And according to Chuang Yi-chou, not one nation which has implemented a national health insurance system using this services-based payment method has been able to run it for long without the government having to take on a portion of its funding.
莊逸洲也指出，放眼實施健保的國家，還沒有一個採用「論量計酬」支付制度可以行之久遠、不造成國家財政負擔的。