Applied Health Economics and Health Policy

, Volume 15, Issue 6, pp 717–731 | Cite as

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

  • Jesse Yu-Chen Lan
Current Opinion


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.


Compliance with Ethical Standards


No external funding was received for this study.

Conflict of interest

Jesse Yu-Chen Lan declares no conflicts of interest. This paper did not require institutional ethics committee approval.


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Public Policy and ManagementI-Shou UniversityKaohsiung CityTaiwan, ROC

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