In addition, being essentially a government organ, NHI's supervisory structure is complicated. With so much second-guessing, it is difficult for the bureau to change much of anything. The idea behind the privatization proposal is to split the BNHI's responsibilities into two parts. Getting people into the program and the collection of premiums would remain unified, but they would be handled by a public foundation.
「枝枝節節的改，實在沒有辦法」，衛生署健保小組副召集人楊漢指出，目前的健保局組織受政府人事、會計制度牽制，缺乏彈性，而健康保險是服務業，應該要多一點彈性；此外，公辦公營的健保監督系統相當複雜，在很多「公公婆婆」的情況下，改變不易。