com/u/Marco)\
**Post date:** [October 30, 2020, 12:37pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/15 "2020-10-30T12:37:00Z")

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> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/269):
>
> > [@Marco](#):
> >
> > US style? The country that spends more per person on healthcare yet provides very little to its citizens?
> 
> You said “US style”, not me. There are quite a few other countries on this planet, although US citizen find it hard to see around their blinkers.
> 
> > [@Marco](#):
> >
> > That has to be one of the dumbest replies I have received so far.
> 
> LOL, it’s your reply so I won’t disagree with you.
> 
> > [@Marco](#):
> >
> > Well Mr Chen. You need this $3 million NT medicine. Or you’ll die. What? Banks turned you down due to your age? Whoops! Sorry! Guess you’ll have to die.
> 
> Who do you think should pay for Mr Chen’s $3 million NT medicine?

If you’ve paid attention. I’m not American. I’m Italian Canadian. @Hanna can testify.

When you pay for private health insurance, healthy people subsidise the frail. That is how a public health insurance scheme is supposed to be run. Healthy people keep it afloat with cash. Everyone gets old or frail and dies eventually. When you need it. Its available to you at anytime anyplace. There is a reason why most developed countries use a universal government run or regulated system…because it works.

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**Author:** ![Andrew](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/andrew/32/179806_2.png) [@Andrew](https://tw.forumosa.com/u/Andrew)\
**Post date:** [October 30, 2020, 12:37pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/16 "2020-10-30T12:37:03Z")

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> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/266):
>
> That’s your statement not mine, you share the data.

I don’t have that data, because I don’t think it exists.

It seemed to be implied by what you wrote though. That’s why I asked. I was just trying to determine whether it was anecdotal or you were totally making it up, i.e., what level of disregard I should attribute to your surprising statement that people don’t want it.

> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/266):
>
> I’m guessing you’re single without children, and/or on a lower income. When you’re forced to pay more than private insurance would cost you and get far less for your contribution than private insurance would give you then tell me how “fair” the system is.

Single without children, yes. A fair bit above the average income for locals or foreigners living here, I suppose. Not 100% keen on paying extra for someone else’s partner and kids (it seems to me the bulk of that burden should be on the person choosing to procreate and make those life decisions, i.e., you in this case)…but I also wouldn’t object to paying, say, a couple of times more if that’s what was necessary to keep the system sustainable for everyone.

> [@SuperS54](#):
>
> Hopefully the proposal to increase the forced payment amounts next year and further reduce the available treatments will finally lead to rebellion and a fairer system.

Seems a bit of a dick move to hope that the system fails though, tbh.

If you do come across that data to support your point, by the way, please feel free to provide it. 😘

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<div class="post-metadata">

**Author:** ![tando](https://forumosa-12829.kxcdn.com/letter_avatar_proxy/v4/letter/t/6f9a4e/32.png) [@tando](https://tw.forumosa.com/u/tando)\
**Post date:** [October 30, 2020, 12:41pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/17 "2020-10-30T12:41:26Z")

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> [@Coronavirus - Taiwan (October-December 2020)](https://tw.forumosa.com/t/coronavirus-taiwan-october-december-2020/197887/274):
>
> > [@tando](#):
> >
> > premium of nhi
> 
> LOL, no its not.

it is, as I explained in the previous post. It is not a flat fee, but flat rate.

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:42pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/18 "2020-10-30T12:42:48Z")

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> [@Marco](#):
>
> If you’ve paid attention. I’m not American. I’m Italian Canadian.

I neither knew nor cared!

> [@Marco](#):
>
> When you pay for private health insurance, healthy people subsidise the frail. That is how a public health insurance scheme is supposed to be run.

There’s an enormous difference, one is voluntary the other is not.

> [@Marco](#):
>
> There is a reason why most developed countries use a universal government run or regulated system…because it works.

Which country is it working in?

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:47pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/19 "2020-10-30T12:47:04Z")

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> [@Andrew](#):
>
> It seemed to be implied by what you wrote though.

It wasn’t.

> [@Andrew](#):
>
> that people don’t want it.

You think that 100% of people want it?

> [@Andrew](#):
>
> but I also wouldn’t object to paying

Your objections or not won’t matter, if you wish to continue to live and work here you will be forced to pay whatever is decided.

> [@Andrew](#):
>
> Seems a bit of a dick move to hope that the system fails though, tbh.

A dick move to hope it’s replaced by a fairer system? I suppose, if like you my contributions were small I might be happy to see the current system continue.

> [@Andrew](#):
>
> If you do come across that data to support your point,

The point you made? As before, feel free to share the data.

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<div class="post-metadata">

**Author:** ![SuperS54](https://forumosa-12829.kxcdn.com/user_avatar/tw.forumosa.com/supers54/32/137985_2.png) [@SuperS54](https://tw.forumosa.com/u/SuperS54)\
**Post date:** [October 30, 2020, 12:47pm UTC](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407/20 "2020-10-30T12:47:25Z")

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> [@tando](#):
>
> as I explained in the previous post

Which post?

[Next page](https://tw.forumosa.com/t/us-and-taiwan-healthcare-systems-and-taxation/198407.md?page=2)
