Office of the President Republic of China(Taiwan)

On the afternoon of September 4, President Lai Ching-te presided over the fifth meeting of the Healthy Taiwan Promotion Committee. In his opening statement, President Lai said that AI is an important key to Taiwan’s continued leadership in future technological trends. The president expressed hope for strong collaboration between Taiwan’s AI high-tech and biomedical industries, which will not only help both industries grow, but will also significantly improve the quality of medical care services. Noting that Taiwan is facing the challenges of a super-aged society, a surge in chronic diseases, and extreme weather and climate change, President Lai said that Taiwan must initiate a policy transformation in healthcare, leverage digital technology and AI, and transform and upgrade its healthcare system from a disease treatment model to a prevention and health promotion model. He expressed hope for keeping up the hard work to gradually achieve the goals of Healthy Taiwan. A translation of President Lai’s remarks follows: The Healthy Taiwan Promotion Committee has now been operating for a full year. I am very grateful to the deputy conveners, advisors, and committee members for their active participation over the past year, ensuring more effective implementation of cross-disciplinary and public-private collaboration. I also want to thank the Executive Yuan for its support and the Ministry of Health and Welfare (MOHW) for its efforts to integrate the strengths of multiple government ministries and agencies, working methodically to carry out tasks related to Healthy Taiwan. Following adjustments to the Executive Yuan team, Executive Yuan Secretary-General Chang Tun-han (張惇涵) and Minister of Health and Welfare Shih Chung-liang (石崇良) will now serve as the executive secretaries of this committee, and due to reassignments at the National Development Council (NDC), NDC Minister Yeh Chun-hsien (葉俊顯) will now serve as a committee member. Secretary-General Chang is quite familiar with communication between the Presidential Office and Executive Yuan. Efficient and decisive in his work, he can accelerate policy implementation. Minister Shih has extensive administrative experience, as well as medical expertise and public communication skills. Minister Yeh has a firm grasp of domestic industrial policy, and is adept at policy analysis. During the pandemic, these two gentlemen laid a solid foundation for Taiwan’s disease prevention efforts and provided excellent solutions regarding relief policy. In addition, Committee Member Shen Ching-fen (沈靜芬) became the director general of the Health Promotion Administration last month and has resigned from the committee. We thank Director General Shen for her efforts on the committee, and hope that under the leadership of Minister Shih and Director General Shen, the core concepts of health promotion are reflected in policies and practiced in everyday life. National Taiwan University Hospital (NTUH) Superintendent Yu Chong-jen (余忠仁) is now succeeding her as a member of the committee, although he is unable to attend today’s meeting. At NTUH, Superintendent Yu pioneered the Patient-centered Seamless Transition and Referral System that links over 500 community-based healthcare facilities in a shared care network that integrates hospitals and communities. He also made many contributions during his tenure as superintendent of the Hsinchu Branch of NTUH (now NTUH Hsin-Chu Branch). I am confident that Committee Member Yu will provide many valuable suggestions regarding tiered healthcare and hospital accreditation. This slight adjustment to the committee membership will strengthen communication and interaction among various specializations, which I believe will help realize our national policy vision for a Healthy Taiwan more quickly. In addition to a status report on items listed from the previous meeting, today’s agenda features two reports from the MOHW, one regarding the integration of smart medicine into healthcare, and the other on promoting innovation and development in Taiwan’s biomedical industry. AI is the “magic sword” of the new era and an important key to Taiwan’s continued leadership in future technological trends. I believe that as long as there is close collaboration between Taiwan’s AI high-tech and biomedical industries, not only will both industries grow, but they will also significantly improve the quality of medical care services. Taiwan is facing the challenges of a super-aged society, a surge in chronic diseases, and extreme weather and climate change. We must initiate a policy transformation in healthcare, leverage digital technology and AI, and create a smart healthcare system that covers all ages and all domains, provides early warnings, and can intervene to manage healthcare situations in a timely manner. That will enable Taiwan to transform and upgrade its healthcare system from a disease treatment model to a prevention and health promotion model. Now, we must keep up the hard work and gradually achieve our goals. Thank you. Following his statement, President Lai heard a status report on items listed from the fourth committee meeting, a report on the integration of smart medicine into healthcare from Minister Shih, who is also the committee’s executive secretary, and a report on promoting innovation and development in Taiwan’s biomedical industry from MOHW Taiwan Food and Drug Administration Director-General Chiang Chih-kang (姜至剛). Afterward, President Lai exchanged views with the committee members regarding the content of the reports.

