Xinyi Road is a forest of drills, cranes and mushroom like ventilation towers. Taipei’s already excellent subway system sprouts new lines like clematis tendrils climb a trellis. This one will connect the financial nerve center and the world’s tallest building “Taipei 101” to the main train station and the highspeed bullet line that now renders most Taipei to Kaoshiong flights obsolete.
I remember the sense of audacity when first arriving in Taiwan in the spring of 2001, that they would dare such a tall financial monument in one of the earth’s most seismic activate zones. I chalked it up then to a senseless bravado. That was before I understood the Taiwanese to be the optimistic and hardworking people they are. In the seven years I’ve known Taipei, I’ve watched her go from amazing to incredible. I’ve been privileged to live in and visit a city that mixes modern and traditional living in a way that only a well written science fiction story could tell.
The symposium on the International Globalization of Chinese Medicine was by and large an opportunity for the Taiwanese to continue a trend that emerged in during the Republican Era after the fall of the Qing dynasty. Namely, that Chinese medicine must be verified and rubber stamped by Western science. I sat through a number of lectures that gave us scientific proof of the properties of medicinals that the Chinese of the Han dynasty has already figured out. Like their brothers and sisters on the mainland, they are reluctant to toss out Chinese medicine for not being “scientific”, and at the same want to force Chinese science to fit the mold and form of the West.
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Clinical and laboratory medicine may have a common root, but the world views that support each are like children of a family that grow into people that could not be more different.
While laboratory findings that confirm what practiced clinicians already know are interesting. What stood out most to me in the two days was the lecture on the health insurance of Taiwan.
Taiwan has universal health care. A middle class self employed person such as myself would pay USD$42 a month for my health insurance. That’s full coverage. Everything from acupuncture to open heart surgery, from granulated Chinese herbs to kidney dialysis, from twist ankles to car wrecks. In the USA I pay more than 4x that amount for hit by truck catastrophic care with a deductible that would wipe out my savings.
What is more interesting yet…..
The costs of administering the program are 1.5% of monies taken in. It is efficient, computerized, universally accessible, there are no waiting periods, nor gatekeeping doctors practicing insurance, instead of medicine. Wasteful? Perhaps, certainly that criticism has been leveled at the system. People that don’t need to see a specialist, but decide on their own they want to, and do. They can. They just have to pay a premium out of their pocket.
As in any system, if you have money, you can get what money buys, and that usually translate as more access to whatever you want. But, the amazing strength of the system here in Taiwan is that of basic health care. The kind of health that most of us need most of the time, it is as available here as a Big Mac is in the USA.
I’m a professional acupuncturist, not a politician, but if I were. I’d be looking into how the Taiwanese have managed put together such a stellar system for taking care of their citizens. But then, these are the people that would dare to build the world’s tallest building in an earthquake zone. Perhaps they see the world in a fundamentally different way.