Notes on the June 2 Webinar, "The Challenge of COVID-19: The Taiwan Experience"

Wow--how did it get to June 16 already?

I listened to that webinar on COVID-19 in Taiwan on June 2. I'm not sure if anyone was waiting with bated breath to get my impressions of the discussion, but I'll mention a few things.

In the meantime I see that Evan Feigenbaum from the Carnegie Endowment interviewed some "senior health and epidemiology figures" from Taiwan, including Steve Kuo from National Yangming University (who also participated in the webinar). Feigenbaum comes to the same conclusion that Steven Goldstein came to at the webinar concerning the lessons the US can learn from the Taiwan experience. Goldstein even suggested that the Taiwan experience would be used as a negative example in the US, particularly in terms of the single-payer argument. He said that you can't even get some people to wear masks here, and any kind of single-payer system in which the government was able to compile the health information of Americans would be more of an argument against a single-payer system like Taiwan's for many of these Americans. (Which once again leads me to the conclusion that I wish I were in Taiwan right now...) Feigenbaum says the same thing about American views of the Taiwan model:

Mask-wearing? Fuhgeddaboudit. Large-scale integration of personal databases? No way. Centralization of messaging and coordinated efforts across levels of government? Whoa, hard. Political culture matters a lot. What worked there is easily ignored and trashed by many here.

Depressing...

Another interesting part of the discussion on June 2 centered on the question of whether Taiwan's exclusion from the WHO was an advantage or a disadvantage. Steven Kuo was pretty clear that it wasn't a disadvantage (though he didn't say it was an advantage). He felt that Taiwan could get information from other allies (even if the US withdrew from the WHO). My notes on what Kuo said (not exact quotes!):

For this outbreak, I won’t say being outside WHO has had any significant impact on our ability to respond. We’ve been trying to get into WHO as observers for a long time (20 years). SARS served as wake-up call, learned a lot, collaborated with other countries like US CDC, which improved disease control system. 2009, joined WHO as observer. Had some experience as observer. It would be wonderful if Taiwan could be part of WHO, but if we can’t “it’s not really a big deal.” We work double-hard. Some people think we’re lucky not to be in, but he doesn’t think so, though he doesn’t think it mattered in this case. Not an official gov’t point of view (he emphasized)!

In the end, he felt it was more a political issue than a health issue.

William Hsiao, on the other hand, who was one of the people who set up Taiwan's National Health Insurance program, felt that it was "an issue of respect" whether Taiwan was part of WHO or not. He admitted, though that Taiwan wouldn't gain much benefit from membership.

There are other things I could mention, but I have to get back to grading now...