On the afternoon of May 22, President Lai Ching-te presided over the fourth meeting of the Healthy Taiwan Promotion Committee. In his opening statement, the president emphasized that building a Healthy Taiwan requires inter-ministerial collaboration and public-private cooperation, and that even more, it requires full public participation to keep people healthy and make the nation stronger so that the world embraces Taiwan. President Lai indicated that promotional efforts for the government’s policies have already been elevated to a cooperative endeavor involving the entire government through a division of labor, continuously expanding whole-of-society participation, noting that the task for the next phase is to achieve public consensus. Looking ahead, he said, the government will promote sports and athletics among citizens through four main strategies: creating the right social climate, building a supportive physical environment, enhancing people’s awareness of self-health, and integrating information systems. The president stated that through inter-ministerial collaboration, we will create a comprehensive health education support system so that health is an everyday habit. A translation of President Lai’s opening statement follows: Today is the fourth meeting of the Healthy Taiwan Promotion Committee. The day before yesterday, Vice President Bi-khim Hsiao and I completed one year in office. I want to thank the three deputy conveners and all of our advisors and committee members for their efforts and dedication regarding various health policies since the committee’s first meeting last August. On the 27th of last month, we also helped our friends in the medical community learn about the Healthy Taiwan Promotion Committee’s achievements, the government’s current policies, and our goals going forward at the 2025 Healthy Taiwan national forum. I want everyone to know that whether it is today’s committee, the National Climate Change Committee, or the Whole-of-Society Defense Resilience Committee, over the past year, we have worked to implement the spirit of inter-departmental, cross-disciplinary, and public-private collaboration. Currently, the discussions and promotional efforts for various policies have shifted from individual departments performing their respective duties to a cooperative division of labor involving the entire government, continuously expanding whole-of-society participation. In the next phase, our task is to achieve public consensus. We need to actively initiate campaigns that the public can participate in, promoting awareness and concepts that everyone should have, so that the ideas and practices that promote better health, respond to climate change, and boost whole-of-society defense resilience can be integrated into people’s lives. When policies have a palpable impact and public participation, working together, we can achieve the goals set by each committee. For example, last year at the first meeting, we set a Healthy Taiwan goal to increase the average life expectancy of the public from 79 years to 82 years within 8 years, and reduce time spent living with illness or disability from 10 percent to 8 percent of the average life expectancy. To achieve that goal, we must integrate the strengths of various ministries and agencies, establish a comprehensive sports network, and promote regular exercise habits for people of all ages nationwide. By 2030, we aim to increase the number of physically active people by 15 percent compared to 2021, thereby extending the average healthy lifespan of our citizens. The World Health Organization (WHO) has indicated that insufficient physical activity is one of the four main risk factors leading to non-communicable diseases, and that regular physical activity has significant benefits for both physical and mental health. But according to Taiwan’s 2021 National Health Interview Survey, more than half of the population does not meet the WHO’s recommendation of 150 minutes of moderate-intensity physical activity per week. We must implement various policies to enhance the willingness of people of all ages to engage in physical activity. Therefore, at today’s meeting, in addition to hearing a report by the Ministry of Health and Welfare (MOHW) on the status of certain items listed in the third committee meeting, we have also specially invited the MOHW to deliver a report on promoting sports and athletics to drive citizen health, and the Ministry of Education (MOE) to deliver a report on courses and teaching activities regarding health promotion for schools at the high school level and below. As I mentioned earlier, promotional efforts for our policies have already been elevated to a cooperative endeavor involving the entire government through a division of labor. Today’s report from the MOHW incorporates plans from the Ministry of Transportation and Communications, MOE, and Ministry of Labor, along with guidance from Committee Member Chien Wen-jen (簡文仁) and the Executive Yuan prior to the meeting. Looking ahead, the government will promote sports and athletics among citizens through four main strategies: creating the right social climate, building a supportive physical environment, enhancing people’s awareness of self-health, and integrating information systems. In addition, education is the foundation and key to cultivating healthy citizens. By establishing correct health concepts from a young age, developing healthy behaviors that meet individual needs, and forming good habits, the likelihood of maintaining routine exercise in adulthood increases significantly. In a few minutes, the MOE will deliver a report on helping children understand the importance of health through health-promotion courses and incorporating that understanding into their daily habits through practical and situational education. In the future, through inter-ministerial collaboration and comprehensive campus health promotion policies, as well as close engagement with families and communities, we will create a comprehensive health education support system so that health is not just something people learn about from books, but an everyday habit. I want to emphasize that building a Healthy Taiwan requires inter-ministerial collaboration and public-private cooperation. Even more, it requires full public participation to keep people healthy and make the nation stronger so that the world embraces Taiwan. Taiwan’s various health policies and medical and public health experiences can help promote exchanges and cooperation with the world. As we meet today, Minister of Health and Welfare Chiu Tai-yuan (邱泰源) is leading a World Health Assembly action team to conduct professional medical and public health exchanges in Geneva. These exchanges not only demonstrate to the world Taiwan’s extensive soft power in the medical and public health fields, but also tell the international community that if Taiwan is permitted to participate in WHO-related activities, we can definitely contribute even more to the international medical and public health system. Once again, I want to thank all the advisors and committee members for working together with the government. I also hope that after listening to the reports, you can provide expert opinions from the perspectives of your various fields for the reference of government agencies, so that together, we can raise health management awareness among the public and work together to achieve our vision of a Healthy Taiwan. Thank you. Following his statement, President Lai heard a report on the progress of certain items listed in the third committee meeting from Deputy Executive Secretary and National Health Insurance Administration Director General Shih Chung-liang (石崇良), a report on promoting sports and athletics to drive citizen health from Deputy Minister of Health and Welfare Chou Jih-haw (周志浩), and a report on courses and teaching activities regarding health promotion for schools at the high school level and below from Political Deputy Minister of Education Chang Liao Wan-chien (張廖萬堅). Afterward, President Lai exchanged views with the committee members regarding the content of the reports.

