Rigid caps set forth in the National Health Insurance Global Budget System on the amount of money reimbursed to hospitals exacerbates the situation, while causing a number of additional side effects.
而健保總額預算制度，硬性規定各醫院給付總額上限的作法，也出現諸多後遺症，如醫院在營運考量下，可能拒收重症病患、門診限號、開刀排長隊、鼓勵不當住院、換用低價藥品等，已嚴重扭曲醫療人道精神，威脅病人權益。