Date of Award


Degree Type


Degree Name

Master of Public Health (MPH)


Public Health

First Advisor

Dr. Bruce Clement Perry

Second Advisor

Betty Armstrong-Mensah PhD


Health care reform is important in order to modify health care systems so that they operate more efficiently. There are various studies that compare the reforms of different countries to understand how these countries adjust their systems. This capstone introduces the health care system in Taiwan, China, and the United States, discusses the challenges they meet, and offers a comparison of recent reforms.

The health care systems are introduced through three sections: collection of funds, pooling of funds and purchasing of services, and providing of services and exemptions. All three countries face the financing burden of health expenditure. To offer universal coverage and comprehensive benefit to its citizens, these three countries makes changes to qualifications for those insured, services provided to beneficiaries and payment systems for physicians, and contributions to pooling of funds.

These reforms address barriers in reaching universal coverage in the three dimensions which are indicated in a WHO issued paper, that explains how to remove financial risks and barriers to access, promote efficiency and eliminate waste, and raisie sufficient resources for health (WHO, 2010). Despite the research, reforming the health care system to offer the accessibility of affordable services to individuals and to maintain sustainability of the health care financing will continually to be an issue.