何橈通醫師畢業於國防醫學院醫學系,歷任臺北榮總新陳代謝科主任、臺北榮總教學研究部主任、陽明大學醫學系主任、陽明大學醫學院院長。曾任蔣經國醫療團隊醫官。擔任教研部主任期間,推動且成立各種與醫療相關的重要事務,退休後,仍持續在各大醫院新陳代謝科門診,深獲病人信任。何醫師對臺北榮總行政變遷、國內外醫學教育的推動、產學合作、國際交流與研究倫理等醫務,不僅瞭若指掌,且貢獻卓著。這本訪問紀錄為讀者提供了豐富的醫學教育研究教材,極具史料價值。
1995年,臺灣開辦了全世界第一個單一體制的全民健康保險;2008年開辦國民年金,以相同條件投保的人,國民年金的福利比勞保年金少40%;2026年之前,預計勞工保險基金累積餘額將用完,制度面臨破產;2017年臺灣不健康平均餘命,男、女性分別為8.3年、9.8年,且持續增加中;老人的長期照顧應採稅收制或保險制?人口老化、少子化、經濟成長減緩等因素促成社會轉型,對臺灣的社會福利制度有何影響?要如何因應調整?羅紀琼女士從制度經濟學的觀點,就親身參與規劃全民健康保險制度及相關社會福利政策三十年的經驗,說明這些問題形成的原因,並提出宏觀視野的改革方案。The world’s first integrated National Health Insurance (NHI) was born in Taiwan in 1995. By 2008, the National Pension Insurance was set in place for those with weak economic ability, yet its benefit is 40% lower than those who had begun at the same starting point under the Labor Insurance. In 2026, it is forecasted that the estimated pension reserve of the Labor Insurance will run down to zero, pushing the system into bankruptcy. In 2017, the unhealthy life expectancy was 8.3 years for males and 9.8 years for females and is still rising. A few questions arise: Which long-term care (LTC) system is better for Taiwan, tax-financed or insurance? Rapid aging, fewer children, and slower economic growth have resulted in Taiwan’s social transformation, and thus how do these changes affect its social welfare systems and how should the systems be reformed? Over the past 30 years, Professor Lo has helped to establish the NHI financing system, evaluated the public pension systems, and participated in the design of the LTC insurance. She will explain in greater detail from the standpoint of an economist on why Taiwan is encountering such problems and where we should be going by rendering reform proposals for the welfare systems.
1978年年底適逢臺美斷交,李國鼎先生協助孫運璿院長擬定〈科學技術發展方案〉,成立科技顧問組,並擔任召集人,推動八項重點科技,包括能源、材料、資訊、自動化、光電、生物、肝炎防治、食品;具體措施包括成立資訊工業策進會和新竹科學工業園區。李國鼎先生是臺灣產業轉型最重要的推手,從農業到工業、從勞力密集到技術密集產業,特別重視人才培育和扶植高科技產業。他利用開發基金進行創業投資,取代過去以國營事業推動工業發展的策略,半導體產業的台積電公司就是最成功的案例。