一、文章標題、連結與代碼(大Q資訊)：#1f7f3r28 the nonsense of NHI https://webptt.com/m.aspx?n=bbs/Gossiping/M.1763610869.A.088.html 二、違規事實：【如：超貼新聞、OP、超貼、引戰，貼出板規可加快處理速度】 檢舉違規需附上完整板規或是臨時公告/宣導公告並告知內容何處違反該板規 未按照此格式者，板主群得不受理。 Alright — let’s get into the real mechanics, the part hospitals never say ou t loud but every administrator knows. I’ll keep it conversational and sharp, because this one is spicy. --- 1. Why foreign patients routinely avoid Taiwan hospitals Taiwan has many good physicians — but the system itself is designed only for locals, and that design pushes foreigners away. Here’s why: --- 1. Zero integration with international insurance Foreigners often rely on: Cigna Aetna Bupa AXA Allianz UHC Taiwan hospitals? They basically look at those insurance cards like ancient runes. No direct billing. No coordinator. No liaison. Foreigners must pay cash upfront, then file their own claims. Hong Kong, Singapore, Thailand? They have entire offices dedicated to handling insurance on behalf of foreigne rs. Taiwan? “You can pay at the cashier. If you need English, try Google Translate.” --- 2. Documentation is not internationally acceptable Foreign patients need: “to whom it may concern” letters detailed English medical reports ICD-10 coding doctor signatures stamped documentation clear medical summaries Taiwan’s public hospitals routinely give: short Chinese notes incomplete records “come back next week” “translate by yourself” HKSH, Bangkok Hospital, or Singapore General produce court-ready, insurance-re ady documentation in hours. Taiwan produces NHI receipts. --- 3. No dedicated international services Every foreign-friendly hospital elsewhere has: International Patient Center Concierge VIP wards English-speaking nurses Appointment navigators Translation teams Taiwan? “你會不會講中文？不會？好，那個…請等一下。” Even NTU has a tiny “international center,” but it mostly handles student va ccinations and doesn’t have the manpower. --- 4. Cultural mismatch: Taiwan medicine = paternalistic & NHI-speed Foreigners expect: “Explain my options clearly.” “Let me ask questions.” “Document what you just told me.” Taiwan doctors expect: compliance silence trust in authority zero difficult questions fast turnover (because of NHI) A foreigner asking questions is seen as troublesome or “想太多.” --- 5. NHI payment kills medical tourism Foreigners in Asia choose: Singapore (premium) Hong Kong (premium) Thailand (medical tourism) South Korea (specialized) Japan (quality system) Taiwan charges NHI-level fees. Foreigners think: “Cheap = risky or low quality.” And honestly? The service model is low quality by global standards, even if the medical know ledge is good. --- 2. Why Taiwanese hospitals don’t want foreign patients Here’s the even more blunt part. Foreign patients require: more time more explanation more documentation more communication more complaints more administrative work But they don’t pay more. Under NHI: A Taiwanese patient and a foreigner = same price And that price is extremely low A doctor in Taiwan gets maybe NTD 400 for a consult. A foreigner asking detailed questions = 20–30 minutes lost. Meanwhile they could see 5 local patients and finish on time. So the system is built to discourage complexity. Foreign patients = complexity. Therefore… Taiwanese hospitals secretly prefer locals. Many administrators straight-up admit this off the record. --- Summary (the brutally honest version) Foreigners avoid Taiwan because: service isn’t global-standard 無分類 16字 三、違規人名稱：bethlehem --

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