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COLUMNISTS
TODAY'S STORIES
15.04.2008
Want Good Health Care? Try Taiwan.

Over on the main page, I review a new "Frontline" special about health care systems abroad called "Sick Around the World." It's good! And if you don't catch it tonight on PBS, I recently learned, it should be available on the Frontline website. I also learned that National Public Radio is airing a companion series of segments on its shows this week. You can listen to the first one, which explains some of the finer points of the Japanese system, here.

As it happens, I was just at a special screening of the film. In attendance were Washington Post correspondent T.R. Reid, the show's narrator, and Princeton's May Tsung-Mei Cheng, who consulted with Taiwan on the design of its program. Among her more interesting revelations: Once Taiwan implemented its single-payer system, it drastically reduced health care inflation even as it was expanding coverage to the entire population.

Like I said in my piece, Taiwan doesn't get nearly the attention it should, notwithstanding Paul Krugman's valiant efforts. Here is a country that, when given a chance to pick and choose from the world's best performing health care systems, decided the most sensible reform was to have the government insure everybody directly, like Medicare does for the elderly.

Maybe such a proposal is unviable here, politically if not practically. (The practical issue is whether--and how fast--you could superimpose such a system over existing health insurance arrangements.) But this is yet one more reminder that health insurance is one of those functions that government really can do well, at least in the right environment.

--Jonathan Cohn

Posted: Tuesday, April 15, 2008 5:32 PM with 4 comment(s)

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blackton said:

About time America started paying attention to how the Asian tigers address Health Care, instead of continually dredging up long past its prime England. Of course, it bears in mind many aspects of the Asian health care system shall never be adopted by the United states (such as its very sophisticated system of ancient medicine, which is available in any hospital).

April 15, 2008 8:41 PM

Jonathan Cohn said:

blackton-

The film's focus on Japan made me think of you.

Sounds like they have a pretty good system there.

-Jonathan

April 15, 2008 11:02 PM

lesserliz said:

How could you not think of Blackton when hearing about Japanese health care? It would be like hearing about Pearl Harbor and not thinking about the Japanese(I'm not implying that it would have the same effects). But hey, as the program said we've already got Taiwan(Medicare), Germany(working class), and Britannia(VA). What's left? Oh, the uninsured. Let's give them the Japanese system and viola! we have it all.

April 16, 2008 8:31 AM

blackton said:

ha liz, funny. I have a close friend married to a Japanese woman and living in Japan. The only reason I ever mentioned Japan is that I am tired of Britain being brought up, but never Japan (which economically is truly in our league).

By the way, I am in Mexico, where they have Universal Health Care, and it is universally bad. No, not bad, but mediocre at best. Life expectancy at birth: total population: 75.63 years  The US is 78.  Number 1 is Andorra 83.52 and 2 Macau 82.27

April 16, 2008 12:50 PM