Sustainable Universal Health Coverage: Lessons from Taiwan’s Single-Payer National Health Insurance – A Tribute to Uwe Reinhardt

Written by Tsung-Mai Cheng. 1 March 2020 will mark the 25th anniversary of Taiwan’s National Health Insurance (NHI), a government-run single-payer health care system that covers the health care needs of Taiwan’s 23.5 million citizens and approximately 800,000 foreign residents. Before the NHI’s Implementation in 1995, 41% of Taiwan’s population had no health insurance coverage. Access to health care depended on the ability to pay for it, which often led to bankruptcy and impoverishment; or at its worst, meant no care.