1. For further discussion of BSYCs, see U.E. Reinhardt, “Do You Sincerely Want to Be Rich?”Health Economics(January–February 1999 ): 1 –9.
2. T.L. Chiang , “Taiwan’s 1995 Health Care Reform,”Health Policy39, no. 2 ( 1997 ): 231 .
3. See “Crisis Facing HCFA and Millions of Americans,” Open letter signed by fourteen health policy experts,Health Affairs(Jan/Feb 1999 ): 8 –10.
4. S.H. Cheng and T.L. Chiang, “The Effect of Universal Health Insurance on Health Care Utilization in Taiwan,”Journal of the American Medical Association(9 July 1997 ): 89 –93.
5. J.F. Lu and W.C. Hsiao, “The Development of Taiwan’s National Health Accounts,”Taiwan Economic Review(in Chinese, with English abstract)29, no. 4 ( 2001 ): 547 –576. The authors include, for example, premiums paid by individuals for disease-specific (for example, cancer) medical insurance policies and the medical benefit payment parts of life and accident insurance policies. Consequently, total national health spending rises to 6.02 percent, and out-of-pocket spending by households rises to 34.5 percent.