On the afternoon of February 27, President Lai Ching-te presided over the third meeting of the Healthy Taiwan Promotion Committee. In his opening statement, the president stated that the best strategies to care for citizens’ health are to increase physical activity, boost food literacy, and improve the domestic food environment, preventing chronic diseases from the front end. The president said that the Ministry of Health and Welfare (MOHW) has upgraded preventive health services for adults this year, lowering the age eligibility to 30. He expressed hope that public-private sector cooperation can help reduce the incidence of chronic diseases and their associated disability risks and achieve the goal of lowering the standardized mortality rate for chronic diseases related to the “three highs”(high blood pressure, high cholesterol, and high blood sugar) by one-third by 2030. With regard to the hospital congestion issue, President Lai noted that through local health departments, the government will strengthen the supervision and distribution of emergency room beds, boost the distribution of inpatient beds in medical centers, and enhance joint prevention mechanisms among regional hospitals to reduce the pressure on emergency departments. The president said that the government will continue to incentivize hospitals to hire more nursing personnel and will consider adjusting health insurance coverage to encourage more hospitals to participate in emergency and critical care so as to reduce the pressure on medical institutions. By taking a multi-channel approach, the president said, we hope to resolve the problems facing healthcare in Taiwan, provide the public with better care, and achieve our vision of a Healthy Taiwan. A translation of President Lai’s opening statement follows: Today is the third meeting of the Healthy Taiwan Promotion Committee. First, I would like to thank both deputy conveners, our advisors and committee members, and our friends online for their continuing concern about the planning and implementation of the Healthy Taiwan initiative.        At the last meeting, we heard a report on enhancing cancer prevention and treatment strategies. Guided by the Executive Yuan, the scope of government-funded major cancer screenings will be expanded starting this year, including expanding the age parameters and the categories eligible for screening. Treatment efforts will focus on genetic testing and precision medicine, and a fund will be established that provides diversified coverage for new cancer drugs. We hope to achieve our goal of reducing the standardized cancer mortality rate by one-third by 2030.  At today’s meeting, the MOHW will deliver progress reports on certain items listed in the second committee meeting, as well as chronic disease prevention and treatment initiatives under the Healthy Taiwan plan including the development of models for healthy living, obesity prevention and treatment, and the 888 Program for prevention and treatment of the “three highs.”Among the top ten causes of death in Taiwan, seven are related to chronic diseases, and five of those seven are related to “three highs” chronic diseases. Annual spending related to treating “three highs” chronic diseases is up to NT$170 billion, and has become a tremendous medical burden.  According to the World Health Organization, most non-communicable diseases are the result of four particular behaviors: tobacco use, physical inactivity, unhealthy diet, and the harmful use of alcohol. The results of the Nutrition and Health Survey in Taiwan show that most citizens are getting low or moderate amounts of physical activity, and have unbalanced diets that include excessive amounts of sugar and salt, and inadequate amounts of fruits, vegetables, and dairy products.  Therefore, the best strategies to care for the health of our citizens are to increase physical activity, boost food literacy, and improve the domestic food environment, preventing chronic diseases from the front end.  In a few minutes, the MOHW will give complete explanations for the various chronic disease prevention and treatment strategies, from building healthy lifestyles at the front end to preventing and treating obesity in the middle stage, making every effort to prevent citizens from symptoms of the “three highs.” Beginning this year, the MOHW has upgraded preventive health services for adults, lowering the age eligibility to 30. Among people who already suffer from the “three highs,” the 888 Program for the prevention and treatment of those diseases will identify a target group and then conduct interventions, making every effort to improve symptoms and avoid the development of chronic disease.  This kind of action strategy needs to be promoted simultaneously in the workplace, the community, on campus, and in the military. Only through public-private sector cooperation can we reduce the incidence of chronic diseases and their associated disability risks. We have also set a goal to lower the standardized mortality rate for chronic diseases related to the “three highs” by one-third by 2030. I hope that through the expertise of our advisors and committee members, we can provide discussions and suggestions from multiple perspectives to enable the government to propose health policies that meet citizens’ needs. The government will also actively address the hospital congestion issue that everyone is concerned about. The MOHW, in addition to taking preventive measures such as purchasing additional flu vaccines before the Lunar New Year, is addressing the emergency department congestion that occurred from the Lunar New Year until recently, and has formulated a short-term response strategy as well as middle and long-term directions for reforms as directed by Premier Cho Jung-tai (卓榮泰). Through local health departments, we will strengthen the supervision and distribution of emergency room beds. At the same time, we will continue to boost the distribution of inpatient beds in medical centers, and give full play to our emergency medicine network to enhance joint prevention mechanisms among regional hospitals and reduce the pressure on emergency departments. We will also enhance the public’s access to information about tiered healthcare, and implement a tiered treatment system to make better use of resources.  To address middle- and long-term human resource issues, we will continue to incentivize hospitals to hire more nursing personnel to lighten their burdens. We will also consider adjusting health insurance coverage to encourage more hospitals to participate in emergency and critical care. To respond to the challenges of an aging society, home healthcare, acute hospital care at home, Long-term Care 3.0, and post-acute care programs need to be promoted together to reduce the pressure on medical institutions.    By taking a multi-channel approach, we hope to resolve the problems facing healthcare in Taiwan, provide the public with better care, and achieve our vision of a Healthy Taiwan. So let us keep working hard together. Thank you. Following his statement, President Lai heard a report on the progress of certain items listed in the second committee meeting from Minister of Health and Welfare Chiu Tai-yuan (邱泰源), who is also the committee’s executive secretary, and a report on chronic disease prevention and treatment initiatives under the Healthy Taiwan plan including the development of models for healthy living, obesity prevention and treatment, and the 888 Program for prevention and treatment of the “three highs” from Deputy Minister of Health and Welfare Chou Jih-haw (周志浩). Afterward, President Lai exchanged views with the committee members regarding the content of the reports.

On the afternoon of November 28, President Lai Ching-te presided over the second meeting of the Healthy Taiwan Promotion Committee. In his opening statement, the president said that we are implementing mental health support programs this year to provide more support for young and middle-aged people, pointing out that the policy has served over 20,000 people since it was implemented just over three months ago. In terms of bolstering mental health resilience, the president said we still have much to do, our government must lead by example, and the public and private sectors must work together, making every effort to ensure that no one is left behind. Noting that our goal is to reduce the standardized cancer mortality rate by one-third by the year 2030, President Lai stated that next year’s budget for cancer screening will be increased to NT$6.8 billion. He also stated that plans are in the works to establish a fund for new cancer drugs, adding that in the general budget we will allocate NT$5 billion, which will gradually rise to NT$10 billion. At the same time, he said, we are also actively promoting genetic testing and precision medicine. He expressed confidence that expanding preventive screening at the front end and providing advanced treatments at the back end will effectively fight cancer and improve the overall health of our citizens. A translation of President Lai’s opening statement follows: Today is the second meeting of the Healthy Taiwan Promotion Committee. First, I want to thank our two deputy conveners, our advisors and committee members, and our friends online for their enthusiastic participation. I also want to welcome Committee Member Chien Wen-jen (簡文仁), who was on leave for the previous meeting. I would also like to introduce three new committee members: Let’s welcome Committee Member Huang Chin-shun (黃金舜), president of the Federation of Taiwan Pharmacists Associations. During the pandemic, he led the nation’s pharmacists in promoting services including name-based distribution systems for masks and rapid-test kits and home delivery of medications. I am sure that he will be able to provide many valuable views regarding pharmaceutical safety and supply resilience.    Let’s also welcome Committee Member Ko Fu-yang (柯富揚). During his time as secretary-general of the National Union of Chinese Medical Doctors’ Association, he led the Chinese medicine community in the transition from experience-based medicine to evidence-based medicine, and promoted the modernization of traditional Chinese medicine. With his participation, the committee will be able to spur research and development in both modern and traditional medicine. Our third new committee member is Liao Mei-nan (廖美南), president of the Taiwan Nurses Association, who was unable to be here today. She has long been dedicated to raising the quality of nursing care and actively promoting a high-quality, friendly work environment for nurses. The committee will rely on her experience to strengthen the link between policy and practice in nursing care. I want to thank all the members of the committee once again for working together with the government. Since the last committee meeting, under the guidance of Minister without Portfolio Chen Shih-chung (陳時中), the Ministry of Health and Welfare (MOHW) has implemented various policies. At the beginning of October, for example, three major AI centers were set up to resolve three key AI application issues: implementation, certification, and reimbursement, helping advance Taiwan’s smart healthcare ecosystem. At today’s meeting, the MOHW will first deliver a report on the progress of certain items listed in the first committee meeting, followed by a joint report by the MOHW and Ministry of Education on bolstering public mental health resilience and a report by the MOHW on enhancing cancer prevention and treatment strategies.  The World Health Organization has affirmed that “there is no health without mental health.” In a fast-changing, fast-paced society, the government should invest more resources in the field of mental health to safeguard the people’s overall health. We are therefore implementing mental health support programs this year and expanding the range of eligibility, from 15 to 30, to 15 to 45 years old, to provide more support for young and middle-aged people. That policy has served over 20,000 people since it was implemented just over three months ago. In terms of bolstering mental health resilience, we still have much to do. From the workplace to the campus and every corner of society, our government must lead by example, and the public and private sectors must work together, making every effort to ensure that no one is left behind.    Aside from mental health, in view of cancer being the leading cause of death in Taiwan for 42 consecutive years, our goal is to reduce the standardized cancer mortality rate by one-third by the year 2030. And so we must expand screening and advance treatment. Last year, the government subsidized screenings for five types of cancer, providing a total of 4.87 million screenings and detecting 11,000 cases of cancer and 52,000 cases of precancerous conditions. We have allocated an additional NT$4 billion beginning next year, bringing the total budget for cancer screening to NT$6.8 billion, to expand the scope of cancer screening eligibility and services.  Plans are also in the works to establish a fund for new cancer drugs. In next year’s general budget, we will allocate NT$5 billion, which will gradually rise to NT$10 billion, to provide reimbursement funding for a variety of new cancer drugs and reduce the economic burden on patients. These new measures will be reported on in detail moments from now by the MOHW. At the same time, we are also actively promoting genetic testing and precision medicine. Next generation sequencing, for example, has already been included in National Health Insurance coverage, which will help provide patients with precise, individualized treatment strategies. I am confident that expanding preventive screening at the front end and providing advanced treatments at the back end will effectively fight cancer and improve the overall health of our citizens. Today’s meeting will help the government understand viewpoints from many perspectives so we can promote policies that more closely meet the public’s needs. Let’s keep working hard together. Thank you.  Following his statement, President Lai heard a report on the progress of certain items listed in the first committee meeting from deputy executive secretary and National Health Insurance Administration Director General Shih Chung-liang (石崇良), a joint report on bolstering public mental health resilience from Deputy Minister of Health and Welfare Lin Ching-yi (林靜儀) and Deputy Minister of Education Lin Teng-chiao (林騰蛟), and a report on enhancing cancer prevention and treatment strategies from Deputy Minister of Health and Welfare Chou Jih-haw (周志浩). Afterward, President Lai exchanged views with the committee members regarding the content of the reports.

On the afternoon of August 22, President Lai Ching-te presided over the first meeting of the Healthy Taiwan Promotion Committee. As the committee’s convener, the president presented committee members with their letters of appointment, and explained that the Healthy Taiwan Promotion Committee is not just about promoting a Healthy Taiwan, but also achieving a Balanced Taiwan. The president stated that the committee spans various areas of expertise, and also considers the balance of Taiwan’s northern, central, southern, and eastern regions. The president expressed confidence that by soliciting a wide range of suggestions, engaging in diverse dialogue, and forging a consensus, the committee can help to realize health equality and further elevate the standard of medical care in Taiwan. President Lai indicated that next year, the Ministry of Health and Welfare’s total budget will be increased, along with expanded investment in medical treatment and care. In addition, he reported that the central government budget has also added a National Health Insurance (NHI) financial assistance program, which will help to enhance the work environments of healthcare professionals. The president stated that we will also launch the Healthy Taiwan Cultivation Plan to help rear talent and develop smart medicine. These budgets and programs, President Lai stated, reflect the government’s determination to create a Healthy Taiwan, and prove that “Healthy Taiwan” is not just a slogan, and has already been turned into concrete action. A translation of President Lai’s opening statement follows: At the end of my first month in office, I announced that the Presidential Office will establish three committees in response to three major global issues of nationwide concern: climate change, health promotion, and social resilience. These committees will consolidate forces from different sectors to strategize on national development. At the beginning of this month, we convened the first meeting of the National Climate Change Committee. Today, we convene the first meeting of the Healthy Taiwan Promotion Committee. I would like to thank the three deputy conveners and all advisors and committee members for making a commitment to the Healthy Taiwan Promotion Committee. I also want to thank our fellow citizens and friends joining us online to follow the committee’s proceedings. During my campaign, I was constantly thinking about what I could contribute to our people that is different from past presidents if I were fortunate enough to be elected. After a lot of thought, I felt that as a physician, I should utilize my professional background in health care and work together with people from all sectors of society to help create a Healthy Taiwan. Healthy Taiwan is our goal, and health is both a basic human right and a universal value. Health promotion not only involves the well-being of a nation’s people, but is also of great concern to humankind so that we may survive and thrive. Taiwan is a responsible member of the international community. Amid the challenges of the pandemic over the past few years, we have shared disease prevention supplies, technology, and experience with countries around the world, and have continued to contribute to the global public health system. Going forward, Taiwan must actively address critical health-related challenges, including cancer, transnational communicable diseases of unknown origin, antibiotic-resistant superbugs, a low birth rate, and an aging society. We are confident that, sharing countermeasures and experience with countries around the world, we can keep people healthy and make the nation stronger so that the world embraces Taiwan. I want to thank former Superintendent of National Cheng Kung University Hospital Chen Jyh-hong (陳志鴻), who is also a mentor of mine, for organizing five regional forums and a national forum for the Healthy Taiwan Promotion Alliance this past March and April. Over 1,200 healthcare professionals from all over the country attended the forums and shared their views. Premier Cho Jung-tai (卓榮泰), Vice Premier Cheng Li-chiun (鄭麗君), and I were also invited to attend the national forum and participate in full. I also want to thank the experts from various fields for their suggestions throughout this process, which became key reference points for promoting policies after we took office on May 20. The position paper on the table in front of you is a compilation of those valuable insights, which will be the foundation of our future actions. To implement the Healthy Taiwan initiative, we must also achieve a Balanced Taiwan. Therefore, the Healthy Taiwan Promotion Committee established today not only spans various areas of expertise, but also considers the balance of Taiwan’s northern, central, southern, and eastern regions to achieve nationwide health equality. I want to thank the nine advisors here with us today: Superintendent Wu Ming-shiang (吳明賢), Superintendent Chen Wei-ming (陳威明), Chairman Cherng Wen-jin (程文俊), President Chiu Kuan-ming (邱冠明), and Chairman Chang Hong-jen (張鴻仁) from northern Taiwan; Superintendent Chen Mu-kuan (陳穆寬) from central Taiwan; Superintendent Lin Sheng-che (林聖哲) and President Yu Ming-lung (余明隆) from southern Taiwan; and Superintendent Lin Shinn-zong (林欣榮) from eastern Taiwan. Your participation will give us a better understanding of viewpoints from around the country. The objective of Healthy Taiwan is to raise the population’s average life expectancy while simultaneously reducing time spent living with illness or disability, while also caring for physical, mental, and spiritual health. The 20 members of the committee are therefore drawn from a variety of fields of professional expertise. We have Superintendent Chen Shih-ann (陳適安) in the field of smart medicine, Vice-Superintendent Susan Shur-fen Gau (高淑芬) in pediatric psychiatry, medical and long-term care service integration specialist Superintendent Chan Ding-cheng (詹鼎正), and emerging infectious disease specialist Director Shen Ching-fen (沈靜芬). We have also invited Professor Tsai Sen-tien (蔡森田) to provide suggestions on optimizing healthcare services and health insurance sustainability, and invited President Chou Ching-ming (周慶明) and President Huang Cheng-kuo (黃振國) to continue promoting The Family Doctors’ Plan 2.0 and report on primary care issues. We have also recruited President Li Yi-heng (李貽恒), who put forward the 888 Program for prevention and treatment of the “three highs” (high blood pressure, high cholesterol, and high blood sugar) and kidney disease, pediatric health specialist President Ni Yen-hsuan (倪衍玄), women’s health care specialist Secretary-General Huang Jian-pei (黃建霈), and President Hung Te-jen (洪德仁), who is focused on community development. We also have Dean Shan Yan-shen (沈延盛) from the field of cancer prevention and treatment, psychiatric and mental health specialist Professor Su Kuan-pin (蘇冠賓), epidemiology expert and Emeritus Research Fellow Ho Mei-shang (何美鄉), and biomedicine and regenerative medicine specialist Professor Patrick Ching-ho Hsieh (謝清河). The committee also includes specialist in nutrition and health for all ages President Kuo Su-e (郭素娥), and expert in the promotion of physical activity and health Vice Chairman Chien Wen-jen (簡文仁). I also want to thank Chairman Lin De-wen (林德文) for participating as we work together to enhance the health and well-being of indigenous peoples. In addition, public sector participants include Minister of National Development Liu Chin-ching (劉鏡清) and Minister of Education Cheng Ying-yao (鄭英耀), as well as Minister of Health and Welfare Chiu Tai-yuan (邱泰源), who is serving as executive secretary, and NHI Administration Director General Shih Chung-liang (石崇良) serving as deputy executive secretary. Over 80 percent of the committee’s members are from the private sector, and I will take advantage of this opportunity to continue to combine the strengths of all stakeholders throughout society to promote a healthy lifestyle for one and all, and enhance medical care for all ages. At today’s first meeting of the committee, the Ministry of Health and Welfare will brief us on two topics: the first is the Healthy Taiwan vision plan, illustrating Taiwan’s current challenges and opportunities, as well as an action blueprint. The second issue is reform and optimization for NHI sustainability. Next year will mark the 30th anniversary of our NHI system. NHI is the pride of Taiwan, because health insurance can free citizens from the vicious cycle of poverty caused by illness, or illness caused by poverty. Since 2020, the NHI system has achieved a public satisfaction rate of over 90 percent. Next year, Taiwan will also become a “super-aged society,” which means that one of every five people will be a senior citizen 65 or older. Due to new pharmaceuticals of all kinds, the development of new technologies, and citizen expectations for an optimized medical practice environment, many aspects of health insurance operations will face an increasing number of challenges. The NHI system’s core values are health equality and mutual assistance for all. Better care for everyone, however, depends on sustainable NHI operations. We closely monitor NHI system point values, but also want to embody the greater values of the system. The government will continue to refine the budget system and management, rationally distribute medical resources and stabilize point values, and continue to optimize NHI finances to enhance the efficiency and quality of services. We also look forward to working with everyone to achieve sustainable NHI development, enhance health equality, and further elevate the standard of medical care in Taiwan. I also want to report that next year, the Ministry of Health and Welfare’s total budget will reach NT$370.2 billion, an increase of NT$31.8 billion over this year. The total budget is expected to allocate NT$60.7 billion to expand investment in medical treatment and care to create a Healthy Taiwan. The central government budget has also added an NHI financial assistance program that includes incentives for maintaining specified nurse-patient ratios across all three shifts and rotating night-shift nursing staff, and promoting smart information upgrades at medical facilities to enhance the work environments of healthcare professionals. We will also launch the Healthy Taiwan Cultivation Plan, investing funds to support medical institutions at all levels nationwide, rear talent, and develop smart medicine. Regarding the fund for new cancer drugs that many cancer patients care deeply about, in next year’s general budget we will allocate NT$5 billion for health insurance funding. In 2026, that figure is expected to reach NT$10 billion. We will also promote the fifth-stage national plan for cancer prevention and treatment, and beginning next year the budget for cancer screening will be increased by NT$4 billion, reaching NT$6.8 billion, to boost screening rates. I want everyone to know that these budgets and programs reflect the government’s determination to create a Healthy Taiwan. Since I took office, the government has created plans and programs to increase nursing staff levels and promote public mental health. We also launched an Acute Hospital Care at Home pilot project to provide integrated long-term and medical care services. Once again, I would like to thank everyone here today for participating, and thank our fellow citizens for their support. I also want our fellow citizens to know that Healthy Taiwan is not just a slogan, and has already been turned into concrete action. These are all concrete, substantive actions by a government team that has been in office for less than 100 days. I am confident that with the support and participation of our committee members and advisors, and through soliciting a wide range of suggestions, engaging in diverse dialogue, and forging a consensus, our actions to create a Healthy Taiwan will more closely align with society’s expectations, and we will move more quickly and steadily toward realizing our vision. Thank you. Following his statement, President Lai presented letters of appointment to the committee members, heard a report from Minister Chiu illustrating the Healthy Taiwan vision plan, and heard a report from Director General Shih on reform and optimization for NHI sustainability. Afterward, President Lai exchanged views with the committee members regarding the content of the two reports and the Rules of Procedure for Meetings of the Office of the President Healthy Taiwan Promotion Committee.

On the morning of November 26, President Lai Ching-te convened a high-level national security meeting regarding action plans to safeguard democratic Taiwan. Following the meeting, the president held a press conference to address intensifying threats from China against Taiwan and the Indo-Pacific region, introducing two major action plans: to uphold national sovereignty with a comprehensive democratic defense, and to bolster defense capabilities while developing a robust, full-spectrum defense industry. President Lai stated that the national security team and executive agencies will take action to demonstrate to the world Taiwan’s firm resolve and will to safeguard the nation and maintain the status quo. He said that the government aims to build defense capabilities, economic strength, and democratic defense mechanisms sufficient for Taiwan to protect itself, comprehensively responding to urgent national security threats and sparing no effort to safeguard democratic Taiwan. The president emphasized that democracy is not a provocation, and Taiwan’s existence is no excuse for aggressors to disrupt the status quo. Safeguarding democratic Taiwan, he said, is the shared responsibility of the government, ruling and opposition parties, and all the people of Taiwan. He expressed hope that all citizens will unite to safeguard the nation and the freedom of Taiwan’s people. A translation of President Lai’s remarks follows: Earlier today, I convened a high-level national security meeting to hear a briefing from our team regarding the current national security situation. The Beijing authorities have recently been comprehensively advancing attempts to turn democratic Taiwan into “Taiwan, China.” This has already posed a severe threat to our national security and Taiwan’s freedom and democracy. After thorough discussion, we have formulated a concrete strategic response: two national security action plans to safeguard democratic Taiwan, which I will now present. As the international community has noted, China’s threats against Taiwan and the Indo-Pacific region are intensifying. Recently, hybrid threats, including various types of military provocations, maritime gray-zone tactics, and disinformation and cognitive operations, have occurred continuously in and around Japan, the Philippines, and the Taiwan Strait, causing deep unease and disturbance for all parties in the region, including Taiwan. Furthermore, the Beijing authorities have set the goal of completing military preparations to attempt unification with Taiwan by force by 2027, and are accelerating preparations for an attempted invasion. They continue to ramp up military exercises and gray-zone aggression around Taiwan with the ambition to annex Taiwan by militarily forcing unification or surrender. Aside from its use of military force, China is also escalating legal, psychological, and public opinion warfare in its effort to erase Taiwan’s sovereignty from the world stage. By opposing independence, urging for unification, and engaging in transnational repression, it is attempting to encroach upon the jurisdiction of the Republic of China government and create a false impression of their substantive “governance” over Taiwan. China is expanding its united front infiltration and division tactics within Taiwan, with the aim of obscuring the national identity of our citizens and weakening our unity, all to forcibly impose their goals of “one country, two systems” and “governance by ‘patriots’” in Taiwan. The purpose of these actions is to take a free and prosperous Taiwan, a Taiwan that shines on the world stage, a democratic Taiwan, and lock it in an authoritarian cage under the label “Taiwan, China.” This would allow them to achieve their ambition of annexing Taiwan and dominating the Indo-Pacific region. To address this situation, which is more severe than ever, our national security team has formulated two major action plans to fully address urgent national security threats and safeguard democratic Taiwan. The first of these is to uphold national sovereignty with a comprehensive democratic defense. I want to reiterate that democratic Taiwan is a sovereign, independent nation; that among people here and in the international community, some call this land the Republic of China, some call it Taiwan, and some, the Republic of China Taiwan; that the Republic of China and the People’s Republic of China are not subordinate to each other; that Taiwan resists annexation or encroachment upon its sovereignty; and that the future of the Republic of China Taiwan must be decided by the 23 million people of Taiwan. This is the status quo that we must uphold. Therefore, we firmly oppose China’s distortion of United Nations General Assembly Resolution 2758 and its manipulation of historical World War II documents to falsify historical facts and falsely claim that Taiwan is part of the People’s Republic of China. We remain highly vigilant to the reality that while accelerating preparations to attempt unification with Taiwan by military force, China is also intensifying its push – internationally, across the strait, and in various fields – for an ostensibly “peaceful” unification that is in reality a forced unification, with the goal of bringing Taiwan under the jurisdiction of China. When it comes to national security, there is no room for compromise. National sovereignty and the core values of freedom and democracy are the foundation of Taiwan’s establishment. This struggle is not about ideology, and even less is it about unification versus independence. Rather, it is about defending democratic Taiwan and refusing to submit and become “Taiwan, China.” This is the shared position of the Taiwanese people. To uphold our sovereignty and build a strong democratic defense, we will take the following concrete actions: First, our national security team will work with the relevant agencies to establish a permanent task force to formulate action plans centered around democratic Taiwan versus “Taiwan, China.” Through strategic international and domestic communication, historical narrative, and counter-lawfare, these plans will help link Taiwan society and friends and allies to show the world that democratic Taiwan has the determination and will to defend itself and resolutely maintain the status quo. They will also comprehensively counter Beijing’s hegemonic actions that attempt to eliminate the sovereignty of the Republic of China and take away the freedom of Taiwan’s people, all of which disrupt the status quo. Second, facts and truth are the foundation upon which democratic countries build social trust and strengthen national identity. The Executive Yuan will assess China’s intervention, interference, and possible impact during major acts of governance and elections. By revealing the facts and ensuring the circulation of correct information, we will enhance the understanding and awareness of all sectors of society regarding Beijing’s interference in our internal affairs and its promotion of forced unification, strengthen our national identity, and achieve internal unity in facing external forces. Third, the 17 major strategies to counter China’s united front infiltration and national security threats that were released and implemented in March this year have already yielded initial results. The government will continue to implement those strategies and accelerate the promotion of legislation for 10 national security laws and related administrative measures to strengthen our protection of national security. Fourth, the Executive Yuan, along with the National Security Council (NSC), will take concrete measures and effective countermeasures against China’s transnational repression of Taiwan’s people, including: establishing a reporting, liaison, and protection system for victims; strengthening strategic communication with friendly and allied countries and international organizations to enhance transnational cooperation to protect potential victims; and improving the legal system and severely punishing local collaborators who assist China in carrying out transnational suppression, harming our nation and its citizens. Fifth, opinion polls show that the people of Taiwan have always overwhelmingly opposed China’s “one country, two systems” model for Taiwan. Through government policy declarations, Legislative Yuan resolutions, and collective action by political parties and civil society groups, it should be established that for Taiwan society, the “one country, two systems” model crosses a red line. On that basis, institutional norms should be established for exchanges and political dialogue between domestic political parties, legal entities, or civil society organizations and China, while using the principles of democratic governance and transparency to prevent China from exploiting Taiwan’s internal conflicts to promote forced unification. Next is an explanation of the second action plan: bolstering defense capabilities while developing a robust, full-spectrum defense industry. Peace is won through strength, and investing in national defense is investing in security, and investing in peace. Faced with China’s ever-increasing military threats and hegemonic ambitions toward the region and Taiwan, democratic countries in the Indo-Pacific region such as Japan, Korea, the Philippines, and even Australia are gradually forming a consensus on island chain defense and responsibility sharing, making more national defense investments, and strengthening their response to China’s threats. As the most important and critical link in the first island chain of defense, Taiwan must not become a gap in regional security. Taiwan must show determination, and take on greater responsibility for self-defense by enhancing national defense more quickly, dealing with threats through indigenous defense and joint deterrence. Three major strategies – denial, resilience, and the adoption of smart technologies – will be used to achieve the following three phased goals: The first goal is to achieve a high level of combat readiness for our armed forces’ joint combat units by 2027 to effectively deter threats from China. The second goal is to further build highly resilient and comprehensive deterrent defense capabilities by 2033. Our ultimate goal is to build national defense capabilities that can defend democratic Taiwan indefinitely. For this, we will take the following concrete actions: First, in response to development trends in global defense, Taiwan will systematically increase defense spending. Defense spending, as it is defined by NATO, will exceed 3 percent of GDP next year, and will reach 5 percent of GDP by 2030, demonstrating our determination to defend the nation. Second, to build key combat capabilities for future warfare scenarios, the Ministry of National Defense (MND) has completed the planning and budgeting for a special act on procurement for enhancing defense, resilience, and asymmetric capabilities. Over the next eight years (2026-2033), we plan to invest NT$1.25 trillion to develop an advanced defense system including three major features: the T-Dome, a multi-layered air defense system with high-level detection and effective interception; the introduction of advanced technologies and AI to form a resilient defense system that enables efficient decision-making and precision strikes; and enhanced indigenous defense capabilities, expanding the defense industry for economic and security benefits. Third, the Executive Yuan will complete their review of the draft act and submit it to the Legislative Yuan. It will also instruct the Ministry of Finance and the Directorate-General of Budget, Accounting and Statistics to properly manage funding sources and finances to avoid crowding out other budget items. Fourth, in view of the successful integration and rapid iteration of new technologies, the MND will comprehensively optimize and strengthen equipment procurement mechanisms, accelerate acquisition and military development timelines, and ensure anti-corruption measures are in place to prevent delays. Fifth, while introducing advanced equipment and continuously developing asymmetric capabilities and defense resilience, the MND will to its utmost to implement comprehensive and timely reforms to optimize military force structure and develop new training methods, tactics, and logistical support. Increasing defense spending not only enhances military capabilities and national security, but also strengthens defense industry development and boosts national income. In addition to foreign procurement, this special budget will allocate a significant portion to domestic construction projects, commercial purchasing, and commissioned production, creating substantial economic output and employment opportunities. With Taiwan’s strong capabilities in high tech and manufacturing, including an integrated ecosystem of semiconductors, ICT, and AI, as well as precision machinery and related foundational industries, the country can play a significant role in the global advanced defense and military industry. This can also drive the transformation and upgrading of domestic industries and the economy, enabling more engineers and technology professionals to help strengthen national defense, fulfilling our goal of building a strong nation with prosperous citizens. Sixth, the government will promptly formulate an action plan for defense and military industry development. On this basis, we will develop a comprehensive strategy to further advance Taiwan’s industry and economy. Seventh, to support cooperation with friends and allies and build non-red supply chains, we will strengthen measures on the protection of high tech to fully safeguard and utilize advanced technologies. Eighth, the NSC, together with the MND and relevant agencies, will strengthen public communication, build consensus, and secure the support and recognition of our people, guided by the principle of investing in defense, peace, and Taiwan’s economic future. My fellow citizens, China has many scenarios for annexing Taiwan, but the greatest threat of all is not their military force, but our giving in. Under China’s united front offensive, some individuals regard upholding democracy and enjoying freedom as a provocation to China, mistakenly believing that if the people of Taiwan are willing to give up some freedoms or sacrifice some sovereignty, and humbly accept the transformation of democratic Taiwan into “Taiwan, China,” it could somehow secure “peace.” History, however, has shown that compromising with aggressors only leads to endless war and oppression. In 1938, many in Europe believed that if Czechoslovakia ceded some territory to the fascists, it could secure a generation of peace. Instead, it triggered the full outbreak of World War II, bringing untold suffering and tragedy. In 1951, the people of Tibet thought that by signing the Seventeen Point Agreement with Beijing, they could preserve their culture and way of life. Instead, their snowy nation became a red plateau under communist control. Democracy is not a provocation, and Taiwan’s existence is no excuse for aggressors to disrupt the status quo. As a democratic country, our ruling and opposition parties may hold differing views, but we sincerely hope that in safeguarding democracy and freedom of the Republic of China Taiwan and ensuring national sovereignty, we can oppose any actions that disrupt the status quo of peace and stability in the region. Protecting democratic Taiwan and preventing Taiwan from being forcibly annexed or reduced to “Taiwan, China” must be the shared responsibility of the government, ruling and opposition parties, and all the people of Taiwan. We must all unite to safeguard our nation and the freedom of Taiwan’s people. Our national security team and administrative agencies will now take action to build defense capabilities, economic strength, and democratic defense mechanisms sufficient for Taiwan to protect itself – laying an unshakable foundation to secure Taiwan’s safety and national sovereignty. For Taiwan, for the Republic of China, let us all take action together! Thank you. May Taiwan be blessed! Let’s keep going, Taiwan!