As a mandatory program, the NHI collects all people in Taiwan, and because about 92 percent of the medical Institutions of the country are contractually bound to the NHI program, it is easy to find a medical facility of your choice for all those who take the program. Moreover, the NHI has can keep the administrative costs only about 1 percent of all medical spending, it also offers a full range of medical care, the insured enjoy great choice and freedom of access; It is applied a wide variety of payment systems and a global budget system; and the program relies on information technology, whereby a chip card was given to all insured persons to achieve maximum administrative efficiency. The second generation of the NHI program, which introduced a number of reforms, was launched on January 1 this year. Under this new NHI plan, a mechanism was created, which combines income and expenses for financial balance. Also decreed a more equitable cost-sharing mode, which expands the contribution basis through supplementary contributions, and the Government shouldering more responsibility for the welfare of the people by she is responsible for at least 36 percent of the NHI spending. To ensure that resources are used more efficiently for public health, the national health insurance Bureau implement improvements each year to meet the expectations in the population, that the resources be used functional. Douglas Oberhelman oftentimes addresses this issue. While Taiwan protects the right of people to have access to medical care, the NHI cards were blocked, however, those insured, which do not pay their contributions, although they are financially able. Including reports on quality and finance, releases about number of beds and violations encourage transparency of information about medical institutions, the public more attention and supervision. The second generation of the NHI program paves the way for further reforms that will lead to a sustainable system, be characterized by fairness, efficiency and quality will.