When universal health insurance was put into effect, the NHIB and the medical community came to a deadlock in discussing payment rates. Wu Kai-hsun, professor of public health at National Taiwan University, points out that after the rate was established, annual income from insurance payments is generally fixed. Therefore, the first demand of the NHIB was to "control the total of medical payments based on income."
熟知運作過程的台大醫學院公共衛生所教授吳凱勳指出，費率訂定後，每年的保費收入大致是固定的，因此，「根據收入來掌控醫療給付的總額」，是健保局的第一要